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SAN DIEGO ROOFERS TRUST 401k Plan overview

Plan NameSAN DIEGO ROOFERS TRUST
Plan identification number 501

SAN DIEGO ROOFERS TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

SAN DIEGO ROOFERS TRUST has sponsored the creation of one or more 401k plans.

Company Name:SAN DIEGO ROOFERS TRUST
Employer identification number (EIN):956052184
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAN DIEGO ROOFERS TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01
5012021-12-01PAUL COLMENERO2023-10-03 MICHELLE MOSQUEDA2023-10-03
5012020-12-01PAUL COLMENERO2022-09-15 MICHELLE MOSQUEDA2022-09-15
5012019-12-01PAUL COLMENERO2021-09-15 MICHELLE MOSQUEDA2021-09-15
5012018-12-01PAUL COLMENERO2020-09-09
5012017-12-01PAUL COLMENERO2019-09-16
5012016-12-01
5012015-12-01
5012014-12-01
5012013-12-01
5012012-12-01PAUL COLMENERO
5012011-12-01PAUL COLMENERO
5012010-12-01PAUL COLMENERO
5012009-12-01PAUL COLMENERO
5012008-12-01

Plan Statistics for SAN DIEGO ROOFERS TRUST

401k plan membership statisitcs for SAN DIEGO ROOFERS TRUST

Measure Date Value
2022: SAN DIEGO ROOFERS TRUST 2022 401k membership
Total participants, beginning-of-year2022-12-01149
Total number of active participants reported on line 7a of the Form 55002022-12-01370
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-01370
Total participants2022-12-01370
Number of employers contributing to the scheme2022-12-0117
2021: SAN DIEGO ROOFERS TRUST 2021 401k membership
Total participants, beginning-of-year2021-12-01148
Total number of active participants reported on line 7a of the Form 55002021-12-01149
Total of all active and inactive participants2021-12-01149
2020: SAN DIEGO ROOFERS TRUST 2020 401k membership
Total participants, beginning-of-year2020-12-01146
Total number of active participants reported on line 7a of the Form 55002020-12-01122
Total of all active and inactive participants2020-12-01122
2019: SAN DIEGO ROOFERS TRUST 2019 401k membership
Total participants, beginning-of-year2019-12-01146
Total number of active participants reported on line 7a of the Form 55002019-12-01123
Total of all active and inactive participants2019-12-01123
2018: SAN DIEGO ROOFERS TRUST 2018 401k membership
Total participants, beginning-of-year2018-12-01206
Total number of active participants reported on line 7a of the Form 55002018-12-01105
Total of all active and inactive participants2018-12-01105
2017: SAN DIEGO ROOFERS TRUST 2017 401k membership
Total participants, beginning-of-year2017-12-0180
Total number of active participants reported on line 7a of the Form 55002017-12-01114
Total of all active and inactive participants2017-12-01114
2016: SAN DIEGO ROOFERS TRUST 2016 401k membership
Total participants, beginning-of-year2016-12-0176
Total number of active participants reported on line 7a of the Form 55002016-12-0180
Total of all active and inactive participants2016-12-0180
2015: SAN DIEGO ROOFERS TRUST 2015 401k membership
Total participants, beginning-of-year2015-12-01117
Total number of active participants reported on line 7a of the Form 55002015-12-0176
Total of all active and inactive participants2015-12-0176
2014: SAN DIEGO ROOFERS TRUST 2014 401k membership
Total participants, beginning-of-year2014-12-0176
Total number of active participants reported on line 7a of the Form 55002014-12-01117
Total of all active and inactive participants2014-12-01117
2013: SAN DIEGO ROOFERS TRUST 2013 401k membership
Total participants, beginning-of-year2013-12-0144
Total number of active participants reported on line 7a of the Form 55002013-12-0150
Total of all active and inactive participants2013-12-0150
2012: SAN DIEGO ROOFERS TRUST 2012 401k membership
Total participants, beginning-of-year2012-12-0151
Total number of active participants reported on line 7a of the Form 55002012-12-0144
Total of all active and inactive participants2012-12-0144
2011: SAN DIEGO ROOFERS TRUST 2011 401k membership
Total participants, beginning-of-year2011-12-0145
Total number of active participants reported on line 7a of the Form 55002011-12-0151
Total of all active and inactive participants2011-12-0151
2010: SAN DIEGO ROOFERS TRUST 2010 401k membership
Total participants, beginning-of-year2010-12-0119
Total number of active participants reported on line 7a of the Form 55002010-12-0145
Total of all active and inactive participants2010-12-0145
2009: SAN DIEGO ROOFERS TRUST 2009 401k membership
Total participants, beginning-of-year2009-12-0165
Total number of active participants reported on line 7a of the Form 55002009-12-0119
Total of all active and inactive participants2009-12-0119

Financial Data on SAN DIEGO ROOFERS TRUST

Measure Date Value
2023 : SAN DIEGO ROOFERS TRUST 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-11-30$4,256
Total unrealized appreciation/depreciation of assets2023-11-30$4,256
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-11-30$1,173,914
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-11-30$607,077
Total income from all sources (including contributions)2023-11-30$3,491,909
Total of all expenses incurred2023-11-30$2,723,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-11-30$2,557,102
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-11-30$3,136,257
Value of total assets at end of year2023-11-30$3,442,858
Value of total assets at beginning of year2023-11-30$2,107,445
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-11-30$166,231
Total interest from all sources2023-11-30$42,467
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-11-30No
Administrative expenses professional fees incurred2023-11-30$64,915
Was this plan covered by a fidelity bond2023-11-30Yes
Value of fidelity bond cover2023-11-30$500,000
If this is an individual account plan, was there a blackout period2023-11-30No
Were there any nonexempt tranactions with any party-in-interest2023-11-30No
Other income not declared elsewhere2023-11-30$308,929
Administrative expenses (other) incurred2023-11-30$14,515
Liabilities. Value of operating payables at end of year2023-11-30$99,486
Liabilities. Value of operating payables at beginning of year2023-11-30$17,625
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-11-30No
Value of net income/loss2023-11-30$768,576
Value of net assets at end of year (total assets less liabilities)2023-11-30$2,268,944
Value of net assets at beginning of year (total assets less liabilities)2023-11-30$1,500,368
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-11-30No
Were any leases to which the plan was party in default or uncollectible2023-11-30No
Investment advisory and management fees2023-11-30$300
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-11-30$3,082,260
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-11-30$1,952,352
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-11-30$1,952,352
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-11-30$42,467
Expenses. Payments to insurance carriers foe the provision of benefits2023-11-30$2,557,102
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-11-30Yes
Was there a failure to transmit to the plan any participant contributions2023-11-30No
Has the plan failed to provide any benefit when due under the plan2023-11-30No
Contributions received in cash from employer2023-11-30$3,136,257
Employer contributions (assets) at end of year2023-11-30$360,598
Employer contributions (assets) at beginning of year2023-11-30$155,093
Contract administrator fees2023-11-30$86,501
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-11-30No
Liabilities. Value of benefit claims payable at end of year2023-11-30$1,074,428
Liabilities. Value of benefit claims payable at beginning of year2023-11-30$589,452
Did the plan have assets held for investment2023-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-11-30No
Opinion of an independent qualified public accountant for this plan2023-11-30Unqualified
Accountancy firm name2023-11-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2023-11-30952036255
2022 : SAN DIEGO ROOFERS TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-11-30$-4,049
Total unrealized appreciation/depreciation of assets2022-11-30$-4,049
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-30$607,077
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-30$642,647
Total income from all sources (including contributions)2022-11-30$2,152,956
Total of all expenses incurred2022-11-30$2,081,735
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-11-30$1,953,021
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-11-30$2,153,384
Value of total assets at end of year2022-11-30$2,107,445
Value of total assets at beginning of year2022-11-30$2,071,794
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-11-30$128,714
Total interest from all sources2022-11-30$3,621
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-11-30No
Administrative expenses professional fees incurred2022-11-30$33,800
Was this plan covered by a fidelity bond2022-11-30Yes
Value of fidelity bond cover2022-11-30$500,000
If this is an individual account plan, was there a blackout period2022-11-30No
Were there any nonexempt tranactions with any party-in-interest2022-11-30No
Administrative expenses (other) incurred2022-11-30$94,914
Liabilities. Value of operating payables at end of year2022-11-30$17,625
Liabilities. Value of operating payables at beginning of year2022-11-30$53,202
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-30No
Value of net income/loss2022-11-30$71,221
Value of net assets at end of year (total assets less liabilities)2022-11-30$1,500,368
Value of net assets at beginning of year (total assets less liabilities)2022-11-30$1,429,147
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-11-30No
Were any leases to which the plan was party in default or uncollectible2022-11-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-11-30$1,952,352
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-11-30$1,860,701
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-11-30$1,860,701
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-11-30$3,621
Expenses. Payments to insurance carriers foe the provision of benefits2022-11-30$1,953,021
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-11-30Yes
Was there a failure to transmit to the plan any participant contributions2022-11-30No
Has the plan failed to provide any benefit when due under the plan2022-11-30No
Contributions received in cash from employer2022-11-30$2,153,384
Employer contributions (assets) at end of year2022-11-30$155,093
Employer contributions (assets) at beginning of year2022-11-30$211,093
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-11-30No
Liabilities. Value of benefit claims payable at end of year2022-11-30$589,452
Liabilities. Value of benefit claims payable at beginning of year2022-11-30$589,445
Did the plan have assets held for investment2022-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-11-30No
Opinion of an independent qualified public accountant for this plan2022-11-30Unqualified
Accountancy firm name2022-11-30PKF SAN DIEGO, LLP
Accountancy firm EIN2022-11-30813391684
2021 : SAN DIEGO ROOFERS TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$642,647
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$483,798
Total income from all sources (including contributions)2021-11-30$1,810,330
Total of all expenses incurred2021-11-30$1,809,994
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-11-30$1,694,774
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-11-30$1,809,154
Value of total assets at end of year2021-11-30$2,071,794
Value of total assets at beginning of year2021-11-30$1,912,609
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-11-30$115,220
Total interest from all sources2021-11-30$1,176
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-11-30No
Administrative expenses professional fees incurred2021-11-30$33,240
Was this plan covered by a fidelity bond2021-11-30Yes
Value of fidelity bond cover2021-11-30$500,000
If this is an individual account plan, was there a blackout period2021-11-30No
Were there any nonexempt tranactions with any party-in-interest2021-11-30No
Administrative expenses (other) incurred2021-11-30$81,980
Liabilities. Value of operating payables at end of year2021-11-30$53,202
Liabilities. Value of operating payables at beginning of year2021-11-30$5,425
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Value of net income/loss2021-11-30$336
Value of net assets at end of year (total assets less liabilities)2021-11-30$1,429,147
Value of net assets at beginning of year (total assets less liabilities)2021-11-30$1,428,811
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-11-30No
Were any leases to which the plan was party in default or uncollectible2021-11-30No
Interest earned on other investments2021-11-30$1,176
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-11-30$1,860,701
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-11-30$1,800,085
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-11-30$1,800,085
Expenses. Payments to insurance carriers foe the provision of benefits2021-11-30$1,694,774
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-11-30Yes
Was there a failure to transmit to the plan any participant contributions2021-11-30No
Has the plan failed to provide any benefit when due under the plan2021-11-30No
Contributions received in cash from employer2021-11-30$1,809,154
Employer contributions (assets) at end of year2021-11-30$211,093
Employer contributions (assets) at beginning of year2021-11-30$112,524
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-11-30No
Liabilities. Value of benefit claims payable at end of year2021-11-30$589,445
Liabilities. Value of benefit claims payable at beginning of year2021-11-30$478,373
Did the plan have assets held for investment2021-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-11-30No
2020 : SAN DIEGO ROOFERS TRUST 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$483,798
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$477,994
Total income from all sources (including contributions)2020-11-30$1,519,946
Total of all expenses incurred2020-11-30$1,469,565
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-11-30$1,374,900
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-11-30$1,504,825
Value of total assets at end of year2020-11-30$1,912,609
Value of total assets at beginning of year2020-11-30$1,856,424
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-11-30$94,665
Total interest from all sources2020-11-30$15,121
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-11-30No
Administrative expenses professional fees incurred2020-11-30$34,060
Was this plan covered by a fidelity bond2020-11-30Yes
Value of fidelity bond cover2020-11-30$500,000
If this is an individual account plan, was there a blackout period2020-11-30No
Were there any nonexempt tranactions with any party-in-interest2020-11-30No
Administrative expenses (other) incurred2020-11-30$60,605
Liabilities. Value of operating payables at end of year2020-11-30$5,425
Liabilities. Value of operating payables at beginning of year2020-11-30$5,425
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-11-30No
Value of net income/loss2020-11-30$50,381
Value of net assets at end of year (total assets less liabilities)2020-11-30$1,428,811
Value of net assets at beginning of year (total assets less liabilities)2020-11-30$1,378,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-11-30No
Were any leases to which the plan was party in default or uncollectible2020-11-30No
Interest earned on other investments2020-11-30$15,121
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-11-30$1,800,085
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-11-30$1,747,674
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-11-30$1,747,674
Expenses. Payments to insurance carriers foe the provision of benefits2020-11-30$1,374,900
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-11-30Yes
Was there a failure to transmit to the plan any participant contributions2020-11-30No
Has the plan failed to provide any benefit when due under the plan2020-11-30No
Contributions received in cash from employer2020-11-30$1,504,825
Employer contributions (assets) at end of year2020-11-30$112,524
Employer contributions (assets) at beginning of year2020-11-30$108,750
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-11-30No
Liabilities. Value of benefit claims payable at end of year2020-11-30$478,373
Liabilities. Value of benefit claims payable at beginning of year2020-11-30$472,569
Did the plan have assets held for investment2020-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-11-30No
Opinion of an independent qualified public accountant for this plan2020-11-30Unqualified
Accountancy firm name2020-11-30PKF SAN DIEGO, LLP
Accountancy firm EIN2020-11-30813391684
2019 : SAN DIEGO ROOFERS TRUST 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$477,994
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$417,411
Total income from all sources (including contributions)2019-11-30$1,310,356
Total of all expenses incurred2019-11-30$1,250,341
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-11-30$1,161,699
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-11-30$1,282,818
Value of total assets at end of year2019-11-30$1,856,424
Value of total assets at beginning of year2019-11-30$1,735,826
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-11-30$88,642
Total interest from all sources2019-11-30$27,538
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-11-30No
Administrative expenses professional fees incurred2019-11-30$27,810
Was this plan covered by a fidelity bond2019-11-30Yes
Value of fidelity bond cover2019-11-30$500,000
If this is an individual account plan, was there a blackout period2019-11-30No
Were there any nonexempt tranactions with any party-in-interest2019-11-30No
Administrative expenses (other) incurred2019-11-30$60,832
Liabilities. Value of operating payables at end of year2019-11-30$5,425
Liabilities. Value of operating payables at beginning of year2019-11-30$9,575
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Value of net income/loss2019-11-30$60,015
Value of net assets at end of year (total assets less liabilities)2019-11-30$1,378,430
Value of net assets at beginning of year (total assets less liabilities)2019-11-30$1,318,415
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-11-30No
Were any leases to which the plan was party in default or uncollectible2019-11-30No
Interest earned on other investments2019-11-30$27,538
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-11-30$1,747,674
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-11-30$1,629,187
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-11-30$1,629,187
Expenses. Payments to insurance carriers foe the provision of benefits2019-11-30$1,161,699
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-11-30No
Was there a failure to transmit to the plan any participant contributions2019-11-30No
Has the plan failed to provide any benefit when due under the plan2019-11-30No
Contributions received in cash from employer2019-11-30$1,282,818
Employer contributions (assets) at end of year2019-11-30$108,750
Employer contributions (assets) at beginning of year2019-11-30$106,639
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-11-30No
Liabilities. Value of benefit claims payable at end of year2019-11-30$472,569
Liabilities. Value of benefit claims payable at beginning of year2019-11-30$407,836
Did the plan have assets held for investment2019-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-11-30No
Opinion of an independent qualified public accountant for this plan2019-11-30Unqualified
Accountancy firm name2019-11-30PKF, LLP
Accountancy firm EIN2019-11-30813391684
2018 : SAN DIEGO ROOFERS TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-11-30$417,411
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-11-30$414,754
Total income from all sources (including contributions)2018-11-30$1,427,196
Total of all expenses incurred2018-11-30$1,179,457
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-11-30$1,099,006
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-11-30$1,415,744
Value of total assets at end of year2018-11-30$1,735,826
Value of total assets at beginning of year2018-11-30$1,485,430
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-11-30$80,451
Total interest from all sources2018-11-30$11,452
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-11-30No
Administrative expenses professional fees incurred2018-11-30$24,704
Was this plan covered by a fidelity bond2018-11-30Yes
Value of fidelity bond cover2018-11-30$500,000
If this is an individual account plan, was there a blackout period2018-11-30No
Were there any nonexempt tranactions with any party-in-interest2018-11-30No
Administrative expenses (other) incurred2018-11-30$55,747
Liabilities. Value of operating payables at end of year2018-11-30$9,575
Liabilities. Value of operating payables at beginning of year2018-11-30$9,635
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-11-30No
Value of net income/loss2018-11-30$247,739
Value of net assets at end of year (total assets less liabilities)2018-11-30$1,318,415
Value of net assets at beginning of year (total assets less liabilities)2018-11-30$1,070,676
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-11-30No
Were any leases to which the plan was party in default or uncollectible2018-11-30No
Interest earned on other investments2018-11-30$11,452
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-11-30$1,629,187
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-11-30$1,316,389
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-11-30$1,316,389
Expenses. Payments to insurance carriers foe the provision of benefits2018-11-30$1,099,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-11-30No
Was there a failure to transmit to the plan any participant contributions2018-11-30No
Has the plan failed to provide any benefit when due under the plan2018-11-30No
Contributions received in cash from employer2018-11-30$1,415,744
Employer contributions (assets) at end of year2018-11-30$106,639
Employer contributions (assets) at beginning of year2018-11-30$169,041
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-11-30No
Liabilities. Value of benefit claims payable at end of year2018-11-30$407,836
Liabilities. Value of benefit claims payable at beginning of year2018-11-30$405,119
Did the plan have assets held for investment2018-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-11-30No
Opinion of an independent qualified public accountant for this plan2018-11-30Unqualified
Accountancy firm name2018-11-30PKF, LLP
Accountancy firm EIN2018-11-30813391684
2017 : SAN DIEGO ROOFERS TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$414,754
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$197,987
Total income from all sources (including contributions)2017-11-30$1,076,573
Total of all expenses incurred2017-11-30$938,235
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-11-30$858,629
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-11-30$1,075,433
Value of total assets at end of year2017-11-30$1,485,430
Value of total assets at beginning of year2017-11-30$1,130,325
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-11-30$79,606
Total interest from all sources2017-11-30$1,140
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-11-30No
Administrative expenses professional fees incurred2017-11-30$20,952
Was this plan covered by a fidelity bond2017-11-30Yes
Value of fidelity bond cover2017-11-30$100,000
If this is an individual account plan, was there a blackout period2017-11-30No
Were there any nonexempt tranactions with any party-in-interest2017-11-30No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-11-30$400
Administrative expenses (other) incurred2017-11-30$58,654
Liabilities. Value of operating payables at end of year2017-11-30$9,635
Liabilities. Value of operating payables at beginning of year2017-11-30$6,266
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Value of net income/loss2017-11-30$138,338
Value of net assets at end of year (total assets less liabilities)2017-11-30$1,070,676
Value of net assets at beginning of year (total assets less liabilities)2017-11-30$932,338
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-11-30No
Were any leases to which the plan was party in default or uncollectible2017-11-30No
Interest earned on other investments2017-11-30$1,140
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-11-30$1,316,389
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-11-30$1,084,757
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-11-30$1,084,757
Expenses. Payments to insurance carriers foe the provision of benefits2017-11-30$858,629
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-11-30No
Was there a failure to transmit to the plan any participant contributions2017-11-30No
Has the plan failed to provide any benefit when due under the plan2017-11-30No
Contributions received in cash from employer2017-11-30$1,075,433
Employer contributions (assets) at end of year2017-11-30$169,041
Employer contributions (assets) at beginning of year2017-11-30$45,168
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-11-30No
Liabilities. Value of benefit claims payable at end of year2017-11-30$405,119
Liabilities. Value of benefit claims payable at beginning of year2017-11-30$191,721
Did the plan have assets held for investment2017-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-11-30No
Opinion of an independent qualified public accountant for this plan2017-11-30Unqualified
Accountancy firm name2017-11-30PKF, LLP
Accountancy firm EIN2017-11-30813391684
2016 : SAN DIEGO ROOFERS TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$197,987
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$278,940
Total income from all sources (including contributions)2016-11-30$702,388
Total of all expenses incurred2016-11-30$597,287
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-11-30$528,861
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-11-30$701,796
Value of total assets at end of year2016-11-30$1,130,325
Value of total assets at beginning of year2016-11-30$1,106,177
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-11-30$68,426
Total interest from all sources2016-11-30$592
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-11-30No
Administrative expenses professional fees incurred2016-11-30$24,202
Was this plan covered by a fidelity bond2016-11-30Yes
Value of fidelity bond cover2016-11-30$100,000
If this is an individual account plan, was there a blackout period2016-11-30No
Were there any nonexempt tranactions with any party-in-interest2016-11-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-11-30$400
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-11-30$43,584
Administrative expenses (other) incurred2016-11-30$44,224
Liabilities. Value of operating payables at end of year2016-11-30$6,266
Liabilities. Value of operating payables at beginning of year2016-11-30$6,135
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Value of net income/loss2016-11-30$105,101
Value of net assets at end of year (total assets less liabilities)2016-11-30$932,338
Value of net assets at beginning of year (total assets less liabilities)2016-11-30$827,237
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-11-30No
Were any leases to which the plan was party in default or uncollectible2016-11-30No
Interest earned on other investments2016-11-30$592
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-11-30$1,084,757
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-11-30$991,949
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-11-30$991,949
Expenses. Payments to insurance carriers foe the provision of benefits2016-11-30$528,861
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-11-30No
Was there a failure to transmit to the plan any participant contributions2016-11-30No
Has the plan failed to provide any benefit when due under the plan2016-11-30No
Contributions received in cash from employer2016-11-30$701,796
Employer contributions (assets) at end of year2016-11-30$45,168
Employer contributions (assets) at beginning of year2016-11-30$70,644
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-11-30No
Liabilities. Value of benefit claims payable at end of year2016-11-30$191,721
Liabilities. Value of benefit claims payable at beginning of year2016-11-30$272,805
Did the plan have assets held for investment2016-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-11-30No
Opinion of an independent qualified public accountant for this plan2016-11-30Unqualified
Accountancy firm name2016-11-30PKF, LLP
Accountancy firm EIN2016-11-30813391684
2015 : SAN DIEGO ROOFERS TRUST 2015 401k financial data
Total plan liabilities at end of year2015-11-30$278,940
Total plan liabilities at beginning of year2015-11-30$204,895
Total income from all sources2015-11-30$611,116
Expenses. Total of all expenses incurred2015-11-30$567,878
Benefits paid (including direct rollovers)2015-11-30$523,244
Total plan assets at end of year2015-11-30$1,106,177
Total plan assets at beginning of year2015-11-30$988,894
Value of fidelity bond covering the plan2015-11-30$100,000
Other income received2015-11-30$589
Net income (gross income less expenses)2015-11-30$43,238
Net plan assets at end of year (total assets less liabilities)2015-11-30$827,237
Net plan assets at beginning of year (total assets less liabilities)2015-11-30$783,999
Total contributions received or receivable from employer(s)2015-11-30$610,527
Expenses. Administrative service providers (salaries,fees and commissions)2015-11-30$44,634
2014 : SAN DIEGO ROOFERS TRUST 2014 401k financial data
Total plan liabilities at end of year2014-11-30$204,895
Total plan liabilities at beginning of year2014-11-30$105,350
Total income from all sources2014-11-30$475,679
Expenses. Total of all expenses incurred2014-11-30$487,979
Benefits paid (including direct rollovers)2014-11-30$432,182
Total plan assets at end of year2014-11-30$988,894
Total plan assets at beginning of year2014-11-30$901,649
Value of fidelity bond covering the plan2014-11-30$100,000
Other income received2014-11-30$674
Net income (gross income less expenses)2014-11-30$-12,300
Net plan assets at end of year (total assets less liabilities)2014-11-30$783,999
Net plan assets at beginning of year (total assets less liabilities)2014-11-30$796,299
Total contributions received or receivable from employer(s)2014-11-30$475,005
Expenses. Administrative service providers (salaries,fees and commissions)2014-11-30$55,797
2013 : SAN DIEGO ROOFERS TRUST 2013 401k financial data
Total plan liabilities at end of year2013-11-30$105,350
Total plan liabilities at beginning of year2013-11-30$118,047
Total income from all sources2013-11-30$453,375
Expenses. Total of all expenses incurred2013-11-30$284,289
Benefits paid (including direct rollovers)2013-11-30$234,568
Total plan assets at end of year2013-11-30$901,649
Total plan assets at beginning of year2013-11-30$745,260
Value of fidelity bond covering the plan2013-11-30$100,000
Other income received2013-11-30$518
Net income (gross income less expenses)2013-11-30$169,086
Net plan assets at end of year (total assets less liabilities)2013-11-30$796,299
Net plan assets at beginning of year (total assets less liabilities)2013-11-30$627,213
Total contributions received or receivable from employer(s)2013-11-30$452,857
Expenses. Administrative service providers (salaries,fees and commissions)2013-11-30$49,721
2012 : SAN DIEGO ROOFERS TRUST 2012 401k financial data
Total plan liabilities at end of year2012-11-30$118,047
Total plan liabilities at beginning of year2012-11-30$69,397
Total income from all sources2012-11-30$322,266
Expenses. Total of all expenses incurred2012-11-30$327,106
Benefits paid (including direct rollovers)2012-11-30$280,187
Total plan assets at end of year2012-11-30$745,260
Total plan assets at beginning of year2012-11-30$701,450
Value of fidelity bond covering the plan2012-11-30$100,000
Other income received2012-11-30$694
Net income (gross income less expenses)2012-11-30$-4,840
Net plan assets at end of year (total assets less liabilities)2012-11-30$627,213
Net plan assets at beginning of year (total assets less liabilities)2012-11-30$632,053
Total contributions received or receivable from employer(s)2012-11-30$321,572
Expenses. Administrative service providers (salaries,fees and commissions)2012-11-30$46,919
2011 : SAN DIEGO ROOFERS TRUST 2011 401k financial data
Total plan liabilities at end of year2011-11-30$69,397
Total plan liabilities at beginning of year2011-11-30$68,106
Total income from all sources2011-11-30$244,505
Expenses. Total of all expenses incurred2011-11-30$172,774
Benefits paid (including direct rollovers)2011-11-30$120,142
Total plan assets at end of year2011-11-30$701,450
Total plan assets at beginning of year2011-11-30$628,428
Value of fidelity bond covering the plan2011-11-30$100,000
Other income received2011-11-30$1,322
Net income (gross income less expenses)2011-11-30$71,731
Net plan assets at end of year (total assets less liabilities)2011-11-30$632,053
Net plan assets at beginning of year (total assets less liabilities)2011-11-30$560,322
Total contributions received or receivable from employer(s)2011-11-30$243,183
Expenses. Administrative service providers (salaries,fees and commissions)2011-11-30$52,632

Form 5500 Responses for SAN DIEGO ROOFERS TRUST

2022: SAN DIEGO ROOFERS TRUST 2022 form 5500 responses
2022-12-01Type of plan entityMulitple employer plan
2022-12-01Plan is a collectively bargained planYes
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – TrustYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement - TrustYes
2021: SAN DIEGO ROOFERS TRUST 2021 form 5500 responses
2021-12-01Type of plan entityMulitple employer plan
2021-12-01Plan is a collectively bargained planYes
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – TrustYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement - TrustYes
2020: SAN DIEGO ROOFERS TRUST 2020 form 5500 responses
2020-12-01Type of plan entityMulitple employer plan
2020-12-01Plan is a collectively bargained planYes
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – TrustYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement - TrustYes
2019: SAN DIEGO ROOFERS TRUST 2019 form 5500 responses
2019-12-01Type of plan entityMulitple employer plan
2019-12-01Plan is a collectively bargained planYes
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – TrustYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement - TrustYes
2018: SAN DIEGO ROOFERS TRUST 2018 form 5500 responses
2018-12-01Type of plan entityMulitple employer plan
2018-12-01Plan is a collectively bargained planYes
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – TrustYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement - TrustYes
2017: SAN DIEGO ROOFERS TRUST 2017 form 5500 responses
2017-12-01Type of plan entityMulitple employer plan
2017-12-01Plan is a collectively bargained planYes
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan funding arrangement – TrustYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement - TrustYes
2016: SAN DIEGO ROOFERS TRUST 2016 form 5500 responses
2016-12-01Type of plan entityMulitple employer plan
2016-12-01Plan is a collectively bargained planYes
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan funding arrangement – TrustYes
2016-12-01Plan benefit arrangement – InsuranceYes
2016-12-01Plan benefit arrangement - TrustYes
2015: SAN DIEGO ROOFERS TRUST 2015 form 5500 responses
2015-12-01Type of plan entityMulitple employer plan
2015-12-01Plan is a collectively bargained planYes
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan funding arrangement – TrustYes
2015-12-01Plan benefit arrangement – InsuranceYes
2015-12-01Plan benefit arrangement - TrustYes
2014: SAN DIEGO ROOFERS TRUST 2014 form 5500 responses
2014-12-01Type of plan entityMulitple employer plan
2014-12-01Plan is a collectively bargained planYes
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan funding arrangement – TrustYes
2014-12-01Plan benefit arrangement – InsuranceYes
2014-12-01Plan benefit arrangement - TrustYes
2013: SAN DIEGO ROOFERS TRUST 2013 form 5500 responses
2013-12-01Type of plan entityMulitple employer plan
2013-12-01Plan is a collectively bargained planYes
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan funding arrangement – TrustYes
2013-12-01Plan benefit arrangement – InsuranceYes
2013-12-01Plan benefit arrangement - TrustYes
2012: SAN DIEGO ROOFERS TRUST 2012 form 5500 responses
2012-12-01Type of plan entityMulitple employer plan
2012-12-01Plan is a collectively bargained planYes
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan funding arrangement – TrustYes
2012-12-01Plan benefit arrangement – InsuranceYes
2012-12-01Plan benefit arrangement - TrustYes
2011: SAN DIEGO ROOFERS TRUST 2011 form 5500 responses
2011-12-01Type of plan entityMulitple employer plan
2011-12-01Plan is a collectively bargained planYes
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan funding arrangement – TrustYes
2011-12-01Plan benefit arrangement – InsuranceYes
2011-12-01Plan benefit arrangement - TrustYes
2010: SAN DIEGO ROOFERS TRUST 2010 form 5500 responses
2010-12-01Type of plan entityMulitple employer plan
2010-12-01Plan is a collectively bargained planYes
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan funding arrangement – TrustYes
2010-12-01Plan benefit arrangement – InsuranceYes
2010-12-01Plan benefit arrangement - TrustYes
2009: SAN DIEGO ROOFERS TRUST 2009 form 5500 responses
2009-12-01Type of plan entityMulitple employer plan
2009-12-01This submission is the final filingNo
2009-12-01Plan is a collectively bargained planYes
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan funding arrangement – TrustYes
2009-12-01Plan benefit arrangement – InsuranceYes
2009-12-01Plan benefit arrangement - TrustYes
2008: SAN DIEGO ROOFERS TRUST 2008 form 5500 responses
2008-12-01Type of plan entityMulitple employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101679
Policy instance 2
Insurance contract or identification number101679
Number of Individuals Covered404
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,069,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010113095
Policy instance 1
Insurance contract or identification number000010113095
Number of Individuals Covered206
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $3,264
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedDEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $21,758
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,264
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101679
Policy instance 2
Insurance contract or identification number101679
Number of Individuals Covered327
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,483,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010113095
Policy instance 1
Insurance contract or identification number000010113095
Number of Individuals Covered180
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $2,893
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedDEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $19,289
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,893
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101679
Policy instance 2
Insurance contract or identification number101679
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010113095
Policy instance 1
Insurance contract or identification number000010113095
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedDEPENDENT LIFE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101679
Policy instance 2
Insurance contract or identification number101679
Number of Individuals Covered251
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,078,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010113095
Policy instance 1
Insurance contract or identification number000010113095
Number of Individuals Covered175
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $2,647
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedDEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $17,647
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010113095
Policy instance 1
Insurance contract or identification number000010113095
Number of Individuals Covered134
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $2,230
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedDEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $14,869
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,230
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101679
Policy instance 2
Insurance contract or identification number101679
Number of Individuals Covered235
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,176,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number101679
Policy instance 2
Insurance contract or identification number101679
Number of Individuals Covered184
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $559,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010113095
Policy instance 1
Insurance contract or identification number000010113095
Number of Individuals Covered114
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $1,912
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedDEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $12,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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