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UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND 401k Plan overview

Plan NameUFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND
Plan identification number 502

UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Scholarship (funded)

401k Sponsoring company profile

TRUSTEES AMALGAMATED WELFARE TRUST FUND LOCAL 371 has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES AMALGAMATED WELFARE TRUST FUND LOCAL 371
Employer identification number (EIN):066069081
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01TIM MELIA2023-09-20 09202023
5022021-01-01RONALD PETRONELLA2022-10-14 JASON PARADIS2022-10-14

Plan Statistics for UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND

401k plan membership statisitcs for UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND

Measure Date Value
2022: UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND 2022 401k membership
Total participants, beginning-of-year2022-01-0123,972
Total number of active participants reported on line 7a of the Form 55002022-01-0122,900
Number of retired or separated participants receiving benefits2022-01-01622
Total of all active and inactive participants2022-01-0123,522
Number of employers contributing to the scheme2022-01-0137
2021: UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND 2021 401k membership
Total participants, beginning-of-year2021-01-010
Total number of active participants reported on line 7a of the Form 55002021-01-0123,526
Number of retired or separated participants receiving benefits2021-01-01446
Total of all active and inactive participants2021-01-0123,972
Number of employers contributing to the scheme2021-01-0138

Financial Data on UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND

Measure Date Value
2022 : UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-12-31$110,275
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-328,926
Total unrealized appreciation/depreciation of assets2022-12-31$-218,651
Total transfer of assets to this plan2022-12-31$2,141,120
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$12,938,092
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$12,362,658
Total income from all sources (including contributions)2022-12-31$112,779,282
Total loss/gain on sale of assets2022-12-31$-2,183,020
Total of all expenses incurred2022-12-31$141,128,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$135,344,900
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$110,809,387
Value of total assets at end of year2022-12-31$102,915,649
Value of total assets at beginning of year2022-12-31$128,548,713
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$5,784,000
Total interest from all sources2022-12-31$343,164
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$2,013,196
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$2,007,715
Assets. Real estate other than employer real property at end of year2022-12-31$8,651,318
Assets. Real estate other than employer real property at beginning of year2022-12-31$8,541,043
Administrative expenses professional fees incurred2022-12-31$507,542
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$10,989,250
Participant contributions at end of year2022-12-31$214,083
Participant contributions at beginning of year2022-12-31$419,344
Assets. Other investments not covered elsewhere at end of year2022-12-31$100,000
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$300,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$3,661,360
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$5,986,201
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$525,396
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$200,000
Other income not declared elsewhere2022-12-31$8,561,325
Administrative expenses (other) incurred2022-12-31$2,205,703
Liabilities. Value of operating payables at end of year2022-12-31$306,285
Liabilities. Value of operating payables at beginning of year2022-12-31$184,906
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-28,349,618
Value of net assets at end of year (total assets less liabilities)2022-12-31$89,977,557
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$116,186,055
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
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$2,610,408
Assets. partnership/joint venture interests at beginning of year2022-12-31$2,430,867
Investment advisory and management fees2022-12-31$65,696
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$47,913,770
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$64,293,179
Interest earned on other investments2022-12-31$154,361
Income. Interest from US Government securities2022-12-31$51,561
Income. Interest from corporate debt instruments2022-12-31$59,071
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$29,199,218
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$41,162,976
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$41,162,976
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$78,171
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$9,326,391
Asset value of US Government securities at end of year2022-12-31$5,208,657
Asset value of US Government securities at beginning of year2022-12-31$2,616,955
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-6,546,119
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
Contributions received in cash from employer2022-12-31$99,820,137
Employer contributions (assets) at end of year2022-12-31$593,139
Employer contributions (assets) at beginning of year2022-12-31$511,217
Income. Dividends from common stock2022-12-31$5,481
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$126,018,509
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$4,693,981
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$2,271,769
Contract administrator fees2022-12-31$3,005,059
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$53,672
Liabilities. Value of benefit claims payable at end of year2022-12-31$12,106,411
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$11,977,752
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$16,043
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$15,162
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$18,409,886
Aggregate carrying amount (costs) on sale of assets2022-12-31$20,592,906
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2022-12-31611436956
2021 : UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$113,508
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-1,205,645
Total unrealized appreciation/depreciation of assets2021-12-31$-1,092,137
Total transfer of assets to this plan2021-12-31$124,327,295
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$12,362,658
Total income from all sources (including contributions)2021-12-31$142,283,978
Total loss/gain on sale of assets2021-12-31$99,580
Total of all expenses incurred2021-12-31$150,425,218
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$147,324,008
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$131,232,505
Value of total assets at end of year2021-12-31$128,548,713
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$3,101,210
Total interest from all sources2021-12-31$291,401
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,498,490
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$1,498,490
Assets. Real estate other than employer real property at end of year2021-12-31$8,541,043
Administrative expenses professional fees incurred2021-12-31$500,282
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$12,180,311
Participant contributions at end of year2021-12-31$419,344
Assets. Other investments not covered elsewhere at end of year2021-12-31$300,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$5,986,201
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$200,000
Other income not declared elsewhere2021-12-31$6,277,814
Administrative expenses (other) incurred2021-12-31$2,460,868
Liabilities. Value of operating payables at end of year2021-12-31$184,906
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-8,141,240
Value of net assets at end of year (total assets less liabilities)2021-12-31$116,186,055
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$2,430,867
Investment advisory and management fees2021-12-31$140,060
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$64,293,179
Interest earned on other investments2021-12-31$157,557
Income. Interest from US Government securities2021-12-31$13,760
Income. Interest from corporate debt instruments2021-12-31$18,482
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$41,162,976
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$101,602
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$10,139,200
Asset value of US Government securities at end of year2021-12-31$2,616,955
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$3,976,325
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$119,052,194
Employer contributions (assets) at end of year2021-12-31$511,217
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$137,184,808
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$2,271,769
Liabilities. Value of benefit claims payable at end of year2021-12-31$11,977,752
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$15,162
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$18,138,868
Aggregate carrying amount (costs) on sale of assets2021-12-31$18,039,288
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2021-12-31611436956

Form 5500 Responses for UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND

2022: UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
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: UFCW AND PARTICIPATING EMPLOYERS NEW ENGLAND HEALTH FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01First time form 5500 has been submittedYes
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

Insurance Providers Used on plan

DELTA DENTAL OF CT, INC. (National Association of Insurance Commissioners NAIC id number: 15987 )
Policy contract number04414
Policy instance 5
Insurance contract or identification number04414
Number of Individuals Covered23261
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberVMLN00694
Policy instance 4
Insurance contract or identification numberVMLN00694
Number of Individuals Covered23493
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 providedA,D & D
Welfare Benefit Premiums Paid to CarrierUSD $701,670
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract numberK7039268/702321
Policy instance 3
Insurance contract or identification numberK7039268/702321
Number of Individuals Covered531
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $852,523
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract numberMCA/1A307
Policy instance 2
Insurance contract or identification numberMCA/1A307
Number of Individuals Covered97
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedSENIOR PLAN
Welfare Benefit Premiums Paid to CarrierUSD $303,758
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4955229
Policy instance 1
Insurance contract or identification number4955229
Number of Individuals Covered438
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedSENIOR PLAN
Welfare Benefit Premiums Paid to CarrierUSD $887,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CT, INC. (National Association of Insurance Commissioners NAIC id number: 15987 )
Policy contract number04414
Policy instance 6
Insurance contract or identification number04414
Number of Individuals Covered32325
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberVMLN00694
Policy instance 5
Insurance contract or identification numberVMLN00694
Number of Individuals Covered23651
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 providedA,D & D
Welfare Benefit Premiums Paid to CarrierUSD $597,624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract numberK7039268/702321
Policy instance 4
Insurance contract or identification numberK7039268/702321
Number of Individuals Covered548
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,008,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract numberMCA/1A307
Policy instance 3
Insurance contract or identification numberMCA/1A307
Number of Individuals Covered101
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedSENIOR PLAN
Welfare Benefit Premiums Paid to CarrierUSD $569,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4955229
Policy instance 2
Insurance contract or identification number4955229
Number of Individuals Covered447
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedSENIOR PLAN
Welfare Benefit Premiums Paid to CarrierUSD $1,088,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract numberL00750
Policy instance 1
Insurance contract or identification numberL00750
Number of Individuals Covered16208
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $588,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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