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N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 401k Plan overview

Plan NameN. ATLANTIC STATES CARP. HEALTH BENEFITS FUND
Plan identification number 501

N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Supplemental unemployment
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

BOT NORTH ATLANTIC STATES CARPENTERS HEALTH BENEFITS FUND has sponsored the creation of one or more 401k plans.

Company Name:BOT NORTH ATLANTIC STATES CARPENTERS HEALTH BENEFITS FUND
Employer identification number (EIN):046374357
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01THOMAS J. FLYNN2024-10-09 THOMAS S. GUNNING2024-10-09
5012022-01-01THOMAS S. GUNNING2023-10-10 THOMAS J. FLYNN2023-10-10
5012021-01-01MICHAEL C. SANCHEZ2022-10-05 THOMAS J. FLYNN2022-10-03
5012020-01-01RICHARD S. MONARCA2021-10-13 THOMAS J. FLYNN2021-10-13
5012020-01-01RICHARD S. MONARCA2021-12-14 THOMAS J. FLYNN2021-12-14
5012019-01-01RICHARD S. MONARCA2020-10-07 THOMAS J. FLYNN2020-10-07
5012018-01-01RICHARD S. MONARCA2019-07-29 THOMAS J. FLYNN2019-07-29
5012017-01-01JEFFREY W. WERNER THOMAS J. FLYNN2018-07-24
5012016-01-01JEFFREY W. WERNER THOMAS J. FLYNN2017-07-27
5012015-01-01JEFFREY W. WERNER MARK L. ERLICH2016-07-27
5012014-01-01JEFFREY W. WERNER MARK L. ERLICH2015-07-23
5012013-01-01JEFFREY W. WERNER MARK L. ERLICH2014-07-24
5012012-01-01HARRY DOW MARK L. ERLICH2013-07-22
5012011-01-01HARRY DOW MARK L. ERLICH2012-09-18
5012010-01-01HARRY DOW MARK L. ERLICH2011-08-25
5012009-01-01HARRY DOW MARK L. ERLICH2010-08-04

Plan Statistics for N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND

401k plan membership statisitcs for N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND

Measure Date Value
2023: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2023 401k membership
Total participants, beginning-of-year2023-01-0121,854
Total number of active participants reported on line 7a of the Form 55002023-01-0119,509
Number of retired or separated participants receiving benefits2023-01-013,887
Total of all active and inactive participants2023-01-0123,396
Number of employers contributing to the scheme2023-01-011,146
2022: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2022 401k membership
Total participants, beginning-of-year2022-01-0121,205
Total number of active participants reported on line 7a of the Form 55002022-01-0116,724
Number of retired or separated participants receiving benefits2022-01-015,130
Total of all active and inactive participants2022-01-0121,854
Number of employers contributing to the scheme2022-01-011,120
2021: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2021 401k membership
Total participants, beginning-of-year2021-01-0121,121
Total number of active participants reported on line 7a of the Form 55002021-01-0119,110
Number of retired or separated participants receiving benefits2021-01-012,095
Total of all active and inactive participants2021-01-0121,205
Number of employers contributing to the scheme2021-01-011,134
2020: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2020 401k membership
Total participants, beginning-of-year2020-01-0111,570
Total number of active participants reported on line 7a of the Form 55002020-01-0118,754
Number of retired or separated participants receiving benefits2020-01-012,367
Total of all active and inactive participants2020-01-0121,121
Number of employers contributing to the scheme2020-01-01626
2019: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2019 401k membership
Total participants, beginning-of-year2019-01-0112,716
Total number of active participants reported on line 7a of the Form 55002019-01-0111,223
Number of retired or separated participants receiving benefits2019-01-01347
Total of all active and inactive participants2019-01-0111,570
Number of employers contributing to the scheme2019-01-01640
2018: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2018 401k membership
Total participants, beginning-of-year2018-01-0111,530
Total number of active participants reported on line 7a of the Form 55002018-01-0111,495
Number of retired or separated participants receiving benefits2018-01-011,221
Total of all active and inactive participants2018-01-0112,716
Number of employers contributing to the scheme2018-01-01665
2017: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2017 401k membership
Total participants, beginning-of-year2017-01-018,707
Total number of active participants reported on line 7a of the Form 55002017-01-018,159
Number of retired or separated participants receiving benefits2017-01-01577
Total of all active and inactive participants2017-01-018,736
Number of employers contributing to the scheme2017-01-01523
2016: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2016 401k membership
Total participants, beginning-of-year2016-01-018,574
Total number of active participants reported on line 7a of the Form 55002016-01-018,125
Number of retired or separated participants receiving benefits2016-01-01582
Total of all active and inactive participants2016-01-018,707
Number of employers contributing to the scheme2016-01-01507
2015: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2015 401k membership
Total participants, beginning-of-year2015-01-017,844
Total number of active participants reported on line 7a of the Form 55002015-01-017,997
Number of retired or separated participants receiving benefits2015-01-01577
Total of all active and inactive participants2015-01-018,574
Number of employers contributing to the scheme2015-01-01509
2014: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2014 401k membership
Total participants, beginning-of-year2014-01-017,803
Total number of active participants reported on line 7a of the Form 55002014-01-017,272
Number of retired or separated participants receiving benefits2014-01-01572
Total of all active and inactive participants2014-01-017,844
Number of employers contributing to the scheme2014-01-01562
2013: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2013 401k membership
Total participants, beginning-of-year2013-01-017,012
Total number of active participants reported on line 7a of the Form 55002013-01-017,243
Number of retired or separated participants receiving benefits2013-01-01560
Total of all active and inactive participants2013-01-017,803
Number of employers contributing to the scheme2013-01-01534
2012: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2012 401k membership
Total participants, beginning-of-year2012-01-017,201
Total number of active participants reported on line 7a of the Form 55002012-01-016,417
Number of retired or separated participants receiving benefits2012-01-01595
Total of all active and inactive participants2012-01-017,012
Number of employers contributing to the scheme2012-01-01549
2011: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2011 401k membership
Total participants, beginning-of-year2011-01-017,149
Total number of active participants reported on line 7a of the Form 55002011-01-016,661
Number of retired or separated participants receiving benefits2011-01-01540
Total of all active and inactive participants2011-01-017,201
Number of employers contributing to the scheme2011-01-01590
2010: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2010 401k membership
Total participants, beginning-of-year2010-01-017,491
Total number of active participants reported on line 7a of the Form 55002010-01-016,784
Number of retired or separated participants receiving benefits2010-01-01365
Total of all active and inactive participants2010-01-017,149
Number of employers contributing to the scheme2010-01-01639
2009: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2009 401k membership
Total participants, beginning-of-year2009-01-018,615
Total number of active participants reported on line 7a of the Form 55002009-01-017,157
Number of retired or separated participants receiving benefits2009-01-01334
Total of all active and inactive participants2009-01-017,491
Number of employers contributing to the scheme2009-01-011,286

Financial Data on N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND

Measure Date Value
2022 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-8,767,612
Total unrealized appreciation/depreciation of assets2022-12-31$-8,767,612
Total transfer of assets to this plan2022-12-31$0
Total transfer of assets from this plan2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$70,560,990
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$84,237,861
Expenses. Interest paid2022-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022022-12-31$0
Total income from all sources (including contributions)2022-12-31$224,073,888
Total loss/gain on sale of assets2022-12-31$-5,365,162
Total of all expenses incurred2022-12-31$292,051,079
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$273,876,947
Expenses. Certain deemed distributions of participant loans2022-12-31$0
Value of total corrective distributions2022-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$295,134,540
Value of total assets at end of year2022-12-31$874,433,872
Value of total assets at beginning of year2022-12-31$956,087,934
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$18,174,132
Total income from rents2022-12-31$0
Total interest from all sources2022-12-31$6,265,983
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$2,077,694
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$997,728
Assets. Real estate other than employer real property at end of year2022-12-31$0
Assets. Real estate other than employer real property at beginning of year2022-12-31$97,218,426
Administrative expenses professional fees incurred2022-12-31$1,094,280
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$366,807
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$0
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$10,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$25,973,393
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Participant contributions at end of year2022-12-31$1,353,169
Participant contributions at beginning of year2022-12-31$1,270,356
Assets. Other investments not covered elsewhere at end of year2022-12-31$219,722
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$2,644,116
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$268,341,666
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$20,399,236
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$20,898,748
Assets. Loans (other than to participants) at end of year2022-12-31$7,444,521
Assets. Loans (other than to participants) at beginning of year2022-12-31$5,090,209
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$24,687,158
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$50,946,100
Other income not declared elsewhere2022-12-31$4,237
Administrative expenses (other) incurred2022-12-31$16,245,850
Liabilities. Value of operating payables at end of year2022-12-31$2,988,934
Liabilities. Value of operating payables at beginning of year2022-12-31$2,722,954
Total non interest bearing cash at end of year2022-12-31$700
Total non interest bearing cash at beginning of year2022-12-31$2,983,984
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Income. Non cash contributions2022-12-31$0
Value of net income/loss2022-12-31$-67,977,191
Value of net assets at end of year (total assets less liabilities)2022-12-31$803,872,882
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$871,850,073
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31Yes
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$20,277,350
Assets. partnership/joint venture interests at beginning of year2022-12-31$15,334,113
Investment advisory and management fees2022-12-31$834,002
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$71,410,338
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$63,940,275
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$0
Interest on participant loans2022-12-31$0
Income. Interest from loans (other than to participants)2022-12-31$0
Interest earned on other investments2022-12-31$995,916
Income. Interest from US Government securities2022-12-31$661,103
Income. Interest from corporate debt instruments2022-12-31$4,004,882
Value of interest in master investment trust accounts at end of year2022-12-31$0
Value of interest in master investment trust accounts at beginning of year2022-12-31$0
Value of interest in common/collective trusts at end of year2022-12-31$335,972,088
Value of interest in common/collective trusts at beginning of year2022-12-31$396,341,907
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$71,920,701
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$73,666,499
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$73,666,499
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$604,082
Assets. Value of investments in 103.12 investment entities at end of year2022-12-31$47,635,712
Assets. Value of investments in 103.12 investment entities at beginning of year2022-12-31$52,283,619
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$5,432,705
Asset value of US Government securities at end of year2022-12-31$27,706,116
Asset value of US Government securities at beginning of year2022-12-31$40,274,641
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-6,588,672
Net investment gain/loss from pooled separate accounts2022-12-31$0
Net investment gain or loss from common/collective trusts2022-12-31$-54,117,715
Net gain/loss from 103.12 investment entities2022-12-31$-4,569,405
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$0
Assets. Invements in employer securities at beginning of year2022-12-31$0
Assets. Value of employer real property at end of year2022-12-31$0
Assets. Value of employer real property at beginning of year2022-12-31$0
Contributions received in cash from employer2022-12-31$269,161,147
Employer contributions (assets) at end of year2022-12-31$15,446,899
Employer contributions (assets) at beginning of year2022-12-31$13,993,426
Income. Dividends from preferred stock2022-12-31$0
Income. Dividends from common stock2022-12-31$1,079,966
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$102,576
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$4,507,020
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$5,497,282
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$85,646,765
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$89,459,916
Contract administrator fees2022-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$148,276,194
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$58,235,005
Liabilities. Value of benefit claims payable at end of year2022-12-31$30,778,982
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$30,568,807
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$15,850,534
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$16,955,412
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$137,941,877
Aggregate carrying amount (costs) on sale of assets2022-12-31$143,307,039
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$12,105,916
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$0
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2022-12-31131577780
2021 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$24,002,657
Total unrealized appreciation/depreciation of assets2021-12-31$24,002,657
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$84,237,861
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$207,876,571
Total income from all sources (including contributions)2021-12-31$354,886,749
Total loss/gain on sale of assets2021-12-31$-2,798,345
Total of all expenses incurred2021-12-31$316,091,867
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$298,103,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$295,535,065
Value of total assets at end of year2021-12-31$956,087,934
Value of total assets at beginning of year2021-12-31$1,040,931,762
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$17,988,746
Total interest from all sources2021-12-31$7,666,654
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,996,565
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$1,044,947
Assets. Real estate other than employer real property at end of year2021-12-31$97,218,426
Assets. Real estate other than employer real property at beginning of year2021-12-31$29,856,055
Administrative expenses professional fees incurred2021-12-31$921,398
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$10,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$32,604,886
Participant contributions at end of year2021-12-31$1,270,356
Assets. Other investments not covered elsewhere at end of year2021-12-31$2,644,116
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$2,389,015
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$291,359,695
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$20,898,748
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$402,835,796
Assets. Loans (other than to participants) at end of year2021-12-31$5,090,209
Assets. Loans (other than to participants) at beginning of year2021-12-31$5,263,232
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$50,946,100
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$178,573,831
Administrative expenses (other) incurred2021-12-31$16,120,616
Liabilities. Value of operating payables at end of year2021-12-31$2,722,954
Liabilities. Value of operating payables at beginning of year2021-12-31$2,024,724
Total non interest bearing cash at end of year2021-12-31$2,983,984
Total non interest bearing cash at beginning of year2021-12-31$2,205,728
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$38,794,882
Value of net assets at end of year (total assets less liabilities)2021-12-31$871,850,073
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$833,055,191
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Assets. partnership/joint venture interests at end of year2021-12-31$15,334,113
Assets. partnership/joint venture interests at beginning of year2021-12-31$12,798,655
Investment advisory and management fees2021-12-31$946,732
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$63,940,275
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$47,355,381
Interest earned on other investments2021-12-31$2,387,748
Income. Interest from US Government securities2021-12-31$591,156
Income. Interest from corporate debt instruments2021-12-31$4,219,144
Value of interest in common/collective trusts at end of year2021-12-31$396,341,907
Value of interest in common/collective trusts at beginning of year2021-12-31$316,971,688
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$73,666,499
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$63,192,608
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$63,192,608
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$468,606
Assets. Value of investments in 103.12 investment entities at end of year2021-12-31$52,283,619
Assets. Value of investments in 103.12 investment entities at beginning of year2021-12-31$46,803,776
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$6,528,912
Asset value of US Government securities at end of year2021-12-31$40,274,641
Asset value of US Government securities at beginning of year2021-12-31$18,530,315
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-1,502,799
Net investment gain or loss from common/collective trusts2021-12-31$24,428,271
Net gain/loss from 103.12 investment entities2021-12-31$5,558,681
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$262,930,179
Employer contributions (assets) at end of year2021-12-31$13,993,426
Employer contributions (assets) at beginning of year2021-12-31$12,727,698
Income. Dividends from common stock2021-12-31$951,618
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$214,514
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$5,497,282
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$3,705,044
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$89,459,916
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$43,005,146
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$58,235,005
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$24,154,496
Liabilities. Value of benefit claims payable at end of year2021-12-31$30,568,807
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$27,278,016
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$16,955,412
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$9,137,129
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$240,365,438
Aggregate carrying amount (costs) on sale of assets2021-12-31$243,163,783
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2021-12-31131577780
2020 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$1,559,135
Total unrealized appreciation/depreciation of assets2020-12-31$1,559,135
Total transfer of assets to this plan2020-12-31$454,861,974
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$207,876,571
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$23,763,623
Total income from all sources (including contributions)2020-12-31$190,447,399
Total loss/gain on sale of assets2020-12-31$3,503,716
Total of all expenses incurred2020-12-31$193,898,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$180,665,808
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$161,569,424
Value of total assets at end of year2020-12-31$1,040,931,762
Value of total assets at beginning of year2020-12-31$405,408,272
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$13,233,023
Total interest from all sources2020-12-31$1,598,764
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,095,705
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$639,089
Assets. Real estate other than employer real property at end of year2020-12-31$29,856,055
Administrative expenses professional fees incurred2020-12-31$669,095
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$6,256,516
Assets. Other investments not covered elsewhere at end of year2020-12-31$2,389,015
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$2,103,554
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$179,469,380
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$402,835,796
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$17,238,370
Assets. Loans (other than to participants) at end of year2020-12-31$5,263,232
Assets. Loans (other than to participants) at beginning of year2020-12-31$1,897,206
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$178,573,831
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$3,526,418
Other income not declared elsewhere2020-12-31$46,545
Administrative expenses (other) incurred2020-12-31$12,083,275
Liabilities. Value of operating payables at end of year2020-12-31$2,024,724
Liabilities. Value of operating payables at beginning of year2020-12-31$1,493,522
Total non interest bearing cash at end of year2020-12-31$2,205,728
Total non interest bearing cash at beginning of year2020-12-31$11,749,957
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-3,451,432
Value of net assets at end of year (total assets less liabilities)2020-12-31$833,055,191
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$381,644,649
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Assets. partnership/joint venture interests at end of year2020-12-31$12,798,655
Assets. partnership/joint venture interests at beginning of year2020-12-31$11,884,048
Investment advisory and management fees2020-12-31$460,311
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$47,355,381
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$29,126,456
Interest earned on other investments2020-12-31$120,049
Income. Interest from US Government securities2020-12-31$534,982
Income. Interest from corporate debt instruments2020-12-31$873,397
Value of interest in common/collective trusts at end of year2020-12-31$316,971,688
Value of interest in common/collective trusts at beginning of year2020-12-31$174,039,987
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$63,192,608
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$30,948,035
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$30,948,035
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$70,336
Assets. Value of investments in 103.12 investment entities at end of year2020-12-31$46,803,776
Assets. Value of investments in 103.12 investment entities at beginning of year2020-12-31$32,477,374
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$462,285
Asset value of US Government securities at end of year2020-12-31$18,530,315
Asset value of US Government securities at beginning of year2020-12-31$19,889,078
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$684,918
Net investment gain or loss from common/collective trusts2020-12-31$18,487,693
Net gain/loss from 103.12 investment entities2020-12-31$1,901,499
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$155,312,908
Employer contributions (assets) at end of year2020-12-31$12,727,698
Employer contributions (assets) at beginning of year2020-12-31$3,794,832
Income. Dividends from common stock2020-12-31$456,616
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$734,143
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$3,705,044
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$3,139,686
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$43,005,146
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$39,286,172
Contract administrator fees2020-12-31$20,342
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$24,154,496
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$23,051,806
Liabilities. Value of benefit claims payable at end of year2020-12-31$27,278,016
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$18,743,683
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$9,137,129
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$4,781,711
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$133,004,695
Aggregate carrying amount (costs) on sale of assets2020-12-31$129,500,979
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2020-12-31131577780
2019 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$8,161,729
Total unrealized appreciation/depreciation of assets2019-12-31$8,161,729
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$23,763,623
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$28,148,392
Total income from all sources (including contributions)2019-12-31$236,435,782
Total loss/gain on sale of assets2019-12-31$1,354,981
Total of all expenses incurred2019-12-31$192,671,489
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$179,174,564
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$198,641,880
Value of total assets at end of year2019-12-31$405,408,272
Value of total assets at beginning of year2019-12-31$366,028,748
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$13,496,925
Total interest from all sources2019-12-31$2,134,775
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$1,397,116
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$866,135
Administrative expenses professional fees incurred2019-12-31$716,050
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$6,777,404
Assets. Other investments not covered elsewhere at end of year2019-12-31$2,103,554
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$480,338
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$48,891
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$17,238,370
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$16,643,233
Assets. Loans (other than to participants) at end of year2019-12-31$1,897,206
Assets. Loans (other than to participants) at beginning of year2019-12-31$2,431,547
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$3,526,418
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$2,576,805
Administrative expenses (other) incurred2019-12-31$12,273,582
Liabilities. Value of operating payables at end of year2019-12-31$1,493,522
Liabilities. Value of operating payables at beginning of year2019-12-31$2,419,778
Total non interest bearing cash at end of year2019-12-31$11,749,957
Total non interest bearing cash at beginning of year2019-12-31$11,600,593
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$43,764,293
Value of net assets at end of year (total assets less liabilities)2019-12-31$381,644,649
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$337,880,356
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Assets. partnership/joint venture interests at end of year2019-12-31$11,884,048
Assets. partnership/joint venture interests at beginning of year2019-12-31$11,422,561
Investment advisory and management fees2019-12-31$427,722
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$29,126,456
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$39,516,672
Interest earned on other investments2019-12-31$199,327
Income. Interest from US Government securities2019-12-31$685,936
Income. Interest from corporate debt instruments2019-12-31$863,426
Value of interest in common/collective trusts at end of year2019-12-31$174,039,987
Value of interest in common/collective trusts at beginning of year2019-12-31$148,335,302
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$30,948,035
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$41,182,491
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$41,182,491
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$386,086
Assets. Value of investments in 103.12 investment entities at end of year2019-12-31$32,477,374
Assets. Value of investments in 103.12 investment entities at beginning of year2019-12-31$19,639,315
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$11,873,726
Asset value of US Government securities at end of year2019-12-31$19,889,078
Asset value of US Government securities at beginning of year2019-12-31$16,350,350
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$606,733
Net investment gain or loss from common/collective trusts2019-12-31$19,742,364
Net gain/loss from 103.12 investment entities2019-12-31$4,396,204
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$191,815,585
Employer contributions (assets) at end of year2019-12-31$3,794,832
Employer contributions (assets) at beginning of year2019-12-31$5,744,817
Income. Dividends from common stock2019-12-31$530,981
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$167,300,838
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$3,139,686
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$3,444,332
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$39,286,172
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$25,411,268
Contract administrator fees2019-12-31$79,571
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$23,051,806
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$18,134,254
Liabilities. Value of benefit claims payable at end of year2019-12-31$18,743,683
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$23,151,809
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$4,781,711
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$5,691,675
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$31,239,217
Aggregate carrying amount (costs) on sale of assets2019-12-31$29,884,236
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2019-12-31131577780
2018 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-4,040,025
Total unrealized appreciation/depreciation of assets2018-12-31$-4,040,025
Total transfer of assets to this plan2018-12-31$96,689,762
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$28,148,392
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$97,621,758
Total income from all sources (including contributions)2018-12-31$197,223,518
Total loss/gain on sale of assets2018-12-31$-313,857
Total of all expenses incurred2018-12-31$122,117,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$107,967,585
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$203,145,129
Value of total assets at end of year2018-12-31$366,028,748
Value of total assets at beginning of year2018-12-31$263,706,317
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$14,149,898
Total interest from all sources2018-12-31$2,519,897
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$767,071
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$280,808
Administrative expenses professional fees incurred2018-12-31$925,212
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$237,427
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$11,385,570
Assets. Other investments not covered elsewhere at end of year2018-12-31$480,338
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$5,176,506
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$91,101
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$16,643,233
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$14,545,235
Assets. Loans (other than to participants) at end of year2018-12-31$2,431,547
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$2,576,805
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$90,295,621
Administrative expenses (other) incurred2018-12-31$12,698,054
Liabilities. Value of operating payables at end of year2018-12-31$2,419,778
Liabilities. Value of operating payables at beginning of year2018-12-31$4,606,910
Total non interest bearing cash at end of year2018-12-31$11,600,593
Total non interest bearing cash at beginning of year2018-12-31$2,549,455
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$75,106,035
Value of net assets at end of year (total assets less liabilities)2018-12-31$337,880,356
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$166,084,559
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Assets. partnership/joint venture interests at end of year2018-12-31$11,422,561
Assets. partnership/joint venture interests at beginning of year2018-12-31$23,749,064
Investment advisory and management fees2018-12-31$450,110
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$39,516,672
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$10,077,889
Interest earned on other investments2018-12-31$158,921
Income. Interest from US Government securities2018-12-31$804,889
Income. Interest from corporate debt instruments2018-12-31$875,003
Value of interest in common/collective trusts at end of year2018-12-31$148,335,302
Value of interest in common/collective trusts at beginning of year2018-12-31$80,931,745
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$41,182,491
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$39,983,080
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$39,983,080
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$681,084
Assets. Value of investments in 103.12 investment entities at end of year2018-12-31$19,639,315
Assets. Value of investments in 103.12 investment entities at beginning of year2018-12-31$26,898,844
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$11,738,964
Asset value of US Government securities at end of year2018-12-31$16,350,350
Asset value of US Government securities at beginning of year2018-12-31$19,085,621
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-382,742
Net investment gain or loss from common/collective trusts2018-12-31$-4,103,064
Net gain/loss from 103.12 investment entities2018-12-31$-368,891
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$191,668,458
Employer contributions (assets) at end of year2018-12-31$5,744,817
Employer contributions (assets) at beginning of year2018-12-31$3,967,061
Income. Dividends from common stock2018-12-31$486,263
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$96,228,621
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$3,444,332
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$1,878,900
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$25,411,268
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$11,536,028
Contract administrator fees2018-12-31$76,522
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$18,134,254
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$20,266,985
Liabilities. Value of benefit claims payable at end of year2018-12-31$23,151,809
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$2,719,227
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$5,691,675
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$2,822,477
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$31,855,717
Aggregate carrying amount (costs) on sale of assets2018-12-31$32,169,574
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2018-12-31131577780
2017 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$3,966,782
Total unrealized appreciation/depreciation of assets2017-12-31$3,966,782
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$97,621,758
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$98,298,443
Total income from all sources (including contributions)2017-12-31$156,327,621
Total loss/gain on sale of assets2017-12-31$116,586
Total of all expenses incurred2017-12-31$142,692,982
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$132,346,939
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$140,147,211
Value of total assets at end of year2017-12-31$263,706,317
Value of total assets at beginning of year2017-12-31$250,748,363
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$10,346,043
Total interest from all sources2017-12-31$2,259,987
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$388,020
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$541,008
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-12-31$237,427
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$223,085
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$5,235,499
Assets. Other investments not covered elsewhere at end of year2017-12-31$5,176,506
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$5,883,422
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$14,545,235
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$11,546,805
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$90,295,621
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$87,731,396
Other income not declared elsewhere2017-12-31$56,841
Administrative expenses (other) incurred2017-12-31$9,421,617
Liabilities. Value of operating payables at end of year2017-12-31$4,606,910
Liabilities. Value of operating payables at beginning of year2017-12-31$5,783,625
Total non interest bearing cash at end of year2017-12-31$2,549,455
Total non interest bearing cash at beginning of year2017-12-31$2,802,810
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$13,634,639
Value of net assets at end of year (total assets less liabilities)2017-12-31$166,084,559
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$152,449,920
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Assets. partnership/joint venture interests at end of year2017-12-31$23,749,064
Assets. partnership/joint venture interests at beginning of year2017-12-31$12,338,522
Investment advisory and management fees2017-12-31$383,418
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$10,077,889
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$9,768,650
Interest earned on other investments2017-12-31$962,163
Income. Interest from US Government securities2017-12-31$499,369
Income. Interest from corporate debt instruments2017-12-31$773,306
Value of interest in common/collective trusts at end of year2017-12-31$80,931,745
Value of interest in common/collective trusts at beginning of year2017-12-31$89,880,505
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$39,983,080
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$24,132,340
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$24,132,340
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$25,149
Assets. Value of investments in 103.12 investment entities at end of year2017-12-31$26,898,844
Assets. Value of investments in 103.12 investment entities at beginning of year2017-12-31$36,275,799
Asset value of US Government securities at end of year2017-12-31$19,085,621
Asset value of US Government securities at beginning of year2017-12-31$16,818,849
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$34,565
Net investment gain or loss from common/collective trusts2017-12-31$9,361,301
Net gain/loss from 103.12 investment entities2017-12-31$-3,672
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$134,911,712
Employer contributions (assets) at end of year2017-12-31$3,967,061
Employer contributions (assets) at beginning of year2017-12-31$3,293,198
Income. Dividends from preferred stock2017-12-31$16,322
Income. Dividends from common stock2017-12-31$371,698
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$132,346,939
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$1,878,900
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$2,116,307
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$11,536,028
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$12,960,081
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$20,266,985
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$19,521,681
Liabilities. Value of benefit claims payable at end of year2017-12-31$2,719,227
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$4,783,422
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$2,822,477
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$3,186,309
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$30,248,934
Aggregate carrying amount (costs) on sale of assets2017-12-31$30,132,348
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31DANIEL A. WINTERS AND COMPANY, CPAS
Accountancy firm EIN2017-12-31232586736
2016 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$2,697,104
Total unrealized appreciation/depreciation of assets2016-12-31$2,697,104
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$98,298,443
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$86,482,007
Total income from all sources (including contributions)2016-12-31$149,213,786
Total loss/gain on sale of assets2016-12-31$568,527
Total of all expenses incurred2016-12-31$148,354,795
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$137,935,025
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$134,236,099
Value of total assets at end of year2016-12-31$250,748,363
Value of total assets at beginning of year2016-12-31$238,072,936
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$10,419,770
Total interest from all sources2016-12-31$2,157,661
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$405,990
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$448,689
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-12-31$223,085
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-12-31$224,554
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$4,405,283
Assets. Other investments not covered elsewhere at end of year2016-12-31$5,883,422
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$11,825,288
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$11,546,805
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$12,407,846
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$87,731,396
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$78,922,816
Other income not declared elsewhere2016-12-31$91,145
Administrative expenses (other) incurred2016-12-31$9,606,795
Liabilities. Value of operating payables at end of year2016-12-31$5,783,625
Liabilities. Value of operating payables at beginning of year2016-12-31$6,042,943
Total non interest bearing cash at end of year2016-12-31$2,802,810
Total non interest bearing cash at beginning of year2016-12-31$2,840,430
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$858,991
Value of net assets at end of year (total assets less liabilities)2016-12-31$152,449,920
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$151,590,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Assets. partnership/joint venture interests at end of year2016-12-31$12,338,522
Assets. partnership/joint venture interests at beginning of year2016-12-31$10,998,403
Investment advisory and management fees2016-12-31$364,286
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$9,768,650
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$9,583,053
Interest earned on other investments2016-12-31$878,385
Income. Interest from US Government securities2016-12-31$438,010
Income. Interest from corporate debt instruments2016-12-31$838,311
Value of interest in common/collective trusts at end of year2016-12-31$89,880,505
Value of interest in common/collective trusts at beginning of year2016-12-31$81,087,919
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$24,132,340
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$29,867,008
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$29,867,008
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$2,955
Assets. Value of investments in 103.12 investment entities at end of year2016-12-31$36,275,799
Assets. Value of investments in 103.12 investment entities at beginning of year2016-12-31$31,970,597
Asset value of US Government securities at end of year2016-12-31$16,818,849
Asset value of US Government securities at beginning of year2016-12-31$14,207,932
Net investment gain or loss from common/collective trusts2016-12-31$9,057,260
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$129,830,816
Employer contributions (assets) at end of year2016-12-31$3,293,198
Employer contributions (assets) at beginning of year2016-12-31$2,299,328
Income. Dividends from preferred stock2016-12-31$15,312
Income. Dividends from common stock2016-12-31$390,678
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$137,935,025
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$2,116,307
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$3,672,262
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$12,960,081
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$10,466,028
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$19,521,681
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$12,980,644
Liabilities. Value of benefit claims payable at end of year2016-12-31$4,783,422
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$1,516,248
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$3,186,309
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$3,641,644
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$23,408,638
Aggregate carrying amount (costs) on sale of assets2016-12-31$22,840,111
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31DANIEL A. WINTERS AND COMPANY, CPAS
Accountancy firm EIN2016-12-31232586736
2015 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-2,942,985
Total unrealized appreciation/depreciation of assets2015-12-31$-2,942,985
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$86,482,007
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$81,444,555
Total income from all sources (including contributions)2015-12-31$133,704,143
Total loss/gain on sale of assets2015-12-31$-329,603
Total of all expenses incurred2015-12-31$126,569,980
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$115,968,141
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$135,998,810
Value of total assets at end of year2015-12-31$238,072,936
Value of total assets at beginning of year2015-12-31$225,901,321
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$10,601,839
Total interest from all sources2015-12-31$2,031,000
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$360,469
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$619,687
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-12-31$224,554
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$10,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$4,659,915
Assets. Other investments not covered elsewhere at end of year2015-12-31$11,825,288
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$10,878,197
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$12,407,846
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$12,210,756
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$78,922,816
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$74,243,117
Other income not declared elsewhere2015-12-31$89,777
Administrative expenses (other) incurred2015-12-31$9,623,627
Liabilities. Value of operating payables at end of year2015-12-31$6,042,943
Liabilities. Value of operating payables at beginning of year2015-12-31$5,428,665
Total non interest bearing cash at end of year2015-12-31$2,840,430
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$7,134,163
Value of net assets at end of year (total assets less liabilities)2015-12-31$151,590,929
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$144,456,766
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Assets. partnership/joint venture interests at end of year2015-12-31$10,998,403
Assets. partnership/joint venture interests at beginning of year2015-12-31$11,313,196
Investment advisory and management fees2015-12-31$358,525
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$9,583,053
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$7,503,323
Interest earned on other investments2015-12-31$794,151
Income. Interest from US Government securities2015-12-31$438,658
Income. Interest from corporate debt instruments2015-12-31$798,153
Value of interest in common/collective trusts at end of year2015-12-31$81,087,919
Value of interest in common/collective trusts at beginning of year2015-12-31$74,228,035
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$29,867,008
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$27,888,483
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$27,888,483
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$38
Assets. Value of investments in 103.12 investment entities at end of year2015-12-31$31,970,597
Assets. Value of investments in 103.12 investment entities at beginning of year2015-12-31$33,008,400
Asset value of US Government securities at end of year2015-12-31$14,207,932
Asset value of US Government securities at beginning of year2015-12-31$14,728,940
Net investment gain or loss from common/collective trusts2015-12-31$-1,503,325
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$131,338,895
Employer contributions (assets) at end of year2015-12-31$2,299,328
Employer contributions (assets) at beginning of year2015-12-31$2,565,231
Income. Dividends from preferred stock2015-12-31$24,098
Income. Dividends from common stock2015-12-31$336,371
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$115,968,141
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$3,672,262
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$3,147,055
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$10,466,028
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$10,525,733
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$12,980,644
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$14,152,752
Liabilities. Value of benefit claims payable at end of year2015-12-31$1,516,248
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$1,772,773
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$3,641,644
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$3,751,220
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$27,068,894
Aggregate carrying amount (costs) on sale of assets2015-12-31$27,398,497
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31DANIEL A. WINTERS AND COMPANY, CPAS
Accountancy firm EIN2015-12-31232586736
2014 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$1,614,368
Total unrealized appreciation/depreciation of assets2014-12-31$1,614,368
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$81,444,555
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$76,447,090
Total income from all sources (including contributions)2014-12-31$131,275,737
Total loss/gain on sale of assets2014-12-31$623,174
Total of all expenses incurred2014-12-31$122,888,588
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$112,885,930
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$121,891,194
Value of total assets at end of year2014-12-31$225,901,321
Value of total assets at beginning of year2014-12-31$212,516,707
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$10,002,658
Total interest from all sources2014-12-31$2,414,887
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$287,001
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-12-31$334,085
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$10,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$4,242,159
Assets. Other investments not covered elsewhere at end of year2014-12-31$10,878,197
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$11,909,714
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$12,210,756
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$11,834,755
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$74,243,117
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$69,340,621
Other income not declared elsewhere2014-12-31$91,670
Administrative expenses (other) incurred2014-12-31$9,638,990
Liabilities. Value of operating payables at end of year2014-12-31$5,428,665
Liabilities. Value of operating payables at beginning of year2014-12-31$6,118,388
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$8,387,149
Value of net assets at end of year (total assets less liabilities)2014-12-31$144,456,766
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$136,069,617
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Assets. partnership/joint venture interests at end of year2014-12-31$11,313,196
Assets. partnership/joint venture interests at beginning of year2014-12-31$11,038,472
Investment advisory and management fees2014-12-31$363,668
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$7,503,323
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$7,071,618
Interest earned on other investments2014-12-31$903,101
Income. Interest from US Government securities2014-12-31$550,014
Income. Interest from corporate debt instruments2014-12-31$961,772
Value of interest in common/collective trusts at end of year2014-12-31$74,228,035
Value of interest in common/collective trusts at beginning of year2014-12-31$77,817,710
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$27,888,483
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$14,294,590
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$14,294,590
Assets. Value of investments in 103.12 investment entities at end of year2014-12-31$33,008,400
Assets. Value of investments in 103.12 investment entities at beginning of year2014-12-31$24,243,791
Asset value of US Government securities at end of year2014-12-31$14,728,940
Asset value of US Government securities at beginning of year2014-12-31$18,585,298
Net investment gain or loss from common/collective trusts2014-12-31$4,353,443
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$117,649,035
Employer contributions (assets) at end of year2014-12-31$2,565,231
Employer contributions (assets) at beginning of year2014-12-31$2,068,215
Income. Dividends from preferred stock2014-12-31$0
Income. Dividends from common stock2014-12-31$287,001
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$112,885,930
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$3,147,055
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$5,365,526
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$10,525,733
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$10,415,667
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$14,152,752
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$13,418,429
Liabilities. Value of benefit claims payable at end of year2014-12-31$1,772,773
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$988,081
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$3,751,220
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$4,118,837
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$46,568,100
Aggregate carrying amount (costs) on sale of assets2014-12-31$45,944,926
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31DANIEL A. WINTERS AND COMPANY, CPAS
Accountancy firm EIN2014-12-31232586736
2013 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$3,386,634
Total unrealized appreciation/depreciation of assets2013-12-31$3,386,634
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$76,447,090
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$67,398,950
Total income from all sources (including contributions)2013-12-31$127,867,232
Total loss/gain on sale of assets2013-12-31$-536,983
Total of all expenses incurred2013-12-31$112,394,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$102,812,732
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$118,162,415
Value of total assets at end of year2013-12-31$212,516,707
Value of total assets at beginning of year2013-12-31$187,995,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$9,581,650
Total interest from all sources2013-12-31$2,009,920
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$263,439
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-12-31$334,085
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-12-31$220,410
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$10,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$4,663,775
Assets. Other investments not covered elsewhere at end of year2013-12-31$11,909,714
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$14,304,137
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$11,834,755
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$9,740,522
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$69,340,621
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$58,238,487
Other income not declared elsewhere2013-12-31$960,081
Administrative expenses (other) incurred2013-12-31$9,266,844
Liabilities. Value of operating payables at end of year2013-12-31$6,118,388
Liabilities. Value of operating payables at beginning of year2013-12-31$7,617,718
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$15,472,850
Value of net assets at end of year (total assets less liabilities)2013-12-31$136,069,617
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$120,596,767
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Assets. partnership/joint venture interests at end of year2013-12-31$11,038,472
Assets. partnership/joint venture interests at beginning of year2013-12-31$15,332,728
Investment advisory and management fees2013-12-31$314,806
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$7,071,618
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$7,243,241
Interest earned on other investments2013-12-31$567,914
Income. Interest from US Government securities2013-12-31$553,038
Income. Interest from corporate debt instruments2013-12-31$848,893
Value of interest in common/collective trusts at end of year2013-12-31$77,817,710
Value of interest in common/collective trusts at beginning of year2013-12-31$80,784,894
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$14,294,590
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$24,584,681
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$24,584,681
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$40,075
Assets. Value of investments in 103.12 investment entities at end of year2013-12-31$24,243,791
Asset value of US Government securities at end of year2013-12-31$18,585,298
Asset value of US Government securities at beginning of year2013-12-31$9,209,222
Net investment gain or loss from common/collective trusts2013-12-31$3,621,726
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$113,498,640
Employer contributions (assets) at end of year2013-12-31$2,068,215
Employer contributions (assets) at beginning of year2013-12-31$3,420,057
Income. Dividends from preferred stock2013-12-31$18,664
Income. Dividends from common stock2013-12-31$244,775
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$102,812,732
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$5,365,526
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$5,458,438
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$10,415,667
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$6,010,305
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$13,418,429
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$7,783,336
Liabilities. Value of benefit claims payable at end of year2013-12-31$988,081
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,542,745
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$4,118,837
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$3,903,746
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$30,870,916
Aggregate carrying amount (costs) on sale of assets2013-12-31$31,407,899
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31DANIEL A. WINTERS AND COMPANY, CPAS
Accountancy firm EIN2013-12-31232586736
2012 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$3,711,142
Total unrealized appreciation/depreciation of assets2012-12-31$3,711,142
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$67,398,950
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$69,253,704
Total income from all sources (including contributions)2012-12-31$118,000,222
Total loss/gain on sale of assets2012-12-31$209,673
Total of all expenses incurred2012-12-31$96,208,152
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$86,711,142
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$104,596,602
Value of total assets at end of year2012-12-31$187,995,717
Value of total assets at beginning of year2012-12-31$168,058,401
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$9,497,010
Total interest from all sources2012-12-31$1,904,050
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$169,246
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-12-31$220,410
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-12-31$284,054
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$10,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$5,217,057
Assets. Other investments not covered elsewhere at end of year2012-12-31$14,304,137
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$19,942,808
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$14,585
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$9,740,522
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$10,095,607
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$58,238,487
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$57,298,228
Other income not declared elsewhere2012-12-31$581,826
Administrative expenses (other) incurred2012-12-31$9,302,946
Liabilities. Value of operating payables at end of year2012-12-31$7,617,718
Liabilities. Value of operating payables at beginning of year2012-12-31$10,028,553
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$21,792,070
Value of net assets at end of year (total assets less liabilities)2012-12-31$120,596,767
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$98,804,697
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Assets. partnership/joint venture interests at end of year2012-12-31$15,332,728
Assets. partnership/joint venture interests at beginning of year2012-12-31$13,708,604
Investment advisory and management fees2012-12-31$194,064
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$7,243,241
Interest earned on other investments2012-12-31$319,072
Income. Interest from US Government securities2012-12-31$654,050
Income. Interest from corporate debt instruments2012-12-31$895,897
Value of interest in common/collective trusts at end of year2012-12-31$80,784,894
Value of interest in common/collective trusts at beginning of year2012-12-31$65,541,688
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$24,584,681
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$18,615,106
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$18,615,106
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$35,031
Asset value of US Government securities at end of year2012-12-31$9,209,222
Asset value of US Government securities at beginning of year2012-12-31$17,136,851
Net investment gain or loss from common/collective trusts2012-12-31$6,827,683
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$99,364,960
Employer contributions (assets) at end of year2012-12-31$3,420,057
Employer contributions (assets) at beginning of year2012-12-31$3,328,387
Income. Dividends from preferred stock2012-12-31$19,983
Income. Dividends from common stock2012-12-31$149,263
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$86,711,142
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$5,458,438
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$7,164,050
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$6,010,305
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$7,105,739
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$7,783,336
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$4,100,765
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,542,745
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,926,923
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$3,903,746
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$1,034,742
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$36,534,174
Aggregate carrying amount (costs) on sale of assets2012-12-31$36,324,501
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31DANIEL A. WINTERS AND COMPANY, CPAS
Accountancy firm EIN2012-12-31232586736
2011 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$713,612
Total unrealized appreciation/depreciation of assets2011-12-31$713,612
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$69,253,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$55,462,073
Total income from all sources (including contributions)2011-12-31$105,063,816
Total loss/gain on sale of assets2011-12-31$-504,555
Total of all expenses incurred2011-12-31$94,348,369
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$84,941,218
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$98,190,167
Value of total assets at end of year2011-12-31$168,058,401
Value of total assets at beginning of year2011-12-31$143,551,323
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$9,407,151
Total interest from all sources2011-12-31$2,060,494
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$120,019
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-12-31$284,054
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-12-31$94,185
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$10,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$5,464,209
Assets. Other investments not covered elsewhere at end of year2011-12-31$19,942,808
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$6,057,965
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$1,334,861
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$10,095,607
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$21,788,222
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$57,298,228
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$50,696,346
Other income not declared elsewhere2011-12-31$783,350
Administrative expenses (other) incurred2011-12-31$9,233,962
Liabilities. Value of operating payables at end of year2011-12-31$10,028,553
Liabilities. Value of operating payables at beginning of year2011-12-31$3,363,802
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$10,715,447
Value of net assets at end of year (total assets less liabilities)2011-12-31$98,804,697
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$88,089,250
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Assets. partnership/joint venture interests at end of year2011-12-31$13,708,604
Investment advisory and management fees2011-12-31$173,189
Interest earned on other investments2011-12-31$134,662
Income. Interest from US Government securities2011-12-31$863,497
Income. Interest from corporate debt instruments2011-12-31$958,458
Value of interest in common/collective trusts at end of year2011-12-31$65,541,688
Value of interest in common/collective trusts at beginning of year2011-12-31$56,761,845
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$18,615,106
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$18,493,065
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$18,493,065
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$103,877
Asset value of US Government securities at end of year2011-12-31$17,136,851
Asset value of US Government securities at beginning of year2011-12-31$18,457,538
Net investment gain or loss from common/collective trusts2011-12-31$3,700,729
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$91,391,097
Employer contributions (assets) at end of year2011-12-31$3,328,387
Employer contributions (assets) at beginning of year2011-12-31$2,740,559
Income. Dividends from preferred stock2011-12-31$14,168
Income. Dividends from common stock2011-12-31$105,851
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$84,941,218
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$7,164,050
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$5,912,930
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$7,105,739
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$7,458,922
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$4,100,765
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$5,041,947
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,926,923
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,401,925
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$1,034,742
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$744,145
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$16,996,319
Aggregate carrying amount (costs) on sale of assets2011-12-31$17,500,874
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31DANIEL A. WINTERS AND COMPANY, CPAS
Accountancy firm EIN2011-12-31232586736
2010 : N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$1,732,311
Total unrealized appreciation/depreciation of assets2010-12-31$1,732,311
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$55,462,073
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$58,448,325
Total income from all sources (including contributions)2010-12-31$94,987,790
Total loss/gain on sale of assets2010-12-31$-206,216
Total of all expenses incurred2010-12-31$94,980,364
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$84,866,764
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$83,961,296
Value of total assets at end of year2010-12-31$143,551,323
Value of total assets at beginning of year2010-12-31$146,530,149
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$10,113,600
Total interest from all sources2010-12-31$2,197,606
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$129,680
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2010-12-31$94,185
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2010-12-31$61,000
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$5,620,082
Assets. Other investments not covered elsewhere at end of year2010-12-31$6,057,965
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$23,612,458
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$3,266,825
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$21,788,222
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$8,660,660
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$50,696,346
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$53,332,350
Other income not declared elsewhere2010-12-31$917,035
Administrative expenses (other) incurred2010-12-31$9,922,771
Liabilities. Value of operating payables at end of year2010-12-31$3,363,802
Liabilities. Value of operating payables at beginning of year2010-12-31$3,836,007
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$7,426
Value of net assets at end of year (total assets less liabilities)2010-12-31$88,089,250
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$88,081,824
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$190,829
Interest earned on other investments2010-12-31$98,807
Income. Interest from US Government securities2010-12-31$920,312
Income. Interest from corporate debt instruments2010-12-31$1,001,390
Value of interest in common/collective trusts at end of year2010-12-31$56,761,845
Value of interest in common/collective trusts at beginning of year2010-12-31$52,604,303
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$18,493,065
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$10,947,234
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$10,947,234
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$177,097
Asset value of US Government securities at end of year2010-12-31$18,457,538
Asset value of US Government securities at beginning of year2010-12-31$18,354,182
Net investment gain or loss from common/collective trusts2010-12-31$6,256,078
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$75,074,389
Employer contributions (assets) at end of year2010-12-31$2,740,559
Employer contributions (assets) at beginning of year2010-12-31$2,423,852
Income. Dividends from preferred stock2010-12-31$25
Income. Dividends from common stock2010-12-31$129,655
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$84,866,764
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$5,912,930
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$3,526,419
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$7,458,922
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$14,385,070
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$5,041,947
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$11,017,420
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,401,925
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,279,968
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$744,145
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$937,551
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$30,539,827
Aggregate carrying amount (costs) on sale of assets2010-12-31$30,746,043
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31DANIEL A. WINTERS AND COMPANY, CPAS
Accountancy firm EIN2010-12-31232586736

Form 5500 Responses for N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND

2023: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2023 form 5500 responses
2023-01-01Type of plan entityMulti-employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: N. ATLANTIC STATES CARP. HEALTH BENEFITS FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number688710
Policy instance 2
Insurance contract or identification number688710
Number of Individuals Covered10706
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $435,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3337863
Policy instance 1
Insurance contract or identification number3337863
Number of Individuals Covered1210
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 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 $1,086,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number688710
Policy instance 2
Insurance contract or identification number688710
Number of Individuals Covered10791
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $435,046
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3337863
Policy instance 1
Insurance contract or identification number3337863
Number of Individuals Covered1551
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $29,148
Total amount of fees paid to insurance companyUSD $2,605
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 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 $1,171,333
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,861
Amount paid for insurance broker fees777
Additional information about fees paid to insurance brokerGENERAL AGENT PAYMENTS
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number688710
Policy instance 2
Insurance contract or identification number688710
Number of Individuals Covered11254
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $462,285
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number24-000121-00
Policy instance 1
Insurance contract or identification number24-000121-00
Number of Individuals Covered8604
Insurance policy start date2019-03-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $21,419
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 providedACCIDENTAL DEATH DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $344,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,419
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0474975
Policy instance 1
Insurance contract or identification number0474975
Number of Individuals Covered1894
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $121,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number24-000121-00
Policy instance 2
Insurance contract or identification number24-000121-00
Number of Individuals Covered8908
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $15,035
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 providedACCIDENTAL DEATH DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $375,864
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,035
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number001002551
Policy instance 3
Insurance contract or identification number001002551
Number of Individuals Covered1927
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 BenefitYes
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 $11,146,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number45561
Policy instance 4
Insurance contract or identification number45561
Number of Individuals Covered546
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 BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number45561
Policy instance 5
Insurance contract or identification number45561
Number of Individuals Covered545
Insurance policy start date2019-10-01
Insurance policy end date2019-12-31
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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,743
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0474975
Policy instance 1
Insurance contract or identification number0474975
Number of Individuals Covered2542
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $255,724
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number24-000121-00
Policy instance 2
Insurance contract or identification number24-000121-00
Number of Individuals Covered8117
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $4,175
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 providedACCIDENTAL DEATH DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $104,369
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,175
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number001002551
Policy instance 3
Insurance contract or identification number001002551
Number of Individuals Covered1881
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 BenefitYes
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 $10,935,124
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number04623
Policy instance 4
Insurance contract or identification number04623
Number of Individuals Covered5346
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 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 $1,636,581
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 )
Policy contract number5800-1
Policy instance 5
Insurance contract or identification number5800-1
Number of Individuals Covered1441
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number007525
Policy instance 6
Insurance contract or identification number007525
Number of Individuals Covered23332
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number45561
Policy instance 7
Insurance contract or identification number45561
Number of Individuals Covered506
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 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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberG255984
Policy instance 4
Insurance contract or identification numberG255984
Number of Individuals Covered8074
Insurance policy start date2016-03-01
Insurance policy end date2017-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $250,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberG255984
Policy instance 3
Insurance contract or identification numberG255984
Number of Individuals Covered8020
Insurance policy start date2017-03-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $144,981
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number007525
Policy instance 2
Insurance contract or identification number007525
Number of Individuals Covered21983
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberM(M1M,M1N,PER)
Policy instance 1
Insurance contract or identification numberM(M1M,M1N,PER)
Number of Individuals Covered23633
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberM(M1M,M1N,PER)
Policy instance 1
Insurance contract or identification numberM(M1M,M1N,PER)
Number of Individuals Covered24670
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number0075250000
Policy instance 2
Insurance contract or identification number0075250000
Number of Individuals Covered21562
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0619384
Policy instance 3
Insurance contract or identification number0619384
Number of Individuals Covered11761
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $254,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number007525
Policy instance 2
Insurance contract or identification number007525
Number of Individuals Covered19600
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberM(M1M,M1N,PER)
Policy instance 1
Insurance contract or identification numberM(M1M,M1N,PER)
Number of Individuals Covered22883
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0619384
Policy instance 3
Insurance contract or identification number0619384
Number of Individuals Covered16959
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $240,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number619384
Policy instance 3
Insurance contract or identification number619384
Number of Individuals Covered10430
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $1,572
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,572
Amount paid for insurance broker fees0
Insurance broker nameUSI NEW ENGLAND
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number007525
Policy instance 2
Insurance contract or identification number007525
Number of Individuals Covered19605
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberM (M1M,M1N,PER)
Policy instance 1
Insurance contract or identification numberM (M1M,M1N,PER)
Number of Individuals Covered22796
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number619384
Policy instance 3
Insurance contract or identification number619384
Number of Individuals Covered10898
Insurance policy start date2011-03-01
Insurance policy end date2012-02-28
Total amount of commissions paid to insurance brokerUSD $18,031
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,031
Amount paid for insurance broker fees0
Insurance broker nameUSI NEW ENGLAND
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number007525
Policy instance 2
Insurance contract or identification number007525
Number of Individuals Covered17218
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberM (M1M,M1N,PER)
Policy instance 1
Insurance contract or identification numberM (M1M,M1N,PER)
Number of Individuals Covered19746
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number619384
Policy instance 3
Insurance contract or identification number619384
Number of Individuals Covered10374
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number007525
Policy instance 2
Insurance contract or identification number007525
Number of Individuals Covered17294
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberM (M1M,M1N,PER)
Policy instance 1
Insurance contract or identification numberM (M1M,M1N,PER)
Number of Individuals Covered20430
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberM (M1M,M1N,PER)
Policy instance 1
Insurance contract or identification numberM (M1M,M1N,PER)
Number of Individuals Covered19447
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number007525
Policy instance 2
Insurance contract or identification number007525
Number of Individuals Covered20441
Insurance policy start date2009-04-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number619384
Policy instance 3
Insurance contract or identification number619384
Number of Individuals Covered12853
Insurance policy start date2009-03-01
Insurance policy end date2010-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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