401k Plan data: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND plan

HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 401k Plan overview

Plan Name	HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND
Plan identification number	501

HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

BOARD OF TRUSTEES, HEAT AND FROST INSULATORS AND has sponsored the creation of one or more 401k plans.

Company Name: BOARD OF TRUSTEES, HEAT AND FROST INSULATORS AND

Employer identification number (EIN): 956093752

NAIC Classification: 238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01
501 2022-01-01
501 2021-01-01
501 2020-01-01
501 2019-01-01
501 2019-01-01
501 2018-01-01
501 2017-01-01 MILLER KAPLAN ARASE LLP
501 2016-01-01 MILLER KAPLAN ARASE LLP
501 2015-01-01 MILLER KAPLAN ARASE LLP MILLER KAPLAN ARASE LLP 2016-10-11
501 2014-01-01 SANDY S GARCIA SANDY S GARCIA 2015-10-14
501 2013-01-01 TOM GUTIERREZ PATRICE REYNOLDS 2015-05-19
501 2012-01-01 TOM GUTIERREZ PATRICE REYNOLDS 2013-10-14
501 2010-01-01 ALFRED MONTOYA PATRICE REYNOLDS 2011-10-11
501 2009-01-01 PATRICE REYNOLDS ALFRED MONTOYA 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01
501	2022-01-01
501	2021-01-01
501	2020-01-01
501	2019-01-01
501	2019-01-01
501	2018-01-01
501	2017-01-01	MILLER KAPLAN ARASE LLP
501	2016-01-01	MILLER KAPLAN ARASE LLP
501	2015-01-01	MILLER KAPLAN ARASE LLP	MILLER KAPLAN ARASE LLP	2016-10-11
501	2014-01-01	SANDY S GARCIA	SANDY S GARCIA	2015-10-14
501	2013-01-01	TOM GUTIERREZ	PATRICE REYNOLDS	2015-05-19
501	2012-01-01	TOM GUTIERREZ	PATRICE REYNOLDS	2013-10-14
501	2010-01-01	ALFRED MONTOYA	PATRICE REYNOLDS	2011-10-11
501	2009-01-01	PATRICE REYNOLDS	ALFRED MONTOYA	2010-10-13

Plan Statistics for HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND

401k plan membership statisitcs for HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND

Measure Date Value
2023: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2023 401k membership
Total participants, beginning-of-year 2023-01-01 983
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 906
Number of retired or separated participants receiving benefits 2023-01-01 54
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 960
Total participants 2023-01-01 960
Number of employers contributing to the scheme 2023-01-01 62
2022: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2022 401k membership
Total participants, beginning-of-year 2022-01-01 908
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 911
Number of retired or separated participants receiving benefits 2022-01-01 72
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 983
Total participants 2022-01-01 983
Number of employers contributing to the scheme 2022-01-01 60
2021: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2021 401k membership
Total participants, beginning-of-year 2021-01-01 998
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 835
Number of retired or separated participants receiving benefits 2021-01-01 73
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 908
Total participants 2021-01-01 908
Number of employers contributing to the scheme 2021-01-01 61
2020: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,054
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 920
Number of retired or separated participants receiving benefits 2020-01-01 78
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 998
Total participants 2020-01-01 998
Number of employers contributing to the scheme 2020-01-01 57
2019: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2019 401k membership
Total participants, beginning-of-year 2019-01-01 889
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 977
Number of retired or separated participants receiving benefits 2019-01-01 77
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 1,054
Total participants 2019-01-01 1,054
Number of employers contributing to the scheme 2019-01-01 53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2018 401k membership
Total participants, beginning-of-year 2018-01-01 898
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 808
Number of retired or separated participants receiving benefits 2018-01-01 81
Total of all active and inactive participants 2018-01-01 889
Total participants 2018-01-01 889
Number of employers contributing to the scheme 2018-01-01 55
2017: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2017 401k membership
Total participants, beginning-of-year 2017-01-01 915
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 818
Number of retired or separated participants receiving benefits 2017-01-01 80
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 898
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 898
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
Number of employers contributing to the scheme 2017-01-01 54
2016: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2016 401k membership
Total participants, beginning-of-year 2016-01-01 919
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 832
Number of retired or separated participants receiving benefits 2016-01-01 83
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 915
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 915
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 51
2015: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2015 401k membership
Total participants, beginning-of-year 2015-01-01 832
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 832
Number of retired or separated participants receiving benefits 2015-01-01 87
Total of all active and inactive participants 2015-01-01 919
Total participants 2015-01-01 919
Number of employers contributing to the scheme 2015-01-01 73
2014: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2014 401k membership
Total participants, beginning-of-year 2014-01-01 982
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 705
Number of retired or separated participants receiving benefits 2014-01-01 86
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 791
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 791
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
Number of employers contributing to the scheme 2014-01-01 83
2013: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2013 401k membership
Total participants, beginning-of-year 2013-01-01 882
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 829
Number of retired or separated participants receiving benefits 2013-01-01 153
Total of all active and inactive participants 2013-01-01 982
Total participants 2013-01-01 982
Number of employers contributing to the scheme 2013-01-01 94
2012: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2012 401k membership
Total participants, beginning-of-year 2012-01-01 799
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 710
Number of retired or separated participants receiving benefits 2012-01-01 172
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 882
Total participants 2012-01-01 882
Number of employers contributing to the scheme 2012-01-01 97
2010: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,280
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,135
Number of retired or separated participants receiving benefits 2010-01-01 130
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 1,265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1,265
Number of participants with account balances 2010-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
Number of employers contributing to the scheme 2010-01-01 348
2009: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,716
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,117
Number of retired or separated participants receiving benefits 2009-01-01 163
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 1,280
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,280
Number of participants with account balances 2009-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0
Number of employers contributing to the scheme 2009-01-01 287

Measure	Date	Value
2023: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2023 401k membership
Total participants, beginning-of-year	2023-01-01	983
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	906
Number of retired or separated participants receiving benefits	2023-01-01	54
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	960
Total participants	2023-01-01	960
Number of employers contributing to the scheme	2023-01-01	62
2022: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2022 401k membership
Total participants, beginning-of-year	2022-01-01	908
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	911
Number of retired or separated participants receiving benefits	2022-01-01	72
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	983
Total participants	2022-01-01	983
Number of employers contributing to the scheme	2022-01-01	60
2021: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2021 401k membership
Total participants, beginning-of-year	2021-01-01	998
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	835
Number of retired or separated participants receiving benefits	2021-01-01	73
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	908
Total participants	2021-01-01	908
Number of employers contributing to the scheme	2021-01-01	61
2020: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,054
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	920
Number of retired or separated participants receiving benefits	2020-01-01	78
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	998
Total participants	2020-01-01	998
Number of employers contributing to the scheme	2020-01-01	57
2019: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2019 401k membership
Total participants, beginning-of-year	2019-01-01	889
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	977
Number of retired or separated participants receiving benefits	2019-01-01	77
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	1,054
Total participants	2019-01-01	1,054
Number of employers contributing to the scheme	2019-01-01	53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2018 401k membership
Total participants, beginning-of-year	2018-01-01	898
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	808
Number of retired or separated participants receiving benefits	2018-01-01	81
Total of all active and inactive participants	2018-01-01	889
Total participants	2018-01-01	889
Number of employers contributing to the scheme	2018-01-01	55
2017: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2017 401k membership
Total participants, beginning-of-year	2017-01-01	915
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	818
Number of retired or separated participants receiving benefits	2017-01-01	80
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	898
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	898
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
Number of employers contributing to the scheme	2017-01-01	54
2016: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2016 401k membership
Total participants, beginning-of-year	2016-01-01	919
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	832
Number of retired or separated participants receiving benefits	2016-01-01	83
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	915
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	915
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	51
2015: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2015 401k membership
Total participants, beginning-of-year	2015-01-01	832
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	832
Number of retired or separated participants receiving benefits	2015-01-01	87
Total of all active and inactive participants	2015-01-01	919
Total participants	2015-01-01	919
Number of employers contributing to the scheme	2015-01-01	73
2014: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2014 401k membership
Total participants, beginning-of-year	2014-01-01	982
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	705
Number of retired or separated participants receiving benefits	2014-01-01	86
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	791
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	791
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
Number of employers contributing to the scheme	2014-01-01	83
2013: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2013 401k membership
Total participants, beginning-of-year	2013-01-01	882
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	829
Number of retired or separated participants receiving benefits	2013-01-01	153
Total of all active and inactive participants	2013-01-01	982
Total participants	2013-01-01	982
Number of employers contributing to the scheme	2013-01-01	94
2012: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2012 401k membership
Total participants, beginning-of-year	2012-01-01	799
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	710
Number of retired or separated participants receiving benefits	2012-01-01	172
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	882
Total participants	2012-01-01	882
Number of employers contributing to the scheme	2012-01-01	97
2010: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,280
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,135
Number of retired or separated participants receiving benefits	2010-01-01	130
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	1,265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1,265
Number of participants with account balances	2010-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
Number of employers contributing to the scheme	2010-01-01	348
2009: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,716
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,117
Number of retired or separated participants receiving benefits	2009-01-01	163
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	1,280
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,280
Number of participants with account balances	2009-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0
Number of employers contributing to the scheme	2009-01-01	287

Financial Data on HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND

Measure	Date	Value
2023 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2023-12-31	$249,092
Total unrealized appreciation/depreciation of assets	2023-12-31	$249,092
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$6,427,063
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$5,929,336
Total income from all sources (including contributions)	2023-12-31	$21,760,032
Total loss/gain on sale of assets	2023-12-31	$16,461
Total of all expenses incurred	2023-12-31	$14,077,916
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$13,244,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$19,660,645
Value of total assets at end of year	2023-12-31	$33,308,756
Value of total assets at beginning of year	2023-12-31	$25,128,913
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$833,867
Total interest from all sources	2023-12-31	$639,976
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$188,238
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	$188,238
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$104,711
Value of other receiveables (less allowance for doubtful accounts) at end of year	2023-12-31	$293,890
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2023-12-31	$108,382
Other income not declared elsewhere	2023-12-31	$22,794
Administrative expenses (other) incurred	2023-12-31	$188,539
Liabilities. Value of operating payables at end of year	2023-12-31	$82,631
Liabilities. Value of operating payables at beginning of year	2023-12-31	$78,843
Total non interest bearing cash at end of year	2023-12-31	$359,107
Total non interest bearing cash at beginning of year	2023-12-31	$446,689
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	$7,682,116
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$26,881,693
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$19,199,577
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-12-31	$8,989,855
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$7,181,065
Income. Interest from US Government securities	2023-12-31	$154,571
Income. Interest from corporate debt instruments	2023-12-31	$291,345
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2023-12-31	$4,538,608
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2023-12-31	$3,740,518
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2023-12-31	$3,740,518
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2023-12-31	$194,060
Expenses. Payments to insurance carriers foe the provision of benefits	2023-12-31	$11,736,524
Asset value of US Government securities at end of year	2023-12-31	$5,098,476
Asset value of US Government securities at beginning of year	2023-12-31	$3,641,018
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-12-31	$982,826
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	$19,555,934
Employer contributions (assets) at end of year	2023-12-31	$1,820,884
Employer contributions (assets) at beginning of year	2023-12-31	$1,620,986
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$1,507,525
Asset. Corporate debt instrument preferred debt at end of year	2023-12-31	$11,049,524
Asset. Corporate debt instrument preferred debt at beginning of year	2023-12-31	$7,169,433
Asset. Corporate debt instrument debt (other) at end of year	2023-12-31	$1,158,412
Asset. Corporate debt instrument debt (other) at beginning of year	2023-12-31	$1,182,708
Contract administrator fees	2023-12-31	$406,277
Liabilities. Value of benefit claims payable at end of year	2023-12-31	$6,344,432
Liabilities. Value of benefit claims payable at beginning of year	2023-12-31	$5,850,493
Assets. Value of buildings and other operty used in plan operation at end of year	2023-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2023-12-31	$38,114
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
Aggregate proceeds on sale of assets	2023-12-31	$2,250,890
Aggregate carrying amount (costs) on sale of assets	2023-12-31	$2,234,429
Opinion of an independent qualified public accountant for this plan	2023-12-31	Unqualified
Accountancy firm name	2023-12-31	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2023-12-31	952036255
2022 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$-698,845
Total unrealized appreciation/depreciation of assets	2022-12-31	$-698,845
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$5,929,336
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$5,439,916
Total income from all sources (including contributions)	2022-12-31	$16,948,654
Total loss/gain on sale of assets	2022-12-31	$-9,414
Total of all expenses incurred	2022-12-31	$14,344,667
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$13,594,877
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$18,027,434
Value of total assets at end of year	2022-12-31	$25,128,913
Value of total assets at beginning of year	2022-12-31	$22,035,506
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$749,790
Total interest from all sources	2022-12-31	$302,483
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$132,319
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	$132,319
Administrative expenses professional fees incurred	2022-12-31	$142,263
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$112,299
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$108,382
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$158,885
Other income not declared elsewhere	2022-12-31	$13,497
Administrative expenses (other) incurred	2022-12-31	$177,612
Liabilities. Value of operating payables at end of year	2022-12-31	$78,843
Liabilities. Value of operating payables at beginning of year	2022-12-31	$63,515
Total non interest bearing cash at end of year	2022-12-31	$446,689
Total non interest bearing cash at beginning of year	2022-12-31	$429,762
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	$2,603,987
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$19,199,577
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$16,595,590
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	$37,030
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$7,181,065
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$5,918,103
Income. Interest from US Government securities	2022-12-31	$36,449
Income. Interest from corporate debt instruments	2022-12-31	$199,054
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$3,740,518
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$4,064,148
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$4,064,148
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$66,980
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$11,501,066
Asset value of US Government securities at end of year	2022-12-31	$3,641,018
Asset value of US Government securities at beginning of year	2022-12-31	$2,539,989
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-818,820
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	$17,915,135
Employer contributions (assets) at end of year	2022-12-31	$1,620,986
Employer contributions (assets) at beginning of year	2022-12-31	$1,423,477
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$2,093,811
Asset. Corporate debt instrument preferred debt at end of year	2022-12-31	$7,169,433
Asset. Corporate debt instrument preferred debt at beginning of year	2022-12-31	$5,921,902
Asset. Corporate debt instrument debt (other) at end of year	2022-12-31	$1,182,708
Asset. Corporate debt instrument debt (other) at beginning of year	2022-12-31	$1,567,178
Contract administrator fees	2022-12-31	$392,885
Liabilities. Value of benefit claims payable at end of year	2022-12-31	$5,850,493
Liabilities. Value of benefit claims payable at beginning of year	2022-12-31	$5,376,401
Assets. Value of buildings and other operty used in plan operation at end of year	2022-12-31	$38,114
Assets. Value of buildings and other operty used in plan operation at beginning of year	2022-12-31	$12,062
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
Aggregate proceeds on sale of assets	2022-12-31	$1,251,592
Aggregate carrying amount (costs) on sale of assets	2022-12-31	$1,261,006
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2022-12-31	952036255
2021 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$-268,091
Total unrealized appreciation/depreciation of assets	2021-12-31	$-268,091
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$5,439,916
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$4,424,643
Total income from all sources (including contributions)	2021-12-31	$17,293,245
Total loss/gain on sale of assets	2021-12-31	$-12,322
Total of all expenses incurred	2021-12-31	$13,970,176
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$13,295,762
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$16,715,687
Value of total assets at end of year	2021-12-31	$22,035,506
Value of total assets at beginning of year	2021-12-31	$17,697,164
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$674,414
Total interest from all sources	2021-12-31	$205,756
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$87,222
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	$87,222
Administrative expenses professional fees incurred	2021-12-31	$125,055
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$100,228
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$158,885
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$120,705
Other income not declared elsewhere	2021-12-31	$111,245
Administrative expenses (other) incurred	2021-12-31	$149,740
Liabilities. Value of operating payables at end of year	2021-12-31	$63,515
Liabilities. Value of operating payables at beginning of year	2021-12-31	$47,025
Total non interest bearing cash at end of year	2021-12-31	$429,762
Total non interest bearing cash at beginning of year	2021-12-31	$1,987,040
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	$3,323,069
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$16,595,590
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$13,272,521
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	$32,007
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$5,918,103
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$3,933,827
Income. Interest from US Government securities	2021-12-31	$179,157
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$4,064,148
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$2,097,136
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$2,097,136
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$26,599
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$11,265,553
Asset value of US Government securities at end of year	2021-12-31	$2,539,989
Asset value of US Government securities at beginning of year	2021-12-31	$417,577
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$453,748
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	$16,615,459
Employer contributions (assets) at end of year	2021-12-31	$1,423,477
Employer contributions (assets) at beginning of year	2021-12-31	$1,271,191
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$2,030,209
Asset. Corporate debt instrument preferred debt at end of year	2021-12-31	$5,921,902
Asset. Corporate debt instrument preferred debt at beginning of year	2021-12-31	$5,928,037
Asset. Corporate debt instrument debt (other) at end of year	2021-12-31	$1,567,178
Asset. Corporate debt instrument debt (other) at beginning of year	2021-12-31	$1,922,981
Contract administrator fees	2021-12-31	$367,612
Liabilities. Value of benefit claims payable at end of year	2021-12-31	$5,376,401
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$4,377,618
Assets. Value of buildings and other operty used in plan operation at end of year	2021-12-31	$12,062
Assets. Value of buildings and other operty used in plan operation at beginning of year	2021-12-31	$18,670
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	$1,325,000
Aggregate carrying amount (costs) on sale of assets	2021-12-31	$1,337,322
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2021-12-31	952036255
2020 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-31	$124,656
Total unrealized appreciation/depreciation of assets	2020-12-31	$124,656
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$4,424,643
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$4,713,756
Total income from all sources (including contributions)	2020-12-31	$16,245,748
Total loss/gain on sale of assets	2020-12-31	$-8,944
Total of all expenses incurred	2020-12-31	$13,962,338
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$13,293,348
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$15,590,316
Value of total assets at end of year	2020-12-31	$17,697,164
Value of total assets at beginning of year	2020-12-31	$15,702,867
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$668,990
Total interest from all sources	2020-12-31	$171,837
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$61,989
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	$61,989
Administrative expenses professional fees incurred	2020-12-31	$139,703
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$105,755
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$120,705
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$202,968
Other income not declared elsewhere	2020-12-31	$13,393
Administrative expenses (other) incurred	2020-12-31	$154,132
Liabilities. Value of operating payables at end of year	2020-12-31	$47,025
Liabilities. Value of operating payables at beginning of year	2020-12-31	$67,048
Total non interest bearing cash at end of year	2020-12-31	$1,987,040
Total non interest bearing cash at beginning of year	2020-12-31	$955,720
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	$2,283,410
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$13,272,521
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$10,989,111
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	$24,980
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$3,933,827
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$2,981,810
Income. Interest from US Government securities	2020-12-31	$12,510
Income. Interest from corporate debt instruments	2020-12-31	$156,841
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$2,097,136
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$5,477,210
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$5,477,210
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$2,486
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$11,679,179
Asset value of US Government securities at end of year	2020-12-31	$417,577
Asset value of US Government securities at beginning of year	2020-12-31	$856,870
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$292,501
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	$15,484,561
Employer contributions (assets) at end of year	2020-12-31	$1,271,191
Employer contributions (assets) at beginning of year	2020-12-31	$1,241,301
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,614,169
Asset. Corporate debt instrument preferred debt at end of year	2020-12-31	$5,928,037
Asset. Corporate debt instrument preferred debt at beginning of year	2020-12-31	$3,257,148
Asset. Corporate debt instrument debt (other) at end of year	2020-12-31	$1,922,981
Asset. Corporate debt instrument debt (other) at beginning of year	2020-12-31	$710,629
Contract administrator fees	2020-12-31	$350,175
Liabilities. Value of benefit claims payable at end of year	2020-12-31	$4,377,618
Liabilities. Value of benefit claims payable at beginning of year	2020-12-31	$4,646,708
Assets. Value of buildings and other operty used in plan operation at end of year	2020-12-31	$18,670
Assets. Value of buildings and other operty used in plan operation at beginning of year	2020-12-31	$19,211
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	$1,547,654
Aggregate carrying amount (costs) on sale of assets	2020-12-31	$1,556,598
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2020-12-31	952036255
2019 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$60,066
Total unrealized appreciation/depreciation of assets	2019-12-31	$60,066
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$4,713,756
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$4,104,353
Total income from all sources (including contributions)	2019-12-31	$17,745,117
Total loss/gain on sale of assets	2019-12-31	$5,014
Total of all expenses incurred	2019-12-31	$14,352,292
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$13,676,727
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$17,156,487
Value of total assets at end of year	2019-12-31	$15,702,867
Value of total assets at beginning of year	2019-12-31	$11,700,639
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$675,565
Total interest from all sources	2019-12-31	$114,524
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$69,261
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	$69,261
Administrative expenses professional fees incurred	2019-12-31	$149,248
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$96,884
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$149,368
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$202,968
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$18,073
Other income not declared elsewhere	2019-12-31	$11,424
Administrative expenses (other) incurred	2019-12-31	$169,137
Liabilities. Value of operating payables at end of year	2019-12-31	$67,048
Liabilities. Value of operating payables at beginning of year	2019-12-31	$92,836
Total non interest bearing cash at end of year	2019-12-31	$955,720
Total non interest bearing cash at beginning of year	2019-12-31	$1,656,424
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	$3,392,825
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$10,989,111
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$7,596,286
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	$18,333
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,981,810
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$3,801,004
Income. Interest from US Government securities	2019-12-31	$17,535
Income. Interest from corporate debt instruments	2019-12-31	$84,921
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$5,477,210
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$2,308,589
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$2,308,589
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$12,068
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$11,674,491
Asset value of US Government securities at end of year	2019-12-31	$856,870
Asset value of US Government securities at beginning of year	2019-12-31	$502,469
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$328,341
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	$17,059,603
Employer contributions (assets) at end of year	2019-12-31	$1,241,301
Employer contributions (assets) at beginning of year	2019-12-31	$1,392,027
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,002,236
Asset. Corporate debt instrument preferred debt at end of year	2019-12-31	$3,257,148
Asset. Corporate debt instrument preferred debt at beginning of year	2019-12-31	$1,817,168
Asset. Corporate debt instrument debt (other) at end of year	2019-12-31	$710,629
Asset. Corporate debt instrument debt (other) at beginning of year	2019-12-31	$49,272
Contract administrator fees	2019-12-31	$338,847
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$4,646,708
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$4,011,517
Assets. Value of buildings and other operty used in plan operation at end of year	2019-12-31	$19,211
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-12-31	$6,245
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	$1,468,000
Aggregate carrying amount (costs) on sale of assets	2019-12-31	$1,462,986
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	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2019-12-31	952036255
2018 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$-19,606
Total unrealized appreciation/depreciation of assets	2018-12-31	$-19,606
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$4,104,353
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$3,883,023
Total income from all sources (including contributions)	2018-12-31	$13,797,707
Total loss/gain on sale of assets	2018-12-31	$-1,103
Total of all expenses incurred	2018-12-31	$13,137,172
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$12,491,690
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$13,752,252
Value of total assets at end of year	2018-12-31	$11,700,639
Value of total assets at beginning of year	2018-12-31	$10,818,774
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$645,482
Total interest from all sources	2018-12-31	$73,136
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$65,522
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	$65,522
Administrative expenses professional fees incurred	2018-12-31	$140,455
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$5,000,000
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$94,268
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$149,368
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$149,298
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$18,073
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$53,219
Other income not declared elsewhere	2018-12-31	$20,739
Administrative expenses (other) incurred	2018-12-31	$167,064
Liabilities. Value of operating payables at end of year	2018-12-31	$92,836
Liabilities. Value of operating payables at beginning of year	2018-12-31	$758,168
Total non interest bearing cash at end of year	2018-12-31	$1,656,424
Total non interest bearing cash at beginning of year	2018-12-31	$852,296
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	$660,535
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$7,596,286
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$6,935,751
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	$14,194
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$3,801,004
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,098,218
Interest earned on other investments	2018-12-31	$4,212
Income. Interest from US Government securities	2018-12-31	$15,013
Income. Interest from corporate debt instruments	2018-12-31	$39,701
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$2,308,589
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$4,117,832
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$4,117,832
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$14,210
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$9,893,867
Asset value of US Government securities at end of year	2018-12-31	$502,469
Asset value of US Government securities at beginning of year	2018-12-31	$1,107,886
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-93,233
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	$13,657,984
Employer contributions (assets) at end of year	2018-12-31	$1,392,027
Employer contributions (assets) at beginning of year	2018-12-31	$1,353,421
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$2,597,823
Asset. Corporate debt instrument preferred debt at end of year	2018-12-31	$1,817,168
Asset. Corporate debt instrument preferred debt at beginning of year	2018-12-31	$2,080,359
Asset. Corporate debt instrument debt (other) at end of year	2018-12-31	$49,272
Asset. Corporate debt instrument debt (other) at beginning of year	2018-12-31	$0
Contract administrator fees	2018-12-31	$323,769
Liabilities. Value of benefit claims payable at end of year	2018-12-31	$4,011,517
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$3,124,855
Assets. Value of buildings and other operty used in plan operation at end of year	2018-12-31	$6,245
Assets. Value of buildings and other operty used in plan operation at beginning of year	2018-12-31	$6,245
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	$5,177,636
Aggregate carrying amount (costs) on sale of assets	2018-12-31	$5,178,739
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	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2018-12-31	952036255
2017 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$-27,080
Total unrealized appreciation/depreciation of assets	2017-12-31	$-27,080
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$3,883,023
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$2,701,746
Total income from all sources (including contributions)	2017-12-31	$13,687,943
Total loss/gain on sale of assets	2017-12-31	$-3,145
Total of all expenses incurred	2017-12-31	$12,172,744
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$11,540,108
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$13,483,372
Value of total assets at end of year	2017-12-31	$10,818,774
Value of total assets at beginning of year	2017-12-31	$8,122,298
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$632,636
Total interest from all sources	2017-12-31	$68,354
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$24,783
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	$24,783
Administrative expenses professional fees incurred	2017-12-31	$161,168
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$5,000,000
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$122,803
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$149,298
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$150,088
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$53,219
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$16,556
Other income not declared elsewhere	2017-12-31	$31,045
Administrative expenses (other) incurred	2017-12-31	$144,382
Liabilities. Value of operating payables at end of year	2017-12-31	$758,168
Liabilities. Value of operating payables at beginning of year	2017-12-31	$52,910
Total non interest bearing cash at end of year	2017-12-31	$852,296
Total non interest bearing cash at beginning of year	2017-12-31	$2,188,226
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	$1,515,199
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$6,935,751
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$5,420,552
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	$12,746
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,098,218
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$963,809
Interest earned on other investments	2017-12-31	$2,625
Income. Interest from US Government securities	2017-12-31	$19,106
Income. Interest from corporate debt instruments	2017-12-31	$43,818
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$4,117,832
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$344,343
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$344,343
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$2,805
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$9,664,210
Asset value of US Government securities at end of year	2017-12-31	$1,107,886
Asset value of US Government securities at beginning of year	2017-12-31	$910,424
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$110,614
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	$13,360,569
Employer contributions (assets) at end of year	2017-12-31	$1,353,421
Employer contributions (assets) at beginning of year	2017-12-31	$1,186,074
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,875,898
Asset. Corporate debt instrument preferred debt at end of year	2017-12-31	$2,080,359
Asset. Corporate debt instrument preferred debt at beginning of year	2017-12-31	$2,356,533
Contract administrator fees	2017-12-31	$314,340
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$3,124,855
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$2,648,836
Assets. Value of buildings and other operty used in plan operation at end of year	2017-12-31	$6,245
Assets. Value of buildings and other operty used in plan operation at beginning of year	2017-12-31	$6,245
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	$2,321,702
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$2,324,847
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	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2017-12-31	952036255
2016 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets	2016-12-31	$-13,485
Total unrealized appreciation/depreciation of assets	2016-12-31	$-13,485
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$2,701,746
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$2,858,726
Total income from all sources (including contributions)	2016-12-31	$12,009,540
Total loss/gain on sale of assets	2016-12-31	$-3,753
Total of all expenses incurred	2016-12-31	$10,995,198
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$10,265,153
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$11,857,967
Value of total assets at end of year	2016-12-31	$8,122,298
Value of total assets at beginning of year	2016-12-31	$7,264,936
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$730,045
Total interest from all sources	2016-12-31	$60,140
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$21,613
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	$21,613
Administrative expenses professional fees incurred	2016-12-31	$149,708
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$104,124
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$150,088
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$149,120
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$16,556
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$65,768
Other income not declared elsewhere	2016-12-31	$4,378
Administrative expenses (other) incurred	2016-12-31	$140,489
Liabilities. Value of operating payables at end of year	2016-12-31	$52,910
Liabilities. Value of operating payables at beginning of year	2016-12-31	$246,587
Total non interest bearing cash at end of year	2016-12-31	$2,188,226
Total non interest bearing cash at beginning of year	2016-12-31	$281,271
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	$1,014,342
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$5,420,552
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,406,210
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	$13,239
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$963,809
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$869,862
Interest earned on other investments	2016-12-31	$2,625
Income. Interest from US Government securities	2016-12-31	$16,500
Income. Interest from corporate debt instruments	2016-12-31	$40,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$344,343
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$2,542,677
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$2,542,677
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$865
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$8,711,970
Asset value of US Government securities at end of year	2016-12-31	$910,424
Asset value of US Government securities at beginning of year	2016-12-31	$558,296
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$82,680
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	$11,753,843
Employer contributions (assets) at end of year	2016-12-31	$1,186,074
Employer contributions (assets) at beginning of year	2016-12-31	$1,063,225
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,553,183
Asset. Corporate debt instrument preferred debt at end of year	2016-12-31	$2,356,533
Asset. Corporate debt instrument preferred debt at beginning of year	2016-12-31	$1,603,140
Contract administrator fees	2016-12-31	$426,609
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$2,648,836
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$2,612,139
Assets. Value of buildings and other operty used in plan operation at end of year	2016-12-31	$6,245
Assets. Value of buildings and other operty used in plan operation at beginning of year	2016-12-31	$131,577
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	$2,245,802
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$2,249,555
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	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2016-12-31	952036255
2015 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$-18,090
Total unrealized appreciation/depreciation of assets	2015-12-31	$-18,090
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$2,858,726
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$2,648,785
Total income from all sources (including contributions)	2015-12-31	$11,297,961
Total loss/gain on sale of assets	2015-12-31	$-463
Total of all expenses incurred	2015-12-31	$10,126,960
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$9,412,317
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$11,270,972
Value of total assets at end of year	2015-12-31	$7,264,936
Value of total assets at beginning of year	2015-12-31	$5,883,994
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$714,643
Total interest from all sources	2015-12-31	$41,205
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$16,699
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	$16,699
Administrative expenses professional fees incurred	2015-12-31	$169,790
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$100,569
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$149,120
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$149,832
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$65,768
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$16,278
Other income not declared elsewhere	2015-12-31	$5,587
Administrative expenses (other) incurred	2015-12-31	$131,690
Liabilities. Value of operating payables at end of year	2015-12-31	$246,587
Liabilities. Value of operating payables at beginning of year	2015-12-31	$315,944
Total non interest bearing cash at end of year	2015-12-31	$281,271
Total non interest bearing cash at beginning of year	2015-12-31	$629,750
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	$1,171,001
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,406,210
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$3,235,209
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	$4,820
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$869,862
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$245,302
Interest earned on other investments	2015-12-31	$2,625
Income. Interest from US Government securities	2015-12-31	$9,710
Income. Interest from corporate debt instruments	2015-12-31	$26,016
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$2,542,677
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$2,933,204
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$2,933,204
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$2,854
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$7,951,209
Asset value of US Government securities at end of year	2015-12-31	$558,296
Asset value of US Government securities at beginning of year	2015-12-31	$150,058
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-17,949
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	$11,170,403
Employer contributions (assets) at end of year	2015-12-31	$1,063,225
Employer contributions (assets) at beginning of year	2015-12-31	$832,516
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,461,108
Asset. Corporate debt instrument preferred debt at end of year	2015-12-31	$1,603,140
Asset. Corporate debt instrument preferred debt at beginning of year	2015-12-31	$919,768
Contract administrator fees	2015-12-31	$408,343
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$2,612,139
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$2,332,841
Assets. Value of buildings and other operty used in plan operation at end of year	2015-12-31	$131,577
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-12-31	$7,286
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	$2,605,468
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$2,605,931
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	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2015-12-31	952036255
2014 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$2,595
Total unrealized appreciation/depreciation of assets	2014-12-31	$2,595
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$2,648,785
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$1,886,644
Total income from all sources (including contributions)	2014-12-31	$9,602,040
Total loss/gain on sale of assets	2014-12-31	$-2,223
Total of all expenses incurred	2014-12-31	$9,300,428
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$8,667,502
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$9,482,348
Value of total assets at end of year	2014-12-31	$5,883,994
Value of total assets at beginning of year	2014-12-31	$4,820,241
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$632,926
Total interest from all sources	2014-12-31	$31,289
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$4,291
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	$4,291
Administrative expenses professional fees incurred	2014-12-31	$170,212
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$98,685
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$149,832
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$185,888
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$16,278
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$32,908
Other income not declared elsewhere	2014-12-31	$63,083
Administrative expenses (other) incurred	2014-12-31	$80,192
Liabilities. Value of operating payables at end of year	2014-12-31	$315,944
Liabilities. Value of operating payables at beginning of year	2014-12-31	$374,199
Total non interest bearing cash at end of year	2014-12-31	$629,750
Total non interest bearing cash at beginning of year	2014-12-31	$192,253
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	$301,612
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,235,209
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,933,597
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	$3,465
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$245,302
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$224,790
Interest earned on other investments	2014-12-31	$3,288
Income. Interest from US Government securities	2014-12-31	$250
Income. Interest from corporate debt instruments	2014-12-31	$24,733
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$2,933,204
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$2,555,671
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$2,555,671
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$3,018
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$7,518,576
Asset value of US Government securities at end of year	2014-12-31	$150,058
Asset value of US Government securities at beginning of year	2014-12-31	$149,881
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$20,657
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	$9,383,663
Employer contributions (assets) at end of year	2014-12-31	$832,516
Employer contributions (assets) at beginning of year	2014-12-31	$604,268
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,148,926
Asset. Corporate debt instrument preferred debt at end of year	2014-12-31	$919,768
Asset. Corporate debt instrument preferred debt at beginning of year	2014-12-31	$764,942
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2014-12-31	$107,879
Contract administrator fees	2014-12-31	$379,057
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$2,332,841
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$1,512,445
Assets. Value of buildings and other operty used in plan operation at end of year	2014-12-31	$7,286
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-12-31	$1,761
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	$301,356
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$303,579
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	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2014-12-31	952036255
2013 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$-44,734
Total unrealized appreciation/depreciation of assets	2013-12-31	$-44,734
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$1,886,644
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$1,866,150
Total income from all sources (including contributions)	2013-12-31	$12,001,797
Total loss/gain on sale of assets	2013-12-31	$-4,391
Total of all expenses incurred	2013-12-31	$10,431,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$9,641,695
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$11,899,226
Value of total assets at end of year	2013-12-31	$4,820,241
Value of total assets at beginning of year	2013-12-31	$3,229,433
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$789,788
Total interest from all sources	2013-12-31	$38,468
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$3,890
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	$3,890
Administrative expenses professional fees incurred	2013-12-31	$163,293
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$960,417
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$185,888
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$32,908
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$30,737
Other income not declared elsewhere	2013-12-31	$67,458
Administrative expenses (other) incurred	2013-12-31	$75,711
Liabilities. Value of operating payables at end of year	2013-12-31	$374,199
Liabilities. Value of operating payables at beginning of year	2013-12-31	$336,704
Total non interest bearing cash at end of year	2013-12-31	$192,253
Total non interest bearing cash at beginning of year	2013-12-31	$41,725
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	$1,570,314
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,933,597
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,363,283
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	$5,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$224,790
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$182,910
Interest earned on other investments	2013-12-31	$2,404
Income. Interest from US Government securities	2013-12-31	$98
Income. Interest from corporate debt instruments	2013-12-31	$35,454
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$2,555,671
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$1,013,149
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$1,013,149
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$512
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$7,787,043
Asset value of US Government securities at end of year	2013-12-31	$149,881
Asset value of US Government securities at beginning of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$41,880
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	$10,938,809
Employer contributions (assets) at end of year	2013-12-31	$604,268
Employer contributions (assets) at beginning of year	2013-12-31	$846,226
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,854,652
Asset. Corporate debt instrument preferred debt at end of year	2013-12-31	$764,942
Asset. Corporate debt instrument preferred debt at beginning of year	2013-12-31	$1,111,751
Asset. Corporate debt instrument debt (other) at end of year	2013-12-31	$107,879
Asset. Corporate debt instrument debt (other) at beginning of year	2013-12-31	$0
Contract administrator fees	2013-12-31	$545,784
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$1,512,445
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$1,529,446
Assets. Value of buildings and other operty used in plan operation at end of year	2013-12-31	$1,761
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-12-31	$2,935
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	$1,656,569
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$1,660,960
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	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2013-12-31	952036255
2012 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$-18,367
Total unrealized appreciation/depreciation of assets	2012-12-31	$-18,367
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$1,866,150
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$1,987,450
Total income from all sources (including contributions)	2012-12-31	$9,876,305
Total loss/gain on sale of assets	2012-12-31	$2,200
Total of all expenses incurred	2012-12-31	$8,982,833
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$8,102,560
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$9,750,647
Value of total assets at end of year	2012-12-31	$3,229,433
Value of total assets at beginning of year	2012-12-31	$2,457,261
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$880,273
Total interest from all sources	2012-12-31	$51,034
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$6,048
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$6,048
Administrative expenses professional fees incurred	2012-12-31	$208,300
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$930,268
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$30,737
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$25,170
Other income not declared elsewhere	2012-12-31	$57,044
Administrative expenses (other) incurred	2012-12-31	$92,848
Liabilities. Value of operating payables at end of year	2012-12-31	$336,704
Liabilities. Value of operating payables at beginning of year	2012-12-31	$339,979
Total non interest bearing cash at end of year	2012-12-31	$41,725
Total non interest bearing cash at beginning of year	2012-12-31	$105,790
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	$893,472
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,363,283
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$469,811
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	$6,251
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$182,910
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$213,224
Income. Interest from corporate debt instruments	2012-12-31	$50,296
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$1,013,149
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$436,819
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$436,819
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$738
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$6,444,225
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$27,699
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	$8,820,379
Employer contributions (assets) at end of year	2012-12-31	$846,226
Employer contributions (assets) at beginning of year	2012-12-31	$517,306
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,658,335
Asset. Corporate debt instrument preferred debt at end of year	2012-12-31	$1,111,751
Asset. Corporate debt instrument preferred debt at beginning of year	2012-12-31	$1,154,842
Contract administrator fees	2012-12-31	$572,874
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$1,529,446
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$1,647,471
Assets. Value of buildings and other operty used in plan operation at end of year	2012-12-31	$2,935
Assets. Value of buildings and other operty used in plan operation at beginning of year	2012-12-31	$4,110
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	$143,016
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$140,816
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	MILLER KAPLAN ARASE LLP
Accountancy firm EIN	2012-12-31	952036255
2010 : HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$16,246
Total unrealized appreciation/depreciation of assets	2010-12-31	$16,246
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$1,961,767
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$3,424,603
Total income from all sources (including contributions)	2010-12-31	$8,568,318
Total loss/gain on sale of assets	2010-12-31	$71,451
Total of all expenses incurred	2010-12-31	$8,968,958
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$8,219,516
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$8,184,351
Value of total assets at end of year	2010-12-31	$3,921,188
Value of total assets at beginning of year	2010-12-31	$5,784,664
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$749,442
Total interest from all sources	2010-12-31	$98,896
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$8,684
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	$8,684
Administrative expenses professional fees incurred	2010-12-31	$214,339
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$792,312
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$110,172
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$285,582
Other income not declared elsewhere	2010-12-31	$144,259
Administrative expenses (other) incurred	2010-12-31	$80,578
Liabilities. Value of operating payables at end of year	2010-12-31	$440,253
Liabilities. Value of operating payables at beginning of year	2010-12-31	$464,133
Total non interest bearing cash at end of year	2010-12-31	$826,236
Total non interest bearing cash at beginning of year	2010-12-31	$641,447
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	$-400,640
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,959,421
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,360,061
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	$9,364
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$335,124
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$456,904
Income. Interest from US Government securities	2010-12-31	$15,635
Income. Interest from corporate debt instruments	2010-12-31	$82,454
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$187,882
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$106,983
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$106,983
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$807
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$6,645,365
Asset value of US Government securities at end of year	2010-12-31	$101,473
Asset value of US Government securities at beginning of year	2010-12-31	$1,433,937
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$44,431
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	$7,392,039
Employer contributions (assets) at end of year	2010-12-31	$749,725
Employer contributions (assets) at beginning of year	2010-12-31	$592,700
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,574,151
Asset. Corporate debt instrument preferred debt at end of year	2010-12-31	$1,610,576
Asset. Corporate debt instrument preferred debt at beginning of year	2010-12-31	$2,267,111
Contract administrator fees	2010-12-31	$445,161
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$1,521,514
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$2,960,470
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	$4,202,232
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$4,130,781
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	MILLER, KAPLAN, ARASE & CO.,LLP
Accountancy firm EIN	2010-12-31	952036255

Form 5500 Responses for HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND

2023: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2023 form 5500 responses
2023-01-01	Type of plan entity	Multi-employer plan
2023-01-01	Plan is a collectively bargained plan	Yes
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2022 form 5500 responses
2022-01-01	Type of plan entity	Multi-employer plan
2022-01-01	Plan is a collectively bargained plan	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2021 form 5500 responses
2021-01-01	Type of plan entity	Multi-employer plan
2021-01-01	Plan is a collectively bargained plan	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2020 form 5500 responses
2020-01-01	Type of plan entity	Multi-employer plan
2020-01-01	Plan is a collectively bargained plan	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2019 form 5500 responses
2019-01-01	Type of plan entity	Multi-employer plan
2019-01-01	Submission has been amended	Yes
2019-01-01	Plan is a collectively bargained plan	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2018 form 5500 responses
2018-01-01	Type of plan entity	Multi-employer plan
2018-01-01	Plan is a collectively bargained plan	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2017 form 5500 responses
2017-01-01	Type of plan entity	Multi-employer plan
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2016 form 5500 responses
2016-01-01	Type of plan entity	Multi-employer plan
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2015 form 5500 responses
2015-01-01	Type of plan entity	Multi-employer plan
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2014 form 5500 responses
2014-01-01	Type of plan entity	Multi-employer plan
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2013 form 5500 responses
2013-01-01	Type of plan entity	Multi-employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2012 form 5500 responses
2012-01-01	Type of plan entity	Multi-employer plan
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2010: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2010 form 5500 responses
2010-01-01	Type of plan entity	Multi-employer plan
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: HEAT AND FROST INSULATORS AND ASBESTOS WORKERS HEALTH AND WELFARE TRUST FUND 2009 form 5500 responses
2009-01-01	Type of plan entity	Multi-employer plan
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

100338

Policy instance

Insurance contract or identification number	100338
Number of Individuals Covered	47
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,185,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	878
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $9,611
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 number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1316
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,755,256
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0718425

Policy instance

Insurance contract or identification number	0718425
Number of Individuals Covered	198
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,394,213
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: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	965
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P2

Policy instance

Insurance contract or identification number	G00088P2
Number of Individuals Covered	525
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $114,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	878
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $46,603
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P3

Policy instance

Insurance contract or identification number	G00088P3
Number of Individuals Covered	161
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $15,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93340 )

Policy contract number

4036800010SSLS

Policy instance

Insurance contract or identification number	4036800010SSLS
Number of Individuals Covered	266
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Welfare Benefit Premiums Paid to Carrier	USD $724,453
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

79136

Policy instance

Insurance contract or identification number	79136
Number of Individuals Covered	843
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $129,746
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 number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1372
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,150,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

100338

Policy instance

Insurance contract or identification number	100338
Number of Individuals Covered	53
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,291,838
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0718425

Policy instance

Insurance contract or identification number	0718425
Number of Individuals Covered	193
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,201,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P2

Policy instance

Insurance contract or identification number	G00088P2
Number of Individuals Covered	538
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $93,033
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	894
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $45,596
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P3

Policy instance

Insurance contract or identification number	G00088P3
Number of Individuals Covered	171
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $15,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93340 )

Policy contract number

4036800010SSLS

Policy instance

Insurance contract or identification number	4036800010SSLS
Number of Individuals Covered	270
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Welfare Benefit Premiums Paid to Carrier	USD $546,437
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	978
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	845
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $8,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

79136

Policy instance

Insurance contract or identification number	79136
Number of Individuals Covered	876
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $112,440
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	845
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $45,536
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

100338

Policy instance

Insurance contract or identification number	100338
Number of Individuals Covered	62
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,243,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0718425

Policy instance

Insurance contract or identification number	0718425
Number of Individuals Covered	180
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,178,195
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: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	901
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Vision Insurance Welfare Benefit	Yes
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 number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1350
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,674,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P2

Policy instance

Insurance contract or identification number	G00088P2
Number of Individuals Covered	668
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $97,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	845
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $9,420
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P3

Policy instance

Insurance contract or identification number	G00088P3
Number of Individuals Covered	178
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $15,706
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93340 )

Policy contract number

4036800010SSLS

Policy instance

Insurance contract or identification number	4036800010SSLS
Number of Individuals Covered	202
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Welfare Benefit Premiums Paid to Carrier	USD $494,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

79136

Policy instance

Insurance contract or identification number	79136
Number of Individuals Covered	880
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $105,268
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 number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1501
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,250,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

100338

Policy instance

Insurance contract or identification number	100338
Number of Individuals Covered	70
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,571,343
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0718425

Policy instance

Insurance contract or identification number	0718425
Number of Individuals Covered	112
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,272,290
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: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	991
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P2

Policy instance

Insurance contract or identification number	G00088P2
Number of Individuals Covered	668
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $80,600
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	920
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $60,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P3

Policy instance

Insurance contract or identification number	G00088P3
Number of Individuals Covered	208
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $16,983
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93340 )

Policy contract number

4036800010SSLS

Policy instance

Insurance contract or identification number	4036800010SSLS
Number of Individuals Covered	223
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Welfare Benefit Premiums Paid to Carrier	USD $504,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

79136

Policy instance

Insurance contract or identification number	79136
Number of Individuals Covered	996
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $127,049
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	1990
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $50,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P3

Policy instance

Insurance contract or identification number	G00088P3
Number of Individuals Covered	200
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )

Policy contract number

740338

Policy instance

Insurance contract or identification number	740338
Number of Individuals Covered	1098
Insurance policy start date	2019-01-01
Insurance policy end date	2019-04-30
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	1990
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $9,734
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

79136

Policy instance

Insurance contract or identification number	79136
Number of Individuals Covered	1130
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $85,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P2

Policy instance

Insurance contract or identification number	G00088P2
Number of Individuals Covered	743
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $119,428
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: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	1053
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0718425

Policy instance

Insurance contract or identification number	0718425
Number of Individuals Covered	205
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,978,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

100338

Policy instance

Insurance contract or identification number	100338
Number of Individuals Covered	70
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,412,395
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 number

119626

Policy instance

Insurance contract or identification number	119626
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-08-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $248,783
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 number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1615
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,056,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93340 )

Policy contract number

4036800010SSLS

Policy instance

Insurance contract or identification number	4036800010SSLS
Number of Individuals Covered	249
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Welfare Benefit Premiums Paid to Carrier	USD $452,196
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 number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1384
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,687,257
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 number

119626

Policy instance

Insurance contract or identification number	119626
Number of Individuals Covered	86
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $500,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93340 )

Policy contract number

4036800010SSLS

Policy instance

Insurance contract or identification number	4036800010SSLS
Number of Individuals Covered	156
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Welfare Benefit Premiums Paid to Carrier	USD $341,897
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P3

Policy instance

Insurance contract or identification number	G00088P3
Number of Individuals Covered	149
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	824
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $45,110
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P2

Policy instance

Insurance contract or identification number	G00088P2
Number of Individuals Covered	712
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $118,795
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: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	895
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )

Policy contract number

740338

Policy instance

Insurance contract or identification number	740338
Number of Individuals Covered	1264
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0718425

Policy instance

Insurance contract or identification number	0718425
Number of Individuals Covered	345
Insurance policy start date	2017-05-01
Insurance policy end date	2018-04-30
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,529,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

100338

Policy instance

Insurance contract or identification number	100338
Number of Individuals Covered	73
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,294,705
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93340 )

Policy contract number

4036800010SSL

Policy instance

Insurance contract or identification number	4036800010SSL
Number of Individuals Covered	152
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $313,657
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P3

Policy instance

Insurance contract or identification number	G00088P3
Number of Individuals Covered	138
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	831
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $42,763
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P2

Policy instance

Insurance contract or identification number	G00088P2
Number of Individuals Covered	369
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $111,903
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: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	884
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )

Policy contract number

740338-000

Policy instance

Insurance contract or identification number	740338-000
Number of Individuals Covered	1233
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0718425

Policy instance

Insurance contract or identification number	0718425
Number of Individuals Covered	322
Insurance policy start date	2016-05-01
Insurance policy end date	2017-04-30
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,217,967
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

100338

Policy instance

Insurance contract or identification number	100338
Number of Individuals Covered	68
Insurance policy start date	2016-05-01
Insurance policy end date	2017-04-30
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,138,743
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 number

119626

Policy instance

Insurance contract or identification number	119626
Number of Individuals Covered	191
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $395,422
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 number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1300
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $5,817,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	841
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $36,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P2

Policy instance

Insurance contract or identification number	G00088P2
Number of Individuals Covered	702
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $116,255
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: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	954
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )

Policy contract number

740338-000

Policy instance

Insurance contract or identification number	740338-000
Number of Individuals Covered	1287
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0718425

Policy instance

Insurance contract or identification number	0718425
Number of Individuals Covered	135
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,078,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

100338

Policy instance

Insurance contract or identification number	100338
Number of Individuals Covered	86
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,336,302
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 number

119626

Policy instance

Insurance contract or identification number	119626
Number of Individuals Covered	189
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $753,773
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 number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1180
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,331,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P3

Policy instance

Insurance contract or identification number	G00088P3
Number of Individuals Covered	147
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $9,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93340 )

Policy contract number

4036800010SSL

Policy instance

Insurance contract or identification number	4036800010SSL
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0718425

Policy instance

Insurance contract or identification number	0718425
Number of Individuals Covered	126
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $907,136
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P3

Policy instance

Insurance contract or identification number	G00088P3
Number of Individuals Covered	86
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $6,115
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	689
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $36,490
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P2

Policy instance

Insurance contract or identification number	G00088P2
Number of Individuals Covered	403
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $122,248
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: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	793
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )

Policy contract number

740338-000

Policy instance

Insurance contract or identification number	740338-000
Number of Individuals Covered	1373
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

100338

Policy instance

Insurance contract or identification number	100338
Number of Individuals Covered	75
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,167,519
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 number

119626

Policy instance

Insurance contract or identification number	119626
Number of Individuals Covered	164
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $501,670
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 number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1119
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,786,693
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93340 )

Policy contract number

4036800010SSL

Policy instance

Insurance contract or identification number	4036800010SSL
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Insurance broker organization code?	3
Insurance broker name	RAEL & LETSON

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1239
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,103,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	853
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $40,685
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 number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1239
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,103,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0718425

Policy instance

Insurance contract or identification number	0718425
Number of Individuals Covered	329
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,009,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P3

Policy instance

Insurance contract or identification number	G00088P3
Number of Individuals Covered	124
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,350
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 number

119626

Policy instance

Insurance contract or identification number	119626
Number of Individuals Covered	129
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $503,381
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: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	976
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93340 )

Policy contract number

4036800010SSL

Policy instance

Insurance contract or identification number	4036800010SSL
Number of Individuals Covered	303
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $391,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Insurance broker organization code?	3
Insurance broker name	RAEL & LETSON

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0718425

Policy instance

Insurance contract or identification number	0718425
Number of Individuals Covered	329
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,009,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G0001R44

Policy instance

Insurance contract or identification number	G0001R44
Number of Individuals Covered	853
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $40,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

SEE FOOTNOTE

Policy instance

Insurance contract or identification number	SEE FOOTNOTE
Number of Individuals Covered	935
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $161,321
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93340 )

Policy contract number

4036800010SSL

Policy instance

Insurance contract or identification number	4036800010SSL
Number of Individuals Covered	303
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $391,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )

Policy contract number

740338-000

Policy instance

Insurance contract or identification number	740338-000
Number of Individuals Covered	1330
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

101990

Policy instance

Insurance contract or identification number	101990
Number of Individuals Covered	139
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,534,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )

Policy contract number

740338-000

Policy instance

Insurance contract or identification number	740338-000
Number of Individuals Covered	1330
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

101990

Policy instance

Insurance contract or identification number	101990
Number of Individuals Covered	139
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,534,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

SEE FOOTNOTE

Policy instance

Insurance contract or identification number	SEE FOOTNOTE
Number of Individuals Covered	935
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $161,321
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 number

119626

Policy instance

Insurance contract or identification number	119626
Number of Individuals Covered	129
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $503,381
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: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	976
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G00088P3

Policy instance

Insurance contract or identification number	G00088P3
Number of Individuals Covered	124
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,350
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: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	912
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

100338

Policy instance

Insurance contract or identification number	100338
Number of Individuals Covered	142
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,266,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

718425

Policy instance

Insurance contract or identification number	718425
Number of Individuals Covered	414
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $729,679
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG 01R44

Policy instance

Insurance contract or identification number	GLUG 01R44
Number of Individuals Covered	679
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $33,402
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 number

119626-0000

Policy instance

Insurance contract or identification number	119626-0000
Number of Individuals Covered	137
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $521,284
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG088P3

Policy instance

Insurance contract or identification number	GLUG088P3
Number of Individuals Covered	87
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,709
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 number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1141
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,411,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )

Policy contract number

740338-000

Policy instance

Insurance contract or identification number	740338-000
Number of Individuals Covered	1226
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG088P2

Policy instance

Insurance contract or identification number	GLUG088P2
Number of Individuals Covered	715
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $132,446
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 number

119626-0000

Policy instance

Insurance contract or identification number	119626-0000
Number of Individuals Covered	263
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $913,395
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 number

100618

Policy instance

Insurance contract or identification number	100618
Number of Individuals Covered	1106
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,991,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG 88P2

Policy instance

Insurance contract or identification number	GLUG 88P2
Number of Individuals Covered	711
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $140,085
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: 00000 )

Policy contract number

00797300

Policy instance

Insurance contract or identification number	00797300
Number of Individuals Covered	1022
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

393126

Policy instance

Insurance contract or identification number	393126
Number of Individuals Covered	388
Insurance policy start date	2010-01-01
Insurance policy end date	2010-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $49,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG 88P3

Policy instance

Insurance contract or identification number	GLUG 88P3
Number of Individuals Covered	154
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $14,448
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )

Policy contract number

740338-000

Policy instance

Insurance contract or identification number	740338-000
Number of Individuals Covered	1119
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE OF NEVADA (National Association of Insurance Commissioners NAIC id number: 95685 )

Policy contract number

58401

Policy instance

Insurance contract or identification number	58401
Number of Individuals Covered	0
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $483,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG 01R44

Policy instance

Insurance contract or identification number	GLUG 01R44
Number of Individuals Covered	848
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $45,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

718425

Policy instance

Insurance contract or identification number	718425
Number of Individuals Covered	148
Insurance policy start date	2010-05-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $769,165
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

100338

Policy instance

Insurance contract or identification number	100338
Number of Individuals Covered	150
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,203,351
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	BOARD OF TRUSTEES, HEAT AND FROST INSULATORS AND
Employer identification number (EIN):	956093752
NAIC Classification:	238900