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UAW/LOCAL 2322 DENTAL AND VISION PLAN 401k Plan overview

Plan NameUAW/LOCAL 2322 DENTAL AND VISION PLAN
Plan identification number 501

UAW/LOCAL 2322 DENTAL AND VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision

401k Sponsoring company profile

UAW UMASS HEALTH AND WELFARE TRUST FUND has sponsored the creation of one or more 401k plans.

Company Name:UAW UMASS HEALTH AND WELFARE TRUST FUND
Employer identification number (EIN):043538613
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UAW/LOCAL 2322 DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01
5012020-11-01
5012019-11-01
5012018-11-01
5012017-11-01
5012016-11-01JOCELYN SILVERLIGHT BRIAN HARRINGTON2018-08-13
5012015-11-01JOCELYN SILVERLIGHT DAVID VAILLANCOURT2017-07-24
5012014-11-01JOCELYN SILVERLIGHT SUSAN CHINMAN2016-07-21
5012013-11-01JOCELYN SILVERLIGHT SUSAN CHINMAN2015-08-07
5012012-11-01SUSAN CHINMAN JOCELYN SILVERLIGHT2014-05-23
5012011-11-01SUSAN CHINMAN RONALD PATENAUDE2013-06-25
5012010-11-01SUSAN CHINMAN RONALD PATENAUDE2012-05-21
5012009-11-01SUSAN CHINMAN2011-05-31

Plan Statistics for UAW/LOCAL 2322 DENTAL AND VISION PLAN

401k plan membership statisitcs for UAW/LOCAL 2322 DENTAL AND VISION PLAN

Measure Date Value
2021: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-013,843
Total number of active participants reported on line 7a of the Form 55002021-11-013,048
Total of all active and inactive participants2021-11-013,048
Total participants2021-11-013,048
2020: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-013,048
Total number of active participants reported on line 7a of the Form 55002020-11-013,843
Total of all active and inactive participants2020-11-013,843
Total participants2020-11-013,843
2019: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-013,059
Total number of active participants reported on line 7a of the Form 55002019-11-013,048
Total of all active and inactive participants2019-11-013,048
Total participants2019-11-013,048
2018: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-013,201
Total number of active participants reported on line 7a of the Form 55002018-11-013,059
Total of all active and inactive participants2018-11-013,059
Total participants2018-11-013,059
2017: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-012,715
Total number of active participants reported on line 7a of the Form 55002017-11-013,201
Total of all active and inactive participants2017-11-013,201
Total participants2017-11-013,201
2016: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-012,715
Total of all active and inactive participants2016-11-010
Total participants2016-11-010
2015: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-012,958
Total number of active participants reported on line 7a of the Form 55002015-11-012,715
Total of all active and inactive participants2015-11-012,715
Total participants2015-11-012,715
2014: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-012,935
Total number of active participants reported on line 7a of the Form 55002014-11-012,958
Total of all active and inactive participants2014-11-012,958
Total participants2014-11-012,958
2013: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-012,724
Total number of active participants reported on line 7a of the Form 55002013-11-012,935
Total of all active and inactive participants2013-11-012,935
Total participants2013-11-012,935
2012: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-012,329
Number of retired or separated participants receiving benefits2012-11-012,724
Total of all active and inactive participants2012-11-012,724
Total participants2012-11-012,724
2011: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-012,243
Number of retired or separated participants receiving benefits2011-11-012,329
Total of all active and inactive participants2011-11-012,329
Total participants2011-11-012,329
2010: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2010 401k membership
Total participants, beginning-of-year2010-11-012,054
Number of retired or separated participants receiving benefits2010-11-012,243
Total of all active and inactive participants2010-11-012,243
Total participants2010-11-012,243
2009: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-012,096
Total number of active participants reported on line 7a of the Form 55002009-11-012,054
Total of all active and inactive participants2009-11-012,054
Total participants2009-11-012,054

Financial Data on UAW/LOCAL 2322 DENTAL AND VISION PLAN

Measure Date Value
2022 : UAW/LOCAL 2322 DENTAL AND VISION PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-10-31$-1,133,494
Total unrealized appreciation/depreciation of assets2022-10-31$-1,133,494
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-31$484,603
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-31$450,502
Total income from all sources (including contributions)2022-10-31$1,669,691
Total loss/gain on sale of assets2022-10-31$459,375
Total of all expenses incurred2022-10-31$2,220,310
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-10-31$1,898,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-10-31$2,226,822
Value of total assets at end of year2022-10-31$4,954,698
Value of total assets at beginning of year2022-10-31$5,471,216
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-10-31$321,580
Total interest from all sources2022-10-31$552
Total dividends received (eg from common stock, registered investment company shares)2022-10-31$116,436
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-10-31No
Administrative expenses professional fees incurred2022-10-31$57,855
Was this plan covered by a fidelity bond2022-10-31Yes
Value of fidelity bond cover2022-10-31$500,000
If this is an individual account plan, was there a blackout period2022-10-31No
Were there any nonexempt tranactions with any party-in-interest2022-10-31No
Contributions received from participants2022-10-31$155,682
Assets. Other investments not covered elsewhere at end of year2022-10-31$188,050
Assets. Other investments not covered elsewhere at beginning of year2022-10-31$144,552
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-10-31$391,784
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-10-31$288,614
Administrative expenses (other) incurred2022-10-31$99,882
Liabilities. Value of operating payables at end of year2022-10-31$92,819
Liabilities. Value of operating payables at beginning of year2022-10-31$161,888
Total non interest bearing cash at end of year2022-10-31$21,664
Total non interest bearing cash at beginning of year2022-10-31$2,365
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-31No
Value of net income/loss2022-10-31$-550,619
Value of net assets at end of year (total assets less liabilities)2022-10-31$4,470,095
Value of net assets at beginning of year (total assets less liabilities)2022-10-31$5,020,714
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-10-31No
Were any leases to which the plan was party in default or uncollectible2022-10-31No
Investment advisory and management fees2022-10-31$23,326
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-10-31$1,138,479
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-10-31$1,051,179
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-10-31$610,994
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-10-31$360,055
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-10-31$360,055
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-10-31$552
Expenses. Payments to insurance carriers foe the provision of benefits2022-10-31$529,649
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-10-31No
Was there a failure to transmit to the plan any participant contributions2022-10-31No
Has the plan failed to provide any benefit when due under the plan2022-10-31No
Contributions received in cash from employer2022-10-31$2,071,140
Employer contributions (assets) at end of year2022-10-31$703,192
Employer contributions (assets) at beginning of year2022-10-31$670,964
Income. Dividends from preferred stock2022-10-31$116,436
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-10-31$1,369,081
Asset. Corporate debt instrument debt (other) at end of year2022-10-31$1,677,418
Asset. Corporate debt instrument debt (other) at beginning of year2022-10-31$1,880,050
Contract administrator fees2022-10-31$140,517
Assets. Corporate common stocks other than exployer securities at end of year2022-10-31$614,901
Assets. Corporate common stocks other than exployer securities at beginning of year2022-10-31$1,362,051
Did the plan have assets held for investment2022-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-10-31No
Aggregate proceeds on sale of assets2022-10-31$459,375
Opinion of an independent qualified public accountant for this plan2022-10-31Unqualified
Accountancy firm name2022-10-31LAPIER, DILLON & ASSOCIATES PC
Accountancy firm EIN2022-10-31320048525
2021 : UAW/LOCAL 2322 DENTAL AND VISION PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-10-31$601,564
Total unrealized appreciation/depreciation of assets2021-10-31$601,564
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$450,502
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$306,811
Total income from all sources (including contributions)2021-10-31$2,912,078
Total loss/gain on sale of assets2021-10-31$122,914
Total of all expenses incurred2021-10-31$2,233,026
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-10-31$1,950,308
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-10-31$2,127,952
Value of total assets at end of year2021-10-31$5,471,216
Value of total assets at beginning of year2021-10-31$4,648,473
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-10-31$282,718
Total interest from all sources2021-10-31$558
Total dividends received (eg from common stock, registered investment company shares)2021-10-31$59,090
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-10-31No
Administrative expenses professional fees incurred2021-10-31$54,978
Was this plan covered by a fidelity bond2021-10-31Yes
Value of fidelity bond cover2021-10-31$500,000
If this is an individual account plan, was there a blackout period2021-10-31No
Were there any nonexempt tranactions with any party-in-interest2021-10-31No
Contributions received from participants2021-10-31$165,723
Assets. Other investments not covered elsewhere at end of year2021-10-31$144,552
Assets. Other investments not covered elsewhere at beginning of year2021-10-31$101,050
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-10-31$288,614
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-10-31$192,671
Administrative expenses (other) incurred2021-10-31$81,047
Liabilities. Value of operating payables at end of year2021-10-31$161,888
Liabilities. Value of operating payables at beginning of year2021-10-31$114,140
Total non interest bearing cash at end of year2021-10-31$2,365
Total non interest bearing cash at beginning of year2021-10-31$4,786
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Value of net income/loss2021-10-31$679,052
Value of net assets at end of year (total assets less liabilities)2021-10-31$5,020,714
Value of net assets at beginning of year (total assets less liabilities)2021-10-31$4,341,662
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-10-31No
Were any leases to which the plan was party in default or uncollectible2021-10-31No
Investment advisory and management fees2021-10-31$18,293
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-10-31$360,055
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-10-31$331,813
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-10-31$331,813
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-10-31$558
Expenses. Payments to insurance carriers foe the provision of benefits2021-10-31$486,646
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-10-31No
Was there a failure to transmit to the plan any participant contributions2021-10-31No
Has the plan failed to provide any benefit when due under the plan2021-10-31No
Contributions received in cash from employer2021-10-31$1,962,229
Employer contributions (assets) at end of year2021-10-31$670,964
Employer contributions (assets) at beginning of year2021-10-31$609,113
Income. Dividends from common stock2021-10-31$59,090
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-10-31$1,463,662
Asset. Corporate debt instrument debt (other) at end of year2021-10-31$1,880,050
Asset. Corporate debt instrument debt (other) at beginning of year2021-10-31$1,796,079
Contract administrator fees2021-10-31$128,400
Assets. Corporate common stocks other than exployer securities at end of year2021-10-31$2,413,230
Assets. Corporate common stocks other than exployer securities at beginning of year2021-10-31$1,805,632
Did the plan have assets held for investment2021-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-10-31No
Aggregate proceeds on sale of assets2021-10-31$122,914
Opinion of an independent qualified public accountant for this plan2021-10-31Unqualified
Accountancy firm name2021-10-31LAPIER, DILLON & ASSOCIATES, P.C.
Accountancy firm EIN2021-10-31320048525
2020 : UAW/LOCAL 2322 DENTAL AND VISION PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-10-31$-3,400
Total unrealized appreciation/depreciation of assets2020-10-31$-3,400
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$306,811
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$231,720
Total income from all sources (including contributions)2020-10-31$2,372,414
Total loss/gain on sale of assets2020-10-31$105,792
Total of all expenses incurred2020-10-31$2,170,615
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-10-31$1,882,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-10-31$2,194,973
Value of total assets at end of year2020-10-31$4,648,473
Value of total assets at beginning of year2020-10-31$4,371,583
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-10-31$287,630
Total interest from all sources2020-10-31$665
Total dividends received (eg from common stock, registered investment company shares)2020-10-31$74,384
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-10-31No
Administrative expenses professional fees incurred2020-10-31$50,068
Was this plan covered by a fidelity bond2020-10-31Yes
Value of fidelity bond cover2020-10-31$500,000
If this is an individual account plan, was there a blackout period2020-10-31No
Were there any nonexempt tranactions with any party-in-interest2020-10-31No
Contributions received from participants2020-10-31$173,471
Assets. Other investments not covered elsewhere at end of year2020-10-31$101,050
Assets. Other investments not covered elsewhere at beginning of year2020-10-31$140,130
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-10-31$192,671
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-10-31$100,440
Administrative expenses (other) incurred2020-10-31$102,301
Liabilities. Value of operating payables at end of year2020-10-31$114,140
Liabilities. Value of operating payables at beginning of year2020-10-31$131,280
Total non interest bearing cash at end of year2020-10-31$4,786
Total non interest bearing cash at beginning of year2020-10-31$4,161
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-10-31No
Value of net income/loss2020-10-31$201,799
Value of net assets at end of year (total assets less liabilities)2020-10-31$4,341,662
Value of net assets at beginning of year (total assets less liabilities)2020-10-31$4,139,863
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-10-31No
Were any leases to which the plan was party in default or uncollectible2020-10-31No
Investment advisory and management fees2020-10-31$8,692
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-10-31$331,813
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-10-31$210,169
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-10-31$210,169
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-10-31$665
Expenses. Payments to insurance carriers foe the provision of benefits2020-10-31$359,397
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-10-31No
Was there a failure to transmit to the plan any participant contributions2020-10-31No
Has the plan failed to provide any benefit when due under the plan2020-10-31No
Contributions received in cash from employer2020-10-31$2,021,502
Employer contributions (assets) at end of year2020-10-31$609,113
Employer contributions (assets) at beginning of year2020-10-31$569,204
Income. Dividends from common stock2020-10-31$74,384
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-10-31$1,523,588
Asset. Corporate debt instrument debt (other) at end of year2020-10-31$1,796,079
Asset. Corporate debt instrument debt (other) at beginning of year2020-10-31$1,739,287
Contract administrator fees2020-10-31$126,569
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-10-31No
Assets. Corporate common stocks other than exployer securities at end of year2020-10-31$1,805,632
Assets. Corporate common stocks other than exployer securities at beginning of year2020-10-31$1,708,632
Did the plan have assets held for investment2020-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-10-31No
Aggregate proceeds on sale of assets2020-10-31$105,792
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-10-31No
Opinion of an independent qualified public accountant for this plan2020-10-31Unqualified
Accountancy firm name2020-10-31LAPIER, DILLON & ASSOCIATES, P.C.
Accountancy firm EIN2020-10-31320048525
2019 : UAW/LOCAL 2322 DENTAL AND VISION PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-10-31$121,510
Total unrealized appreciation/depreciation of assets2019-10-31$121,510
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$231,720
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$479,807
Total income from all sources (including contributions)2019-10-31$2,413,203
Total loss/gain on sale of assets2019-10-31$151,706
Total of all expenses incurred2019-10-31$2,201,848
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-10-31$1,952,210
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-10-31$2,060,891
Value of total assets at end of year2019-10-31$4,371,583
Value of total assets at beginning of year2019-10-31$4,408,315
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-10-31$249,638
Total interest from all sources2019-10-31$436
Total dividends received (eg from common stock, registered investment company shares)2019-10-31$78,660
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-10-31No
Administrative expenses professional fees incurred2019-10-31$70,250
Was this plan covered by a fidelity bond2019-10-31Yes
Value of fidelity bond cover2019-10-31$500,000
If this is an individual account plan, was there a blackout period2019-10-31No
Were there any nonexempt tranactions with any party-in-interest2019-10-31No
Contributions received from participants2019-10-31$106,939
Assets. Other investments not covered elsewhere at end of year2019-10-31$140,130
Assets. Other investments not covered elsewhere at beginning of year2019-10-31$95,594
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-10-31$100,440
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-10-31$119,962
Administrative expenses (other) incurred2019-10-31$71,230
Liabilities. Value of operating payables at end of year2019-10-31$131,280
Liabilities. Value of operating payables at beginning of year2019-10-31$359,845
Total non interest bearing cash at end of year2019-10-31$4,161
Total non interest bearing cash at beginning of year2019-10-31$401
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-31No
Value of net income/loss2019-10-31$211,355
Value of net assets at end of year (total assets less liabilities)2019-10-31$4,139,863
Value of net assets at beginning of year (total assets less liabilities)2019-10-31$3,928,508
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-10-31No
Were any leases to which the plan was party in default or uncollectible2019-10-31No
Investment advisory and management fees2019-10-31$9,474
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-10-31$210,169
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-10-31$221,438
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-10-31$221,438
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-10-31$436
Expenses. Payments to insurance carriers foe the provision of benefits2019-10-31$456,577
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-10-31No
Was there a failure to transmit to the plan any participant contributions2019-10-31No
Has the plan failed to provide any benefit when due under the plan2019-10-31No
Contributions received in cash from employer2019-10-31$1,953,952
Employer contributions (assets) at end of year2019-10-31$569,204
Employer contributions (assets) at beginning of year2019-10-31$662,368
Income. Dividends from common stock2019-10-31$78,660
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-10-31$1,495,633
Asset. Corporate debt instrument debt (other) at end of year2019-10-31$1,739,287
Asset. Corporate debt instrument debt (other) at beginning of year2019-10-31$1,680,929
Contract administrator fees2019-10-31$98,684
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-10-31No
Assets. Corporate common stocks other than exployer securities at end of year2019-10-31$1,708,632
Assets. Corporate common stocks other than exployer securities at beginning of year2019-10-31$1,747,585
Did the plan have assets held for investment2019-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-10-31No
Aggregate proceeds on sale of assets2019-10-31$151,706
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-10-31No
Opinion of an independent qualified public accountant for this plan2019-10-31Unqualified
Accountancy firm name2019-10-31NICHOLAS LAPIER CPA PC
Accountancy firm EIN2019-10-31340048525
2018 : UAW/LOCAL 2322 DENTAL AND VISION PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-10-31$-156,957
Total unrealized appreciation/depreciation of assets2018-10-31$-156,957
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$479,807
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$405,916
Total income from all sources (including contributions)2018-10-31$2,051,671
Total loss/gain on sale of assets2018-10-31$175,283
Total of all expenses incurred2018-10-31$2,246,149
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-10-31$1,996,084
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-10-31$1,963,302
Value of total assets at end of year2018-10-31$4,408,315
Value of total assets at beginning of year2018-10-31$4,528,902
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-10-31$250,065
Total interest from all sources2018-10-31$1,157
Total dividends received (eg from common stock, registered investment company shares)2018-10-31$68,886
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-10-31No
Administrative expenses professional fees incurred2018-10-31$115,694
Was this plan covered by a fidelity bond2018-10-31Yes
Value of fidelity bond cover2018-10-31$500,000
If this is an individual account plan, was there a blackout period2018-10-31No
Were there any nonexempt tranactions with any party-in-interest2018-10-31No
Contributions received from participants2018-10-31$78,606
Assets. Other investments not covered elsewhere at end of year2018-10-31$95,594
Assets. Other investments not covered elsewhere at beginning of year2018-10-31$68,834
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-10-31$119,962
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-10-31$212,633
Administrative expenses (other) incurred2018-10-31$50,103
Liabilities. Value of operating payables at end of year2018-10-31$359,845
Liabilities. Value of operating payables at beginning of year2018-10-31$193,283
Total non interest bearing cash at end of year2018-10-31$401
Total non interest bearing cash at beginning of year2018-10-31$468
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Value of net income/loss2018-10-31$-194,478
Value of net assets at end of year (total assets less liabilities)2018-10-31$3,928,508
Value of net assets at beginning of year (total assets less liabilities)2018-10-31$4,122,986
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-10-31No
Were any leases to which the plan was party in default or uncollectible2018-10-31No
Investment advisory and management fees2018-10-31$10,261
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-10-31$221,438
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-10-31$808,610
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-10-31$808,610
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-10-31$1,157
Expenses. Payments to insurance carriers foe the provision of benefits2018-10-31$424,018
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-10-31No
Was there a failure to transmit to the plan any participant contributions2018-10-31No
Has the plan failed to provide any benefit when due under the plan2018-10-31No
Contributions received in cash from employer2018-10-31$1,884,696
Employer contributions (assets) at end of year2018-10-31$662,368
Employer contributions (assets) at beginning of year2018-10-31$182,165
Income. Dividends from common stock2018-10-31$68,886
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-10-31$1,572,066
Asset. Corporate debt instrument debt (other) at end of year2018-10-31$1,680,929
Asset. Corporate debt instrument debt (other) at beginning of year2018-10-31$1,748,644
Contract administrator fees2018-10-31$74,007
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-10-31No
Assets. Corporate common stocks other than exployer securities at end of year2018-10-31$1,747,585
Assets. Corporate common stocks other than exployer securities at beginning of year2018-10-31$1,720,181
Did the plan have assets held for investment2018-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-10-31No
Aggregate proceeds on sale of assets2018-10-31$175,283
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-10-31No
Opinion of an independent qualified public accountant for this plan2018-10-31Unqualified
Accountancy firm name2018-10-31NICHOLAS LAPIER CPA PC
Accountancy firm EIN2018-10-31340048525
2017 : UAW/LOCAL 2322 DENTAL AND VISION PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-10-31$198,392
Total unrealized appreciation/depreciation of assets2017-10-31$198,392
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$405,916
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$229,902
Total income from all sources (including contributions)2017-10-31$2,461,954
Total loss/gain on sale of assets2017-10-31$111,893
Total of all expenses incurred2017-10-31$2,044,808
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-10-31$1,821,506
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-10-31$2,040,669
Value of total assets at end of year2017-10-31$4,528,902
Value of total assets at beginning of year2017-10-31$3,935,742
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-10-31$223,302
Total interest from all sources2017-10-31$687
Total dividends received (eg from common stock, registered investment company shares)2017-10-31$81,227
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-10-31No
Administrative expenses professional fees incurred2017-10-31$99,779
Was this plan covered by a fidelity bond2017-10-31Yes
Value of fidelity bond cover2017-10-31$500,000
If this is an individual account plan, was there a blackout period2017-10-31No
Were there any nonexempt tranactions with any party-in-interest2017-10-31No
Contributions received from participants2017-10-31$69,175
Assets. Other investments not covered elsewhere at end of year2017-10-31$68,834
Assets. Other investments not covered elsewhere at beginning of year2017-10-31$99,665
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-10-31$212,633
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-10-31$116,226
Other income not declared elsewhere2017-10-31$29,086
Administrative expenses (other) incurred2017-10-31$36,790
Liabilities. Value of operating payables at end of year2017-10-31$193,283
Liabilities. Value of operating payables at beginning of year2017-10-31$113,676
Total non interest bearing cash at end of year2017-10-31$468
Total non interest bearing cash at beginning of year2017-10-31$6,386
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Value of net income/loss2017-10-31$417,146
Value of net assets at end of year (total assets less liabilities)2017-10-31$4,122,986
Value of net assets at beginning of year (total assets less liabilities)2017-10-31$3,705,840
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-10-31No
Were any leases to which the plan was party in default or uncollectible2017-10-31No
Investment advisory and management fees2017-10-31$11,936
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-10-31$808,610
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-10-31$219,341
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-10-31$219,341
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-10-31$687
Expenses. Payments to insurance carriers foe the provision of benefits2017-10-31$410,727
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-10-31No
Was there a failure to transmit to the plan any participant contributions2017-10-31No
Has the plan failed to provide any benefit when due under the plan2017-10-31No
Contributions received in cash from employer2017-10-31$1,971,494
Employer contributions (assets) at end of year2017-10-31$182,165
Employer contributions (assets) at beginning of year2017-10-31$362,595
Income. Dividends from common stock2017-10-31$81,227
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-10-31$1,410,779
Asset. Corporate debt instrument debt (other) at end of year2017-10-31$1,748,644
Asset. Corporate debt instrument debt (other) at beginning of year2017-10-31$1,597,220
Contract administrator fees2017-10-31$74,797
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-10-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-10-31$1,720,181
Assets. Corporate common stocks other than exployer securities at beginning of year2017-10-31$1,650,535
Did the plan have assets held for investment2017-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-10-31No
Aggregate proceeds on sale of assets2017-10-31$111,893
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-10-31No
Opinion of an independent qualified public accountant for this plan2017-10-31Unqualified
Accountancy firm name2017-10-31NICHOLAS LAPIER CPA PC
Accountancy firm EIN2017-10-31340048525
2016 : UAW/LOCAL 2322 DENTAL AND VISION PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-10-31$-73,860
Total unrealized appreciation/depreciation of assets2016-10-31$-73,860
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$229,902
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$163,613
Total income from all sources (including contributions)2016-10-31$1,653,538
Total loss/gain on sale of assets2016-10-31$68,356
Total of all expenses incurred2016-10-31$1,811,460
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-31$1,534,891
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-31$1,552,760
Value of total assets at end of year2016-10-31$3,935,742
Value of total assets at beginning of year2016-10-31$4,027,375
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-31$276,569
Total interest from all sources2016-10-31$655
Total dividends received (eg from common stock, registered investment company shares)2016-10-31$62,417
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-31No
Administrative expenses professional fees incurred2016-10-31$70,420
Was this plan covered by a fidelity bond2016-10-31Yes
Value of fidelity bond cover2016-10-31$500,000
If this is an individual account plan, was there a blackout period2016-10-31No
Were there any nonexempt tranactions with any party-in-interest2016-10-31No
Contributions received from participants2016-10-31$151,229
Assets. Other investments not covered elsewhere at end of year2016-10-31$99,665
Assets. Other investments not covered elsewhere at beginning of year2016-10-31$91,065
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-10-31$116,226
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-10-31$134,003
Other income not declared elsewhere2016-10-31$43,210
Administrative expenses (other) incurred2016-10-31$100,328
Liabilities. Value of operating payables at end of year2016-10-31$113,676
Liabilities. Value of operating payables at beginning of year2016-10-31$29,610
Total non interest bearing cash at end of year2016-10-31$6,386
Total non interest bearing cash at beginning of year2016-10-31$2,490
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Value of net income/loss2016-10-31$-157,922
Value of net assets at end of year (total assets less liabilities)2016-10-31$3,705,840
Value of net assets at beginning of year (total assets less liabilities)2016-10-31$3,863,762
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-10-31No
Were any leases to which the plan was party in default or uncollectible2016-10-31No
Investment advisory and management fees2016-10-31$11,936
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-10-31$219,341
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-10-31$280,899
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-10-31$280,899
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-10-31$655
Expenses. Payments to insurance carriers foe the provision of benefits2016-10-31$393,034
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-10-31No
Was there a failure to transmit to the plan any participant contributions2016-10-31No
Has the plan failed to provide any benefit when due under the plan2016-10-31No
Contributions received in cash from employer2016-10-31$1,401,531
Employer contributions (assets) at end of year2016-10-31$362,595
Employer contributions (assets) at beginning of year2016-10-31$301,665
Income. Dividends from common stock2016-10-31$62,417
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-10-31$1,141,857
Asset. Corporate debt instrument debt (other) at end of year2016-10-31$1,597,220
Asset. Corporate debt instrument debt (other) at beginning of year2016-10-31$1,474,778
Contract administrator fees2016-10-31$93,885
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-10-31No
Assets. Corporate common stocks other than exployer securities at end of year2016-10-31$1,650,535
Assets. Corporate common stocks other than exployer securities at beginning of year2016-10-31$1,876,478
Did the plan have assets held for investment2016-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-10-31No
Aggregate proceeds on sale of assets2016-10-31$68,356
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-10-31No
Opinion of an independent qualified public accountant for this plan2016-10-31Unqualified
Accountancy firm name2016-10-31NICHOLAS LAPIER CPA PC
Accountancy firm EIN2016-10-31340048525
2015 : UAW/LOCAL 2322 DENTAL AND VISION PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-10-31$-245,580
Total unrealized appreciation/depreciation of assets2015-10-31$-245,580
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$163,613
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$193,342
Total income from all sources (including contributions)2015-10-31$1,886,736
Total loss/gain on sale of assets2015-10-31$178,402
Total of all expenses incurred2015-10-31$1,840,158
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-10-31$1,571,628
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-10-31$1,806,251
Value of total assets at end of year2015-10-31$4,027,375
Value of total assets at beginning of year2015-10-31$4,010,526
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-10-31$268,530
Total interest from all sources2015-10-31$1,164
Total dividends received (eg from common stock, registered investment company shares)2015-10-31$62,129
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-10-31No
Administrative expenses professional fees incurred2015-10-31$69,100
Was this plan covered by a fidelity bond2015-10-31Yes
Value of fidelity bond cover2015-10-31$400,000
If this is an individual account plan, was there a blackout period2015-10-31No
Were there any nonexempt tranactions with any party-in-interest2015-10-31No
Contributions received from participants2015-10-31$145,875
Assets. Other investments not covered elsewhere at end of year2015-10-31$91,065
Assets. Other investments not covered elsewhere at beginning of year2015-10-31$55,186
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-10-31$134,003
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-10-31$95,238
Other income not declared elsewhere2015-10-31$84,370
Administrative expenses (other) incurred2015-10-31$88,471
Liabilities. Value of operating payables at end of year2015-10-31$29,610
Liabilities. Value of operating payables at beginning of year2015-10-31$98,104
Total non interest bearing cash at end of year2015-10-31$2,490
Total non interest bearing cash at beginning of year2015-10-31$6,327
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Value of net income/loss2015-10-31$46,578
Value of net assets at end of year (total assets less liabilities)2015-10-31$3,863,762
Value of net assets at beginning of year (total assets less liabilities)2015-10-31$3,817,184
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-10-31No
Were any leases to which the plan was party in default or uncollectible2015-10-31No
Investment advisory and management fees2015-10-31$15,082
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-10-31$280,899
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-10-31$205,192
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-10-31$205,192
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-10-31$1,164
Expenses. Payments to insurance carriers foe the provision of benefits2015-10-31$359,167
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-10-31No
Was there a failure to transmit to the plan any participant contributions2015-10-31No
Has the plan failed to provide any benefit when due under the plan2015-10-31No
Contributions received in cash from employer2015-10-31$1,660,376
Employer contributions (assets) at end of year2015-10-31$301,665
Employer contributions (assets) at beginning of year2015-10-31$369,442
Income. Dividends from common stock2015-10-31$62,129
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-10-31$1,212,461
Asset. Corporate debt instrument debt (other) at end of year2015-10-31$1,474,778
Asset. Corporate debt instrument debt (other) at beginning of year2015-10-31$1,496,339
Contract administrator fees2015-10-31$95,877
Assets. Corporate common stocks other than exployer securities at end of year2015-10-31$1,876,478
Assets. Corporate common stocks other than exployer securities at beginning of year2015-10-31$1,878,040
Did the plan have assets held for investment2015-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-10-31No
Aggregate proceeds on sale of assets2015-10-31$178,402
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-10-31No
Opinion of an independent qualified public accountant for this plan2015-10-31Unqualified
Accountancy firm name2015-10-31NICHOLAS LAPIER PC CPA
Accountancy firm EIN2015-10-31320048525
2014 : UAW/LOCAL 2322 DENTAL AND VISION PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-10-31$12,092
Total unrealized appreciation/depreciation of assets2014-10-31$12,092
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$193,342
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$130,704
Total income from all sources (including contributions)2014-10-31$1,843,654
Total loss/gain on sale of assets2014-10-31$177,910
Total of all expenses incurred2014-10-31$1,560,297
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-10-31$1,308,599
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-10-31$1,589,037
Value of total assets at end of year2014-10-31$4,010,526
Value of total assets at beginning of year2014-10-31$3,664,531
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-10-31$251,698
Total interest from all sources2014-10-31$988
Total dividends received (eg from common stock, registered investment company shares)2014-10-31$61,977
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-10-31No
Administrative expenses professional fees incurred2014-10-31$57,856
Was this plan covered by a fidelity bond2014-10-31Yes
Value of fidelity bond cover2014-10-31$400,000
If this is an individual account plan, was there a blackout period2014-10-31No
Were there any nonexempt tranactions with any party-in-interest2014-10-31No
Contributions received from participants2014-10-31$149,174
Assets. Other investments not covered elsewhere at end of year2014-10-31$55,186
Assets. Other investments not covered elsewhere at beginning of year2014-10-31$28,336
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-10-31$95,238
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-10-31$112,482
Other income not declared elsewhere2014-10-31$1,650
Administrative expenses (other) incurred2014-10-31$79,056
Liabilities. Value of operating payables at end of year2014-10-31$98,104
Liabilities. Value of operating payables at beginning of year2014-10-31$18,222
Total non interest bearing cash at end of year2014-10-31$6,327
Total non interest bearing cash at beginning of year2014-10-31$10,658
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Value of net income/loss2014-10-31$283,357
Value of net assets at end of year (total assets less liabilities)2014-10-31$3,817,184
Value of net assets at beginning of year (total assets less liabilities)2014-10-31$3,533,827
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-10-31No
Were any leases to which the plan was party in default or uncollectible2014-10-31No
Investment advisory and management fees2014-10-31$22,101
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-10-31$205,192
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-10-31$179,865
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-10-31$179,865
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-10-31$988
Expenses. Payments to insurance carriers foe the provision of benefits2014-10-31$252,157
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-10-31No
Was there a failure to transmit to the plan any participant contributions2014-10-31No
Has the plan failed to provide any benefit when due under the plan2014-10-31No
Contributions received in cash from employer2014-10-31$1,439,863
Employer contributions (assets) at end of year2014-10-31$369,442
Employer contributions (assets) at beginning of year2014-10-31$408,896
Income. Dividends from common stock2014-10-31$61,977
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-10-31$1,056,442
Asset. Corporate debt instrument debt (other) at end of year2014-10-31$1,496,339
Asset. Corporate debt instrument debt (other) at beginning of year2014-10-31$1,370,183
Contract administrator fees2014-10-31$92,685
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-10-31No
Assets. Corporate common stocks other than exployer securities at end of year2014-10-31$1,878,040
Assets. Corporate common stocks other than exployer securities at beginning of year2014-10-31$1,666,593
Did the plan have assets held for investment2014-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-10-31No
Aggregate proceeds on sale of assets2014-10-31$177,910
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-10-31No
Opinion of an independent qualified public accountant for this plan2014-10-31Unqualified
Accountancy firm name2014-10-31NICHOLAS LAPIER PC CPA
Accountancy firm EIN2014-10-31320048525
2013 : UAW/LOCAL 2322 DENTAL AND VISION PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-10-31$186,050
Total unrealized appreciation/depreciation of assets2013-10-31$186,050
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$130,706
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$267,901
Total income from all sources (including contributions)2013-10-31$1,875,667
Total loss/gain on sale of assets2013-10-31$87,105
Total of all expenses incurred2013-10-31$1,503,973
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-10-31$1,246,546
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-10-31$1,529,459
Value of total assets at end of year2013-10-31$3,664,531
Value of total assets at beginning of year2013-10-31$3,430,032
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-10-31$257,427
Total interest from all sources2013-10-31$1,037
Total dividends received (eg from common stock, registered investment company shares)2013-10-31$70,286
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-10-31No
Administrative expenses professional fees incurred2013-10-31$57,071
Was this plan covered by a fidelity bond2013-10-31Yes
Value of fidelity bond cover2013-10-31$400,000
If this is an individual account plan, was there a blackout period2013-10-31No
Were there any nonexempt tranactions with any party-in-interest2013-10-31No
Contributions received from participants2013-10-31$149,846
Assets. Other investments not covered elsewhere at end of year2013-10-31$28,336
Assets. Other investments not covered elsewhere at beginning of year2013-10-31$1,232
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-10-31$112,483
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-10-31$213,813
Other income not declared elsewhere2013-10-31$1,730
Administrative expenses (other) incurred2013-10-31$82,040
Liabilities. Value of operating payables at end of year2013-10-31$18,223
Liabilities. Value of operating payables at beginning of year2013-10-31$54,088
Total non interest bearing cash at end of year2013-10-31$10,658
Total non interest bearing cash at beginning of year2013-10-31$5,647
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Value of net income/loss2013-10-31$371,694
Value of net assets at end of year (total assets less liabilities)2013-10-31$3,533,825
Value of net assets at beginning of year (total assets less liabilities)2013-10-31$3,162,131
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-10-31No
Were any leases to which the plan was party in default or uncollectible2013-10-31No
Investment advisory and management fees2013-10-31$21,473
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-10-31$179,865
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-10-31$104,471
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-10-31$104,471
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-10-31$1,037
Expenses. Payments to insurance carriers foe the provision of benefits2013-10-31$204,043
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-10-31No
Was there a failure to transmit to the plan any participant contributions2013-10-31No
Has the plan failed to provide any benefit when due under the plan2013-10-31No
Contributions received in cash from employer2013-10-31$1,379,613
Employer contributions (assets) at end of year2013-10-31$408,896
Employer contributions (assets) at beginning of year2013-10-31$387,023
Income. Dividends from common stock2013-10-31$70,286
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-10-31$1,042,503
Asset. Corporate debt instrument debt (other) at end of year2013-10-31$1,370,183
Asset. Corporate debt instrument debt (other) at beginning of year2013-10-31$1,502,567
Contract administrator fees2013-10-31$96,843
Assets. Corporate common stocks other than exployer securities at end of year2013-10-31$1,666,593
Assets. Corporate common stocks other than exployer securities at beginning of year2013-10-31$1,429,092
Did the plan have assets held for investment2013-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-10-31No
Aggregate proceeds on sale of assets2013-10-31$87,105
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-10-31No
Opinion of an independent qualified public accountant for this plan2013-10-31Unqualified
Accountancy firm name2013-10-31NICHOLAS LAPIER PC CPA
Accountancy firm EIN2013-10-31320048525
2012 : UAW/LOCAL 2322 DENTAL AND VISION PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-10-31$129,980
Total unrealized appreciation/depreciation of assets2012-10-31$129,980
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$267,901
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$153,941
Total income from all sources (including contributions)2012-10-31$1,761,231
Total loss/gain on sale of assets2012-10-31$23,646
Total of all expenses incurred2012-10-31$1,547,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-10-31$1,293,569
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-10-31$1,540,637
Value of total assets at end of year2012-10-31$3,430,032
Value of total assets at beginning of year2012-10-31$3,101,946
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-10-31$253,535
Total interest from all sources2012-10-31$1,356
Total dividends received (eg from common stock, registered investment company shares)2012-10-31$65,585
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-10-31No
Administrative expenses professional fees incurred2012-10-31$51,088
Was this plan covered by a fidelity bond2012-10-31Yes
Value of fidelity bond cover2012-10-31$400,000
If this is an individual account plan, was there a blackout period2012-10-31No
Were there any nonexempt tranactions with any party-in-interest2012-10-31No
Contributions received from participants2012-10-31$69,297
Assets. Other investments not covered elsewhere at end of year2012-10-31$1,232
Assets. Other investments not covered elsewhere at beginning of year2012-10-31$1,182
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-10-31$213,813
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-10-31$131,811
Other income not declared elsewhere2012-10-31$27
Administrative expenses (other) incurred2012-10-31$81,320
Liabilities. Value of operating payables at end of year2012-10-31$54,088
Liabilities. Value of operating payables at beginning of year2012-10-31$22,130
Total non interest bearing cash at end of year2012-10-31$5,647
Total non interest bearing cash at beginning of year2012-10-31$16,067
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Value of net income/loss2012-10-31$214,127
Value of net assets at end of year (total assets less liabilities)2012-10-31$3,162,131
Value of net assets at beginning of year (total assets less liabilities)2012-10-31$2,948,005
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-10-31No
Were any leases to which the plan was party in default or uncollectible2012-10-31No
Investment advisory and management fees2012-10-31$20,655
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-10-31$104,471
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-10-31$139,033
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-10-31$139,033
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-10-31$1,356
Expenses. Payments to insurance carriers foe the provision of benefits2012-10-31$248,433
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-10-31No
Was there a failure to transmit to the plan any participant contributions2012-10-31No
Has the plan failed to provide any benefit when due under the plan2012-10-31No
Contributions received in cash from employer2012-10-31$1,471,340
Employer contributions (assets) at end of year2012-10-31$387,023
Employer contributions (assets) at beginning of year2012-10-31$245,175
Income. Dividends from common stock2012-10-31$65,585
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-10-31$1,045,136
Asset. Corporate debt instrument debt (other) at end of year2012-10-31$1,502,567
Asset. Corporate debt instrument debt (other) at beginning of year2012-10-31$1,311,237
Contract administrator fees2012-10-31$100,472
Assets. Corporate common stocks other than exployer securities at end of year2012-10-31$1,429,092
Assets. Corporate common stocks other than exployer securities at beginning of year2012-10-31$1,389,252
Did the plan have assets held for investment2012-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-10-31No
Aggregate carrying amount (costs) on sale of assets2012-10-31$-23,646
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-10-31No
Opinion of an independent qualified public accountant for this plan2012-10-31Unqualified
Accountancy firm name2012-10-31NICHOLAS LAPIER PC CPA
Accountancy firm EIN2012-10-31320048525
2011 : UAW/LOCAL 2322 DENTAL AND VISION PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-10-31$6,562
Total unrealized appreciation/depreciation of assets2011-10-31$6,562
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$153,941
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$164,249
Total income from all sources (including contributions)2011-10-31$1,324,833
Total loss/gain on sale of assets2011-10-31$36,653
Total of all expenses incurred2011-10-31$1,503,140
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-31$1,272,176
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-31$1,214,926
Value of total assets at end of year2011-10-31$3,101,946
Value of total assets at beginning of year2011-10-31$3,290,562
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-31$230,964
Total interest from all sources2011-10-31$1,192
Total dividends received (eg from common stock, registered investment company shares)2011-10-31$65,460
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-31No
Administrative expenses professional fees incurred2011-10-31$51,088
Was this plan covered by a fidelity bond2011-10-31Yes
Value of fidelity bond cover2011-10-31$400,000
If this is an individual account plan, was there a blackout period2011-10-31No
Were there any nonexempt tranactions with any party-in-interest2011-10-31No
Contributions received from participants2011-10-31$72,260
Assets. Other investments not covered elsewhere at end of year2011-10-31$1,182
Assets. Other investments not covered elsewhere at beginning of year2011-10-31$46,250
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-10-31$227,040
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-10-31$131,811
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-10-31$150,585
Other income not declared elsewhere2011-10-31$40
Administrative expenses (other) incurred2011-10-31$74,663
Liabilities. Value of operating payables at end of year2011-10-31$22,130
Liabilities. Value of operating payables at beginning of year2011-10-31$13,664
Total non interest bearing cash at end of year2011-10-31$16,067
Total non interest bearing cash at beginning of year2011-10-31$406
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Value of net income/loss2011-10-31$-178,307
Value of net assets at end of year (total assets less liabilities)2011-10-31$2,948,005
Value of net assets at beginning of year (total assets less liabilities)2011-10-31$3,126,313
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-31No
Were any leases to which the plan was party in default or uncollectible2011-10-31No
Investment advisory and management fees2011-10-31$21,656
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-10-31$139,033
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-10-31$194,480
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-10-31$194,480
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-10-31$1,192
Expenses. Payments to insurance carriers foe the provision of benefits2011-10-31$1,045,136
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-31No
Was there a failure to transmit to the plan any participant contributions2011-10-31No
Has the plan failed to provide any benefit when due under the plan2011-10-31No
Contributions received in cash from employer2011-10-31$1,142,666
Employer contributions (assets) at end of year2011-10-31$245,175
Employer contributions (assets) at beginning of year2011-10-31$342,538
Income. Dividends from common stock2011-10-31$65,460
Asset. Corporate debt instrument debt (other) at end of year2011-10-31$1,311,237
Asset. Corporate debt instrument debt (other) at beginning of year2011-10-31$1,220,797
Contract administrator fees2011-10-31$83,557
Assets. Corporate common stocks other than exployer securities at end of year2011-10-31$1,389,252
Assets. Corporate common stocks other than exployer securities at beginning of year2011-10-31$1,486,091
Did the plan have assets held for investment2011-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-31No
Aggregate carrying amount (costs) on sale of assets2011-10-31$-36,653
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-10-31No
Opinion of an independent qualified public accountant for this plan2011-10-31Unqualified
Accountancy firm name2011-10-31NICHOLAS LAPIER PC CPA
Accountancy firm EIN2011-10-31320048525

Form 5500 Responses for UAW/LOCAL 2322 DENTAL AND VISION PLAN

2021: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Submission has been amendedNo
2021-11-01This submission is the final filingNo
2021-11-01This return/report is a short plan year return/report (less than 12 months)No
2021-11-01Plan is a collectively bargained planNo
2021-11-01Plan funding arrangement – TrustYes
2021-11-01Plan benefit arrangement – InsuranceYes
2020: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Submission has been amendedNo
2020-11-01This submission is the final filingNo
2020-11-01This return/report is a short plan year return/report (less than 12 months)No
2020-11-01Plan is a collectively bargained planNo
2020-11-01Plan funding arrangement – TrustYes
2020-11-01Plan benefit arrangement – InsuranceYes
2019: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Submission has been amendedNo
2019-11-01This submission is the final filingNo
2019-11-01This return/report is a short plan year return/report (less than 12 months)No
2019-11-01Plan is a collectively bargained planNo
2019-11-01Plan funding arrangement – TrustYes
2019-11-01Plan benefit arrangement – InsuranceYes
2018: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Submission has been amendedNo
2018-11-01This submission is the final filingNo
2018-11-01This return/report is a short plan year return/report (less than 12 months)No
2018-11-01Plan is a collectively bargained planNo
2018-11-01Plan funding arrangement – TrustYes
2018-11-01Plan benefit arrangement – InsuranceYes
2017: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement – InsuranceYes
2016: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan benefit arrangement – InsuranceYes
2015: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement – InsuranceYes
2014: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2013: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2013 form 5500 responses
2013-11-01Type of plan entityMulitple employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2012: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2012 form 5500 responses
2012-11-01Type of plan entityMulitple employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2011: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2011 form 5500 responses
2011-11-01Type of plan entityMulitple employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2010: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2010 form 5500 responses
2010-11-01Type of plan entityMulitple employer plan
2010-11-01Submission has been amendedNo
2010-11-01This submission is the final filingNo
2010-11-01This return/report is a short plan year return/report (less than 12 months)No
2010-11-01Plan is a collectively bargained planYes
2010-11-01Plan funding arrangement – TrustYes
2010-11-01Plan benefit arrangement – InsuranceYes
2009: UAW/LOCAL 2322 DENTAL AND VISION PLAN 2009 form 5500 responses
2009-11-01Type of plan entityMulitple employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planYes
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5993054
Policy instance 6
Insurance contract or identification number5993054
Number of Individuals Covered155
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,600
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 )
Policy contract number9900178
Policy instance 1
Insurance contract or identification number9900178
Number of Individuals Covered190
Insurance policy start date2022-01-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedLEGAL
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $15,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number98787601001
Policy instance 2
Insurance contract or identification number98787601001
Number of Individuals Covered265
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $12,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number97943481001
Policy instance 3
Insurance contract or identification number97943481001
Number of Individuals Covered2783
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $129,413
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010053791
Policy instance 4
Insurance contract or identification number010053791
Number of Individuals Covered5390
Insurance policy start date2021-11-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $883,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN GENERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 39950 )
Policy contract number9900178
Policy instance 5
Insurance contract or identification number9900178
Number of Individuals Covered182
Insurance policy start date2022-10-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedLEGAL
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,142
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number01005379100002
Policy instance 5
Insurance contract or identification number01005379100002
Number of Individuals Covered5733
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,018,351
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number01005379100001
Policy instance 4
Insurance contract or identification number01005379100001
Number of Individuals Covered294
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $68,779
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number97943481001
Policy instance 3
Insurance contract or identification number97943481001
Number of Individuals Covered3601
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $190,189
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number98787601001
Policy instance 2
Insurance contract or identification number98787601001
Number of Individuals Covered242
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26298 )
Policy contract number9900178
Policy instance 1
Insurance contract or identification number9900178
Number of Individuals Covered159
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedLEGAL
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number
Policy instance 4
Number of Individuals Covered4360
Insurance policy start date2020-07-01
Insurance policy end date2020-10-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $113,118
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number97943481001
Policy instance 3
Insurance contract or identification number97943481001
Number of Individuals Covered2828
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $102,361
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number98787601001
Policy instance 2
Insurance contract or identification number98787601001
Number of Individuals Covered220
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0161474
Policy instance 1
Insurance contract or identification number0161474
Number of Individuals Covered15
Insurance policy start date2019-10-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,230
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $55,171
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number98787601001
Policy instance 2
Insurance contract or identification number98787601001
Number of Individuals Covered222
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number97943481001
Policy instance 3
Insurance contract or identification number97943481001
Number of Individuals Covered3653
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $211,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0161474
Policy instance 1
Insurance contract or identification number0161474
Number of Individuals Covered3059
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,126,569
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0161474
Policy instance 1
Insurance contract or identification number0161474
Number of Individuals Covered3201
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,061,897
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number97943481001
Policy instance 3
Insurance contract or identification number97943481001
Number of Individuals Covered3156
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $168,972
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number98787601001
Policy instance 2
Insurance contract or identification number98787601001
Number of Individuals Covered214
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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