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VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 401k Plan overview

Plan NameVT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST
Plan identification number 503

VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST Benefits

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

401k Sponsoring company profile

VERMONT AUTO DEALERS ASSOC., INC has sponsored the creation of one or more 401k plans.

Company Name:VERMONT AUTO DEALERS ASSOC., INC
Employer identification number (EIN):030213537
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-03-01
5032021-03-01
5032020-03-01
5032019-03-01
5032018-03-01
5032017-03-01MARILYN B. MILLER
5032016-03-01MARILYN B. MILLER
5032015-03-01MARILYN B. MILLER
5032014-11-01MARILYN B. MILLER
5032014-11-01MARILYN B. MILLER

Plan Statistics for VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST

401k plan membership statisitcs for VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST

Measure Date Value
2022: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2022 401k membership
Total participants, beginning-of-year2022-03-011,400
Total number of active participants reported on line 7a of the Form 55002022-03-011,454
Number of retired or separated participants receiving benefits2022-03-015
Total of all active and inactive participants2022-03-011,459
Total participants2022-03-011,459
2021: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2021 401k membership
Total participants, beginning-of-year2021-03-011,588
Total number of active participants reported on line 7a of the Form 55002021-03-011,400
Number of retired or separated participants receiving benefits2021-03-012
Total of all active and inactive participants2021-03-011,402
Total participants2021-03-011,402
2020: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2020 401k membership
Total participants, beginning-of-year2020-03-011,783
Total number of active participants reported on line 7a of the Form 55002020-03-011,588
Number of retired or separated participants receiving benefits2020-03-015
Total of all active and inactive participants2020-03-011,593
Total participants2020-03-011,593
2019: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2019 401k membership
Total participants, beginning-of-year2019-03-011,816
Total number of active participants reported on line 7a of the Form 55002019-03-011,783
Number of retired or separated participants receiving benefits2019-03-015
Total of all active and inactive participants2019-03-011,788
Total participants2019-03-011,788
2018: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2018 401k membership
Total participants, beginning-of-year2018-03-012,185
Total number of active participants reported on line 7a of the Form 55002018-03-011,816
Number of retired or separated participants receiving benefits2018-03-0110
Total of all active and inactive participants2018-03-011,826
Total participants2018-03-011,826
2017: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2017 401k membership
Total participants, beginning-of-year2017-03-012,266
Total number of active participants reported on line 7a of the Form 55002017-03-012,185
Number of retired or separated participants receiving benefits2017-03-019
Total of all active and inactive participants2017-03-012,194
Total participants2017-03-012,194
2016: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2016 401k membership
Total participants, beginning-of-year2016-03-012,304
Total number of active participants reported on line 7a of the Form 55002016-03-012,266
Number of retired or separated participants receiving benefits2016-03-0111
Total of all active and inactive participants2016-03-012,277
Total participants2016-03-012,277
2015: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2015 401k membership
Total participants, beginning-of-year2015-03-012,297
Total number of active participants reported on line 7a of the Form 55002015-03-012,304
Number of retired or separated participants receiving benefits2015-03-0110
Total of all active and inactive participants2015-03-012,314
Total participants2015-03-010
2014: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2014 401k membership
Total participants, beginning-of-year2014-11-012,296
Total number of active participants reported on line 7a of the Form 55002014-11-012,297
Number of retired or separated participants receiving benefits2014-11-016
Total of all active and inactive participants2014-11-012,303
Total participants2014-11-010

Financial Data on VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST

Measure Date Value
2022 : VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2022 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-02-28$559,170
Total income from all sources (including contributions)2022-02-28$8,896,492
Total of all expenses incurred2022-02-28$9,066,650
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-02-28$8,945,427
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-02-28$8,895,997
Value of total assets at end of year2022-02-28$0
Value of total assets at beginning of year2022-02-28$729,328
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-02-28$121,223
Total interest from all sources2022-02-28$495
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-02-28No
Administrative expenses professional fees incurred2022-02-28$30,306
Was this plan covered by a fidelity bond2022-02-28Yes
Value of fidelity bond cover2022-02-28$1,000,000
If this is an individual account plan, was there a blackout period2022-02-28No
Were there any nonexempt tranactions with any party-in-interest2022-02-28No
Contributions received from participants2022-02-28$3,306,290
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-02-28$16,993
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-02-28$515,927
Administrative expenses (other) incurred2022-02-28$74,457
Liabilities. Value of operating payables at beginning of year2022-02-28$43,243
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-02-28No
Value of net income/loss2022-02-28$-170,158
Value of net assets at beginning of year (total assets less liabilities)2022-02-28$170,158
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2022-02-28No
Were any leases to which the plan was party in default or uncollectible2022-02-28No
Value of interest in pooled separate accounts at end of year2022-02-28$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-02-28$712,335
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-02-28$712,335
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-02-28$495
Expenses. Payments to insurance carriers foe the provision of benefits2022-02-28$8,943,821
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-02-28Yes
Was there a failure to transmit to the plan any participant contributions2022-02-28No
Has the plan failed to provide any benefit when due under the plan2022-02-28No
Contributions received in cash from employer2022-02-28$5,589,707
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-02-28$1,606
Contract administrator fees2022-02-28$16,460
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-02-28No
Did the plan have assets held for investment2022-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-02-28No
Opinion of an independent qualified public accountant for this plan2022-02-28Unqualified
Accountancy firm name2022-02-28GRIPPIN, DONLAN & PINKHAM, PLC
Accountancy firm EIN2022-02-28030354347
2021 : VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-02-28$559,170
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-02-28$2,081,884
Total income from all sources (including contributions)2021-02-28$12,275,915
Total of all expenses incurred2021-02-28$13,265,980
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-02-28$12,189,613
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-02-28$12,396,299
Value of total assets at end of year2021-02-28$729,328
Value of total assets at beginning of year2021-02-28$3,242,107
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-02-28$1,076,367
Total interest from all sources2021-02-28$1,106
Total dividends received (eg from common stock, registered investment company shares)2021-02-28$9,101
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2021-02-28$9,101
Administrative expenses professional fees incurred2021-02-28$95,822
Was this plan covered by a fidelity bond2021-02-28Yes
Value of fidelity bond cover2021-02-28$1,000,000
If this is an individual account plan, was there a blackout period2021-02-28No
Were there any nonexempt tranactions with any party-in-interest2021-02-28No
Contributions received from participants2021-02-28$3,946,730
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-02-28$16,993
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-02-28$478,737
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-02-28$515,927
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-02-28$1,995,002
Administrative expenses (other) incurred2021-02-28$113,461
Liabilities. Value of operating payables at end of year2021-02-28$43,243
Liabilities. Value of operating payables at beginning of year2021-02-28$26,142
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-02-28No
Value of net income/loss2021-02-28$-990,065
Value of net assets at end of year (total assets less liabilities)2021-02-28$170,158
Value of net assets at beginning of year (total assets less liabilities)2021-02-28$1,160,223
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2021-02-28No
Were any leases to which the plan was party in default or uncollectible2021-02-28No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-02-28$1,119,816
Value of interest in pooled separate accounts at end of year2021-02-28$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-02-28$712,335
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-02-28$1,643,554
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-02-28$1,643,554
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-02-28$1,106
Expenses. Payments to insurance carriers foe the provision of benefits2021-02-28$12,188,720
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-02-28$-130,591
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-02-28Yes
Was there a failure to transmit to the plan any participant contributions2021-02-28No
Has the plan failed to provide any benefit when due under the plan2021-02-28No
Contributions received in cash from employer2021-02-28$8,449,569
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-02-28$893
Contract administrator fees2021-02-28$867,084
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-02-28No
Liabilities. Value of benefit claims payable at beginning of year2021-02-28$60,740
Did the plan have assets held for investment2021-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-02-28No
Opinion of an independent qualified public accountant for this plan2021-02-28Unqualified
Accountancy firm name2021-02-28GRIPPIN, DONLAN & PINKHAM, PLC
Accountancy firm EIN2021-02-28030354347
2020 : VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-02-29$-63,187
Total unrealized appreciation/depreciation of assets2020-02-29$-63,187
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-02-29$2,081,884
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-02-29$1,674,246
Expenses. Interest paid2020-02-29$4,529
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-02-29$4,529
Total income from all sources (including contributions)2020-02-29$11,566,948
Total loss/gain on sale of assets2020-02-29$104,752
Total of all expenses incurred2020-02-29$12,908,433
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-02-29$11,486,212
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-02-29$11,416,175
Value of total assets at end of year2020-02-29$3,242,107
Value of total assets at beginning of year2020-02-29$4,175,954
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-02-29$1,417,692
Total interest from all sources2020-02-29$6,574
Total dividends received (eg from common stock, registered investment company shares)2020-02-29$73,361
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-02-29No
Total dividends received from registered investment company shares (eg mutual funds)2020-02-29$54,933
Administrative expenses professional fees incurred2020-02-29$49,029
Was this plan covered by a fidelity bond2020-02-29Yes
Value of fidelity bond cover2020-02-29$1,000,000
If this is an individual account plan, was there a blackout period2020-02-29No
Were there any nonexempt tranactions with any party-in-interest2020-02-29No
Contributions received from participants2020-02-29$4,052,647
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-02-29$478,737
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-02-29$584,686
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-02-29$1,995,002
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-02-29$106,683
Administrative expenses (other) incurred2020-02-29$230,279
Liabilities. Value of operating payables at end of year2020-02-29$26,142
Liabilities. Value of operating payables at beginning of year2020-02-29$90,485
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-29No
Value of net income/loss2020-02-29$-1,341,485
Value of net assets at end of year (total assets less liabilities)2020-02-29$1,160,223
Value of net assets at beginning of year (total assets less liabilities)2020-02-29$2,501,708
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2020-02-29No
Were any leases to which the plan was party in default or uncollectible2020-02-29No
Investment advisory and management fees2020-02-29$11,443
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-02-29$1,119,816
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-02-29$1,094,156
Value of interest in pooled separate accounts at end of year2020-02-29$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-02-29$1,643,554
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-02-29$1,309,106
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-02-29$1,309,106
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-02-29$6,574
Expenses. Payments to insurance carriers foe the provision of benefits2020-02-29$2,223,259
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-02-29$29,273
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-02-29No
Was there a failure to transmit to the plan any participant contributions2020-02-29No
Has the plan failed to provide any benefit when due under the plan2020-02-29No
Contributions received in cash from employer2020-02-29$7,363,528
Income. Dividends from common stock2020-02-29$18,428
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-02-29$9,262,953
Contract administrator fees2020-02-29$1,126,941
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-02-29No
Assets. Corporate common stocks other than exployer securities at beginning of year2020-02-29$1,188,006
Liabilities. Value of benefit claims payable at end of year2020-02-29$60,740
Liabilities. Value of benefit claims payable at beginning of year2020-02-29$1,477,078
Did the plan have assets held for investment2020-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-02-29No
Aggregate proceeds on sale of assets2020-02-29$1,475,499
Aggregate carrying amount (costs) on sale of assets2020-02-29$1,370,747
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-02-29No
Opinion of an independent qualified public accountant for this plan2020-02-29Unqualified
Accountancy firm name2020-02-29GRIPPIN, DONLAN & PINKHAM, PLC
Accountancy firm EIN2020-02-29030354347
2019 : VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-02-28$-122,723
Total unrealized appreciation/depreciation of assets2019-02-28$-122,723
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-02-28$1,674,246
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-02-28$1,384,704
Expenses. Interest paid2019-02-28$1,859
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-02-28$1,859
Total income from all sources (including contributions)2019-02-28$12,186,769
Total loss/gain on sale of assets2019-02-28$-15,237
Total of all expenses incurred2019-02-28$11,887,945
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-02-28$10,303,729
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-02-28$12,171,531
Value of total assets at end of year2019-02-28$4,175,954
Value of total assets at beginning of year2019-02-28$3,587,588
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-02-28$1,582,357
Total interest from all sources2019-02-28$8,315
Total dividends received (eg from common stock, registered investment company shares)2019-02-28$78,088
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2019-02-28$57,442
Administrative expenses professional fees incurred2019-02-28$51,454
Was this plan covered by a fidelity bond2019-02-28Yes
Value of fidelity bond cover2019-02-28$1,000,000
If this is an individual account plan, was there a blackout period2019-02-28No
Were there any nonexempt tranactions with any party-in-interest2019-02-28No
Contributions received from participants2019-02-28$4,503,105
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-02-28$584,686
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-02-28$612,253
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-02-28$106,683
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-02-28$628,918
Administrative expenses (other) incurred2019-02-28$238,102
Liabilities. Value of operating payables at end of year2019-02-28$90,485
Liabilities. Value of operating payables at beginning of year2019-02-28$211,043
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-02-28No
Value of net income/loss2019-02-28$298,824
Value of net assets at end of year (total assets less liabilities)2019-02-28$2,501,708
Value of net assets at beginning of year (total assets less liabilities)2019-02-28$2,202,884
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2019-02-28No
Were any leases to which the plan was party in default or uncollectible2019-02-28No
Investment advisory and management fees2019-02-28$17,289
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-02-28$1,094,156
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-02-28$853,508
Value of interest in pooled separate accounts at end of year2019-02-28$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-02-28$1,309,106
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-02-28$933,995
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-02-28$933,995
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-02-28$8,315
Expenses. Payments to insurance carriers foe the provision of benefits2019-02-28$421,258
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-02-28$66,795
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-02-28Yes
Was there a failure to transmit to the plan any participant contributions2019-02-28No
Has the plan failed to provide any benefit when due under the plan2019-02-28No
Contributions received in cash from employer2019-02-28$7,668,426
Income. Dividends from common stock2019-02-28$20,646
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-02-28$9,882,471
Contract administrator fees2019-02-28$1,275,512
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-02-28No
Assets. Corporate common stocks other than exployer securities at end of year2019-02-28$1,188,006
Assets. Corporate common stocks other than exployer securities at beginning of year2019-02-28$1,187,832
Liabilities. Value of benefit claims payable at end of year2019-02-28$1,477,078
Liabilities. Value of benefit claims payable at beginning of year2019-02-28$544,743
Did the plan have assets held for investment2019-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-02-28No
Aggregate proceeds on sale of assets2019-02-28$253,630
Aggregate carrying amount (costs) on sale of assets2019-02-28$268,867
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-02-28No
Opinion of an independent qualified public accountant for this plan2019-02-28Unqualified
Accountancy firm name2019-02-28GRIPPIN, DONLAN & PINKHAM, PLC
Accountancy firm EIN2019-02-28030354347
2018 : VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-02-28$142,978
Total unrealized appreciation/depreciation of assets2018-02-28$142,978
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-02-28$1,384,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-02-28$1,182,182
Expenses. Interest paid2018-02-28$4,892
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022018-02-28$4,892
Total income from all sources (including contributions)2018-02-28$12,663,398
Total loss/gain on sale of assets2018-02-28$12,705
Total of all expenses incurred2018-02-28$12,591,106
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-02-28$10,898,831
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-02-28$12,446,127
Value of total assets at end of year2018-02-28$3,587,588
Value of total assets at beginning of year2018-02-28$3,312,774
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-02-28$1,687,383
Total interest from all sources2018-02-28$1,666
Total dividends received (eg from common stock, registered investment company shares)2018-02-28$55,540
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2018-02-28$37,143
Administrative expenses professional fees incurred2018-02-28$49,743
Was this plan covered by a fidelity bond2018-02-28Yes
Value of fidelity bond cover2018-02-28$1,000,000
If this is an individual account plan, was there a blackout period2018-02-28No
Were there any nonexempt tranactions with any party-in-interest2018-02-28No
Contributions received from participants2018-02-28$4,610,139
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-02-28$612,253
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-02-28$637,288
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-02-28$628,918
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-02-28$642,350
Administrative expenses (other) incurred2018-02-28$253,089
Liabilities. Value of operating payables at end of year2018-02-28$211,043
Liabilities. Value of operating payables at beginning of year2018-02-28$75,161
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Value of net income/loss2018-02-28$72,292
Value of net assets at end of year (total assets less liabilities)2018-02-28$2,202,884
Value of net assets at beginning of year (total assets less liabilities)2018-02-28$2,130,592
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2018-02-28No
Were any leases to which the plan was party in default or uncollectible2018-02-28No
Investment advisory and management fees2018-02-28$16,147
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-02-28$853,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-02-28$820,747
Value of interest in common/collective trusts at end of year2018-02-28$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-02-28$933,995
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-02-28$823,999
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-02-28$823,999
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-02-28$1,666
Expenses. Payments to insurance carriers foe the provision of benefits2018-02-28$364,719
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-02-28$4,382
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-02-28No
Was there a failure to transmit to the plan any participant contributions2018-02-28No
Has the plan failed to provide any benefit when due under the plan2018-02-28No
Contributions received in cash from employer2018-02-28$7,835,988
Income. Dividends from common stock2018-02-28$18,397
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-02-28$10,534,112
Contract administrator fees2018-02-28$1,368,404
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-02-28No
Assets. Corporate common stocks other than exployer securities at end of year2018-02-28$1,187,832
Assets. Corporate common stocks other than exployer securities at beginning of year2018-02-28$1,030,740
Liabilities. Value of benefit claims payable at end of year2018-02-28$544,743
Liabilities. Value of benefit claims payable at beginning of year2018-02-28$464,671
Did the plan have assets held for investment2018-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-02-28No
Aggregate proceeds on sale of assets2018-02-28$228,316
Aggregate carrying amount (costs) on sale of assets2018-02-28$215,611
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-02-28No
Opinion of an independent qualified public accountant for this plan2018-02-28Unqualified
Accountancy firm name2018-02-28GRIPPIN, DONLAN & PINKHAM, PLC
Accountancy firm EIN2018-02-28030354347
2017 : VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-02-28$322,592
Total unrealized appreciation/depreciation of assets2017-02-28$322,592
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$1,182,182
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$978,489
Expenses. Interest paid2017-02-28$1,075
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-02-28$1,075
Total income from all sources (including contributions)2017-02-28$11,954,584
Total loss/gain on sale of assets2017-02-28$124,412
Total of all expenses incurred2017-02-28$13,589,091
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-02-28$11,873,193
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-02-28$11,492,843
Value of total assets at end of year2017-02-28$3,312,774
Value of total assets at beginning of year2017-02-28$4,743,588
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-02-28$1,714,823
Total interest from all sources2017-02-28$2,002
Total dividends received (eg from common stock, registered investment company shares)2017-02-28$63,388
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2017-02-28$35,732
Administrative expenses professional fees incurred2017-02-28$62,248
Was this plan covered by a fidelity bond2017-02-28Yes
Value of fidelity bond cover2017-02-28$1,000,000
If this is an individual account plan, was there a blackout period2017-02-28No
Were there any nonexempt tranactions with any party-in-interest2017-02-28No
Contributions received from participants2017-02-28$4,239,841
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-02-28$637,288
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-02-28$432,306
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-02-28$642,350
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-02-28$425,579
Other income not declared elsewhere2017-02-28$106
Administrative expenses (other) incurred2017-02-28$272,521
Liabilities. Value of operating payables at end of year2017-02-28$75,161
Liabilities. Value of operating payables at beginning of year2017-02-28$43,182
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Value of net income/loss2017-02-28$-1,634,507
Value of net assets at end of year (total assets less liabilities)2017-02-28$2,130,592
Value of net assets at beginning of year (total assets less liabilities)2017-02-28$3,765,099
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2017-02-28No
Were any leases to which the plan was party in default or uncollectible2017-02-28No
Investment advisory and management fees2017-02-28$21,039
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-02-28$820,747
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-02-28$1,056,323
Value of interest in common/collective trusts at end of year2017-02-28$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-02-28$823,999
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-02-28$1,704,897
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-02-28$1,704,897
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-02-28$2,002
Expenses. Payments to insurance carriers foe the provision of benefits2017-02-28$498,646
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-02-28$-50,759
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-02-28Yes
Was there a failure to transmit to the plan any participant contributions2017-02-28No
Has the plan failed to provide any benefit when due under the plan2017-02-28No
Contributions received in cash from employer2017-02-28$7,253,002
Income. Dividends from common stock2017-02-28$27,656
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-02-28$11,374,547
Contract administrator fees2017-02-28$1,359,015
Assets. Corporate common stocks other than exployer securities at end of year2017-02-28$1,030,740
Assets. Corporate common stocks other than exployer securities at beginning of year2017-02-28$1,550,062
Liabilities. Value of benefit claims payable at end of year2017-02-28$464,671
Liabilities. Value of benefit claims payable at beginning of year2017-02-28$509,728
Did the plan have assets held for investment2017-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-02-28No
Aggregate proceeds on sale of assets2017-02-28$1,200,889
Aggregate carrying amount (costs) on sale of assets2017-02-28$1,076,477
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-02-28No
Opinion of an independent qualified public accountant for this plan2017-02-28Unqualified
Accountancy firm name2017-02-28GRIPPIN, DONLAN & PINKHAM, PLC
Accountancy firm EIN2017-02-28030354347
2016 : VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-02-29$-232,089
Total unrealized appreciation/depreciation of assets2016-02-29$-232,089
Total transfer of assets to this plan2016-02-29$2,708,936
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$978,489
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$1,135,303
Total income from all sources (including contributions)2016-02-29$10,737,427
Total loss/gain on sale of assets2016-02-29$-26,095
Total of all expenses incurred2016-02-29$11,405,584
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-02-29$9,565,483
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-02-29$11,055,415
Value of total assets at end of year2016-02-29$4,743,588
Value of total assets at beginning of year2016-02-29$2,859,623
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-02-29$1,840,101
Total interest from all sources2016-02-29$2,684
Total dividends received (eg from common stock, registered investment company shares)2016-02-29$64,561
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-02-29No
Total dividends received from registered investment company shares (eg mutual funds)2016-02-29$40,405
Administrative expenses professional fees incurred2016-02-29$40,210
Was this plan covered by a fidelity bond2016-02-29No
If this is an individual account plan, was there a blackout period2016-02-29No
Were there any nonexempt tranactions with any party-in-interest2016-02-29No
Contributions received from participants2016-02-29$3,920,262
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-02-29$432,306
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-02-29$499,914
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-02-29$425,579
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-02-29$240,468
Administrative expenses (other) incurred2016-02-29$236,240
Liabilities. Value of operating payables at end of year2016-02-29$43,182
Liabilities. Value of operating payables at beginning of year2016-02-29$25,304
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Value of net income/loss2016-02-29$-668,157
Value of net assets at end of year (total assets less liabilities)2016-02-29$3,765,099
Value of net assets at beginning of year (total assets less liabilities)2016-02-29$1,724,320
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2016-02-29No
Were any leases to which the plan was party in default or uncollectible2016-02-29No
Investment advisory and management fees2016-02-29$24,101
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-02-29$1,056,323
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-02-29$756,713
Value of interest in common/collective trusts at end of year2016-02-29$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-02-29$1,704,897
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-02-29$1,602,996
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-02-29$1,602,996
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-02-29$2,684
Expenses. Payments to insurance carriers foe the provision of benefits2016-02-29$589,176
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-02-29$-127,049
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-02-29Yes
Was there a failure to transmit to the plan any participant contributions2016-02-29No
Has the plan failed to provide any benefit when due under the plan2016-02-29No
Contributions received in cash from employer2016-02-29$7,135,153
Income. Dividends from common stock2016-02-29$24,156
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-02-29$8,976,307
Contract administrator fees2016-02-29$1,539,550
Assets. Corporate common stocks other than exployer securities at end of year2016-02-29$1,550,062
Liabilities. Value of benefit claims payable at end of year2016-02-29$509,728
Liabilities. Value of benefit claims payable at beginning of year2016-02-29$869,531
Did the plan have assets held for investment2016-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-02-29No
Aggregate proceeds on sale of assets2016-02-29$573,072
Aggregate carrying amount (costs) on sale of assets2016-02-29$599,167
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-02-29No
Opinion of an independent qualified public accountant for this plan2016-02-29Unqualified
Accountancy firm name2016-02-29GRIPPIN, DONLAN & PINKHAM, PLC
Accountancy firm EIN2016-02-29030354347
2015 : VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2015 401k financial data
Total transfer of assets to this plan2015-02-28$1,501,320
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$1,135,303
Total income from all sources (including contributions)2015-02-28$3,587,776
Total of all expenses incurred2015-02-28$3,364,776
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-02-28$2,778,568
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-02-28$3,581,070
Value of total assets at end of year2015-02-28$2,859,623
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-02-28$586,208
Total interest from all sources2015-02-28$437
Total dividends received (eg from common stock, registered investment company shares)2015-02-28$8,644
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2015-02-28$8,644
Administrative expenses professional fees incurred2015-02-28$25,234
Was this plan covered by a fidelity bond2015-02-28Yes
Value of fidelity bond cover2015-02-28$5,000,000
If this is an individual account plan, was there a blackout period2015-02-28No
Were there any nonexempt tranactions with any party-in-interest2015-02-28No
Contributions received from participants2015-02-28$1,232,878
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-02-28$499,914
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-02-28$240,468
Administrative expenses (other) incurred2015-02-28$71,122
Liabilities. Value of operating payables at end of year2015-02-28$25,304
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Value of net income/loss2015-02-28$223,000
Value of net assets at end of year (total assets less liabilities)2015-02-28$1,724,320
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2015-02-28No
Were any leases to which the plan was party in default or uncollectible2015-02-28No
Investment advisory and management fees2015-02-28$4,861
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-02-28$756,713
Value of interest in common/collective trusts at end of year2015-02-28$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-02-28$1,602,996
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-02-28$437
Expenses. Payments to insurance carriers foe the provision of benefits2015-02-28$194,392
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-02-28$-2,375
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-02-28Yes
Was there a failure to transmit to the plan any participant contributions2015-02-28No
Has the plan failed to provide any benefit when due under the plan2015-02-28No
Contributions received in cash from employer2015-02-28$2,348,192
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-02-28$2,584,176
Contract administrator fees2015-02-28$484,991
Liabilities. Value of benefit claims payable at end of year2015-02-28$869,531
Did the plan have assets held for investment2015-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-02-28No

Form 5500 Responses for VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST

2022: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2022 form 5500 responses
2022-03-01Type of plan entityMulitple employer plan
2022-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2021 form 5500 responses
2021-03-01Type of plan entityMulitple employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan funding arrangement – TrustYes
2021-03-01Plan benefit arrangement – InsuranceYes
2021-03-01Plan benefit arrangement - TrustYes
2020: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2020 form 5500 responses
2020-03-01Type of plan entityMulitple employer plan
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan funding arrangement – TrustYes
2020-03-01Plan benefit arrangement – InsuranceYes
2020-03-01Plan benefit arrangement - TrustYes
2019: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2019 form 5500 responses
2019-03-01Type of plan entityMulitple employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan funding arrangement – TrustYes
2019-03-01Plan benefit arrangement – InsuranceYes
2019-03-01Plan benefit arrangement - TrustYes
2018: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2018 form 5500 responses
2018-03-01Type of plan entityMulitple employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan funding arrangement – TrustYes
2018-03-01Plan benefit arrangement – InsuranceYes
2018-03-01Plan benefit arrangement - TrustYes
2017: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2017 form 5500 responses
2017-03-01Type of plan entityMulitple employer plan
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan funding arrangement – TrustYes
2017-03-01Plan benefit arrangement – InsuranceYes
2017-03-01Plan benefit arrangement - TrustYes
2016: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2016 form 5500 responses
2016-03-01Type of plan entityMulitple employer plan
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan funding arrangement – TrustYes
2016-03-01Plan benefit arrangement – InsuranceYes
2016-03-01Plan benefit arrangement - TrustYes
2015: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2015 form 5500 responses
2015-03-01Type of plan entityMulitple employer plan
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan funding arrangement – TrustYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement - TrustYes
2014: VT VEHICLE AND AUTOMOTIVE DISTRIBUTORS ASSOCIATION MEDICAL BENEFITS TRUST 2014 form 5500 responses
2014-11-01Type of plan entityMulitple employer plan
2014-11-01First time form 5500 has been submittedYes
2014-11-01Submission has been amendedYes
2014-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract number384010
Policy instance 1
Insurance contract or identification number384010
Number of Individuals Covered1454
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,269,351
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract number384010203,207,
Policy instance 1
Insurance contract or identification number384010203,207,
Number of Individuals Covered1434
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,066,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number935534
Policy instance 2
Insurance contract or identification number935534
Number of Individuals Covered1210
Insurance policy start date2020-03-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $37,884
Welfare Benefit Premiums Paid to CarrierUSD $553,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,884
Insurance broker organization code?0
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract numberGROUP A384
Policy instance 1
Insurance contract or identification numberGROUP A384
Number of Individuals Covered1616
Insurance policy start date2019-11-01
Insurance policy end date2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract numberGROUP A384
Policy instance 1
Insurance contract or identification numberGROUP A384
Number of Individuals Covered1806
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HANNOVER LIFE REASSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 88340 )
Policy contract numberVADA-M0
Policy instance 2
Insurance contract or identification numberVADA-M0
Number of Individuals Covered1806
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Welfare Benefit Premiums Paid to CarrierUSD $307,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HANNOVER LIFE REASSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 88340 )
Policy contract numberVADA-M0
Policy instance 2
Insurance contract or identification numberVADA-M0
Number of Individuals Covered2146
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Welfare Benefit Premiums Paid to CarrierUSD $421,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract numberGROUP A384
Policy instance 1
Insurance contract or identification numberGROUP A384
Number of Individuals Covered2146
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HANNOVER LIFE REASSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 88340 )
Policy contract numberVADA-M0
Policy instance 2
Insurance contract or identification numberVADA-M0
Number of Individuals Covered2207
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Welfare Benefit Premiums Paid to CarrierUSD $364,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract numberGROUP A384
Policy instance 1
Insurance contract or identification numberGROUP A384
Number of Individuals Covered2207
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract numberGROUP A384
Policy instance 1
Insurance contract or identification numberGROUP A384
Number of Individuals Covered2287
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Welfare Benefit Premiums Paid to CarrierUSD $589,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract numberGROUP A384
Policy instance 1
Insurance contract or identification numberGROUP A384
Number of Individuals Covered2287
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Welfare Benefit Premiums Paid to CarrierUSD $194,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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