PRODUCTION INDUSTRIAL TECH TEXTILE PRODUCTION INDUSTRIA has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND
401k plan membership statisitcs for PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND
| Measure | Date | Value |
|---|
| 2022 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2022 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $213,766 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $230,909 |
| Total income from all sources (including contributions) | 2022-12-31 | $5,251,205 |
| Total of all expenses incurred | 2022-12-31 | $5,563,249 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $4,990,523 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $5,251,205 |
| Value of total assets at end of year | 2022-12-31 | $508,916 |
| Value of total assets at beginning of year | 2022-12-31 | $838,103 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $572,726 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Administrative expenses professional fees incurred | 2022-12-31 | $45,365 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2022-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2022-12-31 | $4,327,588 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $10,077 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-12-31 | $11,511 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-12-31 | $55,148 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-12-31 | $599 |
| Administrative expenses (other) incurred | 2022-12-31 | $527,361 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $12,959 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $11,257 |
| Total non interest bearing cash at end of year | 2022-12-31 | $423,898 |
| Total non interest bearing cash at beginning of year | 2022-12-31 | $590,270 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Value of net income/loss | 2022-12-31 | $-312,044 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $295,150 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $607,194 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $662,935 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Contributions received in cash from employer | 2022-12-31 | $5,251,205 |
| Employer contributions (assets) at end of year | 2022-12-31 | $18,563 |
| Employer contributions (assets) at beginning of year | 2022-12-31 | $233,335 |
| Liabilities. Value of benefit claims payable at end of year | 2022-12-31 | $145,659 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-12-31 | $219,053 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2022-12-31 | $56,378 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2022-12-31 | $2,987 |
| Did the plan have assets held for investment | 2022-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | CASTIGLIA LLP |
| Accountancy firm EIN | 2022-12-31 | 462725636 |
| 2021 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $230,909 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $377,268 |
| Total income from all sources (including contributions) | 2021-12-31 | $5,998,825 |
| Total of all expenses incurred | 2021-12-31 | $5,628,636 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $5,074,868 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $5,960,723 |
| Value of total assets at end of year | 2021-12-31 | $838,103 |
| Value of total assets at beginning of year | 2021-12-31 | $614,273 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $553,768 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Administrative expenses professional fees incurred | 2021-12-31 | $36,450 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2021-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2021-12-31 | $4,352,031 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-12-31 | $11,511 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-12-31 | $10,704 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-12-31 | $599 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-12-31 | $599 |
| Other income not declared elsewhere | 2021-12-31 | $38,102 |
| Administrative expenses (other) incurred | 2021-12-31 | $517,318 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $11,257 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $14,530 |
| Total non interest bearing cash at end of year | 2021-12-31 | $590,270 |
| Total non interest bearing cash at beginning of year | 2021-12-31 | $404,785 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $370,189 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $607,194 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $237,005 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $722,837 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Contributions received in cash from employer | 2021-12-31 | $5,960,723 |
| Employer contributions (assets) at end of year | 2021-12-31 | $233,335 |
| Employer contributions (assets) at beginning of year | 2021-12-31 | $195,548 |
| Liabilities. Value of benefit claims payable at end of year | 2021-12-31 | $219,053 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-12-31 | $362,139 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2021-12-31 | $2,987 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2021-12-31 | $3,236 |
| Did the plan have assets held for investment | 2021-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | CASTIGLIA LLP |
| Accountancy firm EIN | 2021-12-31 | 462725636 |
| 2020 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $377,268 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $426,266 |
| Total income from all sources (including contributions) | 2020-12-31 | $5,904,060 |
| Total of all expenses incurred | 2020-12-31 | $5,875,298 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $5,322,305 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $5,859,676 |
| Value of total assets at end of year | 2020-12-31 | $614,273 |
| Value of total assets at beginning of year | 2020-12-31 | $634,509 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $552,993 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Administrative expenses professional fees incurred | 2020-12-31 | $37,970 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2020-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2020-12-31 | $4,571,020 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $10,704 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $10,456 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-12-31 | $599 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-12-31 | $599 |
| Other income not declared elsewhere | 2020-12-31 | $44,384 |
| Administrative expenses (other) incurred | 2020-12-31 | $515,023 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $14,530 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $17,151 |
| Total non interest bearing cash at end of year | 2020-12-31 | $404,785 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $414,068 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $28,762 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $237,005 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $208,243 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $751,285 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $5,859,676 |
| Employer contributions (assets) at end of year | 2020-12-31 | $195,548 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $206,500 |
| Liabilities. Value of benefit claims payable at end of year | 2020-12-31 | $362,139 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-12-31 | $408,516 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2020-12-31 | $3,236 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2020-12-31 | $3,485 |
| Did the plan have assets held for investment | 2020-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | CASTIGLIA LLP |
| Accountancy firm EIN | 2020-12-31 | 462725636 |
| 2019 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $426,266 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $417,158 |
| Total income from all sources (including contributions) | 2019-12-31 | $5,799,693 |
| Total of all expenses incurred | 2019-12-31 | $6,025,460 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $5,466,511 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $5,799,693 |
| Value of total assets at end of year | 2019-12-31 | $634,509 |
| Value of total assets at beginning of year | 2019-12-31 | $851,168 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $558,949 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Administrative expenses professional fees incurred | 2019-12-31 | $43,574 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2019-12-31 | $4,633,033 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $10,456 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $10,932 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $599 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $3,467 |
| Administrative expenses (other) incurred | 2019-12-31 | $515,375 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $17,151 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $10,045 |
| Total non interest bearing cash at end of year | 2019-12-31 | $414,068 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $716,834 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $-225,767 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $208,243 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $434,010 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $833,478 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $5,799,693 |
| Employer contributions (assets) at end of year | 2019-12-31 | $206,500 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $119,668 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $408,516 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $403,646 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2019-12-31 | $3,485 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2019-12-31 | $3,734 |
| Did the plan have assets held for investment | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | CASTIGLIA LLP |
| Accountancy firm EIN | 2019-12-31 | 462725636 |
| 2018 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $417,158 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $205,471 |
| Total income from all sources (including contributions) | 2018-12-31 | $6,124,831 |
| Total of all expenses incurred | 2018-12-31 | $5,797,346 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $5,250,898 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $6,124,830 |
| Value of total assets at end of year | 2018-12-31 | $851,168 |
| Value of total assets at beginning of year | 2018-12-31 | $311,996 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $546,448 |
| Total interest from all sources | 2018-12-31 | $1 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Administrative expenses professional fees incurred | 2018-12-31 | $39,795 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $10,932 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $7,381 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-12-31 | $3,467 |
| Administrative expenses (other) incurred | 2018-12-31 | $506,653 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $10,045 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $25,606 |
| Total non interest bearing cash at end of year | 2018-12-31 | $716,834 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $270,835 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $327,485 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $434,010 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $106,525 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Income. Interest from loans (other than to participants) | 2018-12-31 | $1 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $5,250,898 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $6,124,830 |
| Employer contributions (assets) at end of year | 2018-12-31 | $119,668 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $33,259 |
| Liabilities. Value of benefit claims payable at end of year | 2018-12-31 | $403,646 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-12-31 | $179,865 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2018-12-31 | $3,734 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2018-12-31 | $521 |
| Did the plan have assets held for investment | 2018-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | CASTIGLIA LLP |
| Accountancy firm EIN | 2018-12-31 | 462725636 |
| 2017 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $205,471 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $144,175 |
| Total income from all sources (including contributions) | 2017-12-31 | $5,130,092 |
| Total of all expenses incurred | 2017-12-31 | $5,304,448 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $4,773,289 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $5,129,749 |
| Value of total assets at end of year | 2017-12-31 | $311,996 |
| Value of total assets at beginning of year | 2017-12-31 | $425,056 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $531,159 |
| Total interest from all sources | 2017-12-31 | $343 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Administrative expenses professional fees incurred | 2017-12-31 | $36,500 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $7,381 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $28,358 |
| Administrative expenses (other) incurred | 2017-12-31 | $494,659 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $25,606 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $63,565 |
| Total non interest bearing cash at end of year | 2017-12-31 | $270,835 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $313,353 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $-174,356 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $106,525 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $280,881 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Income. Interest from loans (other than to participants) | 2017-12-31 | $343 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $4,773,289 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $5,129,749 |
| Employer contributions (assets) at end of year | 2017-12-31 | $33,259 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $82,452 |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $179,865 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $80,610 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2017-12-31 | $521 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2017-12-31 | $893 |
| Did the plan have assets held for investment | 2017-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | CASTIGLIA LLP |
| Accountancy firm EIN | 2017-12-31 | 462725636 |
| 2016 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $144,175 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $251,434 |
| Total income from all sources (including contributions) | 2016-12-31 | $5,572,307 |
| Total of all expenses incurred | 2016-12-31 | $5,224,709 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $4,677,735 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $5,571,268 |
| Value of total assets at end of year | 2016-12-31 | $425,056 |
| Value of total assets at beginning of year | 2016-12-31 | $184,717 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $546,974 |
| Total interest from all sources | 2016-12-31 | $1,039 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Administrative expenses professional fees incurred | 2016-12-31 | $42,000 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $28,358 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $49,655 |
| Administrative expenses (other) incurred | 2016-12-31 | $504,974 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $63,565 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $56,741 |
| Total non interest bearing cash at end of year | 2016-12-31 | $313,353 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $86,995 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $347,598 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $280,881 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $-66,717 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Income. Interest from loans (other than to participants) | 2016-12-31 | $1,039 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $4,677,735 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $5,571,268 |
| Employer contributions (assets) at end of year | 2016-12-31 | $82,452 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $46,794 |
| Liabilities. Value of benefit claims payable at end of year | 2016-12-31 | $80,610 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-12-31 | $194,693 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2016-12-31 | $893 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2016-12-31 | $1,273 |
| Did the plan have assets held for investment | 2016-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | CASTIGLIA LLP |
| Accountancy firm EIN | 2016-12-31 | 462725636 |
| 2015 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $251,434 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $240,999 |
| Total income from all sources (including contributions) | 2015-12-31 | $4,423,741 |
| Total of all expenses incurred | 2015-12-31 | $4,718,914 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $4,209,086 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $4,422,335 |
| Value of total assets at end of year | 2015-12-31 | $184,717 |
| Value of total assets at beginning of year | 2015-12-31 | $469,455 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $509,828 |
| Total interest from all sources | 2015-12-31 | $1,406 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Administrative expenses professional fees incurred | 2015-12-31 | $145,957 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $49,655 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $64,712 |
| Administrative expenses (other) incurred | 2015-12-31 | $363,871 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $56,741 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $69,184 |
| Total non interest bearing cash at end of year | 2015-12-31 | $86,995 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $303,798 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $-295,173 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $-66,717 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $228,456 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Income. Interest from loans (other than to participants) | 2015-12-31 | $1,406 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $4,209,086 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $4,422,335 |
| Employer contributions (assets) at end of year | 2015-12-31 | $46,794 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $98,475 |
| Liabilities. Value of benefit claims payable at end of year | 2015-12-31 | $194,693 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-12-31 | $171,815 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2015-12-31 | $1,273 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2015-12-31 | $2,470 |
| Did the plan have assets held for investment | 2015-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | CASTIGLIA LLP |
| Accountancy firm EIN | 2015-12-31 | 462725636 |
| 2014 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $240,999 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $254,983 |
| Total income from all sources (including contributions) | 2014-12-31 | $4,745,320 |
| Total of all expenses incurred | 2014-12-31 | $4,812,616 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $4,305,729 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $4,743,056 |
| Value of total assets at end of year | 2014-12-31 | $469,455 |
| Value of total assets at beginning of year | 2014-12-31 | $550,735 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $506,887 |
| Total interest from all sources | 2014-12-31 | $2,264 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Administrative expenses professional fees incurred | 2014-12-31 | $130,374 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $64,712 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $128,950 |
| Administrative expenses (other) incurred | 2014-12-31 | $376,513 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $69,184 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $88,117 |
| Total non interest bearing cash at end of year | 2014-12-31 | $303,798 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $350,284 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $-67,296 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $228,456 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $295,752 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Income. Interest from loans (other than to participants) | 2014-12-31 | $2,264 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $4,305,729 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $4,743,056 |
| Employer contributions (assets) at end of year | 2014-12-31 | $98,475 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $68,309 |
| Liabilities. Value of benefit claims payable at end of year | 2014-12-31 | $171,815 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $166,866 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2014-12-31 | $2,470 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2014-12-31 | $3,192 |
| Did the plan have assets held for investment | 2014-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | CASTIGLIA LLP |
| Accountancy firm EIN | 2014-12-31 | 462725636 |
| 2013 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $254,983 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $240,232 |
| Total income from all sources (including contributions) | 2013-12-31 | $4,307,311 |
| Total of all expenses incurred | 2013-12-31 | $4,241,533 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $3,735,503 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $4,303,598 |
| Value of total assets at end of year | 2013-12-31 | $550,735 |
| Value of total assets at beginning of year | 2013-12-31 | $470,206 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $506,030 |
| Total interest from all sources | 2013-12-31 | $3,713 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Administrative expenses professional fees incurred | 2013-12-31 | $136,300 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $128,950 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $146,904 |
| Administrative expenses (other) incurred | 2013-12-31 | $369,730 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $88,117 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $130,643 |
| Total non interest bearing cash at end of year | 2013-12-31 | $350,284 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $249,417 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $65,778 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $295,752 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $229,974 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Income. Interest from loans (other than to participants) | 2013-12-31 | $3,713 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $3,735,503 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $4,303,598 |
| Employer contributions (assets) at end of year | 2013-12-31 | $68,309 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $68,333 |
| Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $166,866 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $109,589 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2013-12-31 | $3,192 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2013-12-31 | $5,552 |
| Did the plan have assets held for investment | 2013-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | CASTIGLIA LLP |
| Accountancy firm EIN | 2013-12-31 | 462725636 |
| 2012 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $240,232 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $208,433 |
| Total income from all sources (including contributions) | 2012-12-31 | $4,395,148 |
| Total of all expenses incurred | 2012-12-31 | $4,289,955 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $3,622,178 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $4,393,232 |
| Value of total assets at end of year | 2012-12-31 | $470,206 |
| Value of total assets at beginning of year | 2012-12-31 | $333,214 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $667,777 |
| Total interest from all sources | 2012-12-31 | $1,916 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Administrative expenses professional fees incurred | 2012-12-31 | $179,161 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $146,904 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $144,973 |
| Administrative expenses (other) incurred | 2012-12-31 | $488,616 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $130,643 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $49,347 |
| Total non interest bearing cash at end of year | 2012-12-31 | $249,417 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $137,340 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $105,193 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $229,974 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $124,781 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Income. Interest from loans (other than to participants) | 2012-12-31 | $1,916 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $3,622,178 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $4,393,232 |
| Employer contributions (assets) at end of year | 2012-12-31 | $68,333 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $42,989 |
| Liabilities. Value of benefit claims payable at end of year | 2012-12-31 | $109,589 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $159,086 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2012-12-31 | $5,552 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2012-12-31 | $7,912 |
| Did the plan have assets held for investment | 2012-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | CASTIGLIA LLP |
| Accountancy firm EIN | 2012-12-31 | 462725636 |
| 2011 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $208,433 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $290,165 |
| Total income from all sources (including contributions) | 2011-12-31 | $4,889,320 |
| Total of all expenses incurred | 2011-12-31 | $4,718,424 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $4,134,024 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $4,888,741 |
| Value of total assets at end of year | 2011-12-31 | $333,214 |
| Value of total assets at beginning of year | 2011-12-31 | $244,050 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $584,400 |
| Total interest from all sources | 2011-12-31 | $579 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Administrative expenses professional fees incurred | 2011-12-31 | $191,437 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $144,973 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $129,028 |
| Administrative expenses (other) incurred | 2011-12-31 | $392,963 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $49,347 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $34,229 |
| Total non interest bearing cash at end of year | 2011-12-31 | $137,340 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $34,627 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $170,896 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $124,781 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $-46,115 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Income. Interest from loans (other than to participants) | 2011-12-31 | $579 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $4,134,024 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $4,888,741 |
| Employer contributions (assets) at end of year | 2011-12-31 | $42,989 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $78,093 |
| Liabilities. Value of benefit claims payable at end of year | 2011-12-31 | $159,086 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-12-31 | $255,936 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2011-12-31 | $7,912 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2011-12-31 | $2,302 |
| Did the plan have assets held for investment | 2011-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | BATTAGLIA, AVELLINO & CO., PC |
| Accountancy firm EIN | 2011-12-31 | 133423441 |
| 2010 : PRODUCTION INDUSTRIAL TECH TEXTILE & PROF. EMP. UNION LOCAL 124 WELFARE FUND 2010 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $290,165 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $145,900 |
| Total income from all sources (including contributions) | 2010-12-31 | $5,265,063 |
| Total of all expenses incurred | 2010-12-31 | $5,285,205 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $4,786,413 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $5,261,668 |
| Value of total assets at end of year | 2010-12-31 | $244,050 |
| Value of total assets at beginning of year | 2010-12-31 | $119,927 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $498,792 |
| Total interest from all sources | 2010-12-31 | $3,395 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Administrative expenses professional fees incurred | 2010-12-31 | $157,607 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $129,028 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $99,754 |
| Administrative expenses (other) incurred | 2010-12-31 | $341,185 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $34,229 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $17,390 |
| Total non interest bearing cash at end of year | 2010-12-31 | $34,627 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $-21,831 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $-20,142 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $-46,115 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $-25,973 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Income. Interest from loans (other than to participants) | 2010-12-31 | $3,395 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $4,786,413 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $5,261,668 |
| Employer contributions (assets) at end of year | 2010-12-31 | $78,093 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $42,004 |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $255,936 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $128,510 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2010-12-31 | $2,302 |
| Did the plan have assets held for investment | 2010-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | BATTAGLIA, AVELLINO & CO., PC |
| Accountancy firm EIN | 2010-12-31 | 133423441 |
| HEALTHPLEX INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11172 ) |
| Policy contract number | K2CJ00348N |
| Policy instance | 5 |
| Insurance contract or identification number | K2CJ00348N | | Number of Individuals Covered | 3 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,156 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-459 |
| Policy instance | 4 |
| Insurance contract or identification number | GG-459 | | Number of Individuals Covered | 82 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $4,014 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $42,978 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,014 |
|
| SOLSTICE HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13971 ) |
| Policy contract number | 13215 |
| Policy instance | 3 |
| Insurance contract or identification number | 13215 | | Number of Individuals Covered | 123 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,421 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1100430000 |
| Policy instance | 2 |
| Insurance contract or identification number | 1100430000 | | Number of Individuals Covered | 78 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $23,648 | | Welfare Benefit Premiums Paid to Carrier | USD $614,838 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,648 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00463443 |
| Policy instance | 1 |
| Insurance contract or identification number | 00463443 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $1,702 | | Total amount of fees paid to insurance company | USD $488 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,032 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,652 | | Amount paid for insurance broker fees | 488 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00463443 |
| Policy instance | 1 |
| Insurance contract or identification number | 00463443 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $1,850 | | Total amount of fees paid to insurance company | USD $522 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,257 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,794 | | Amount paid for insurance broker fees | 522 | | Insurance broker organization code? | 3 |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1100430000 |
| Policy instance | 2 |
| Insurance contract or identification number | 1100430000 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $24,548 | | Total amount of fees paid to insurance company | USD $3,990 | | Welfare Benefit Premiums Paid to Carrier | USD $638,243 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $24,548 | | Amount paid for insurance broker fees | 3990 |
|
| SOLSTICE HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13971 ) |
| Policy contract number | 13215 |
| Policy instance | 3 |
| Insurance contract or identification number | 13215 | | Number of Individuals Covered | 123 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $3,130 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,865 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,130 |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-459 |
| Policy instance | 4 |
| Insurance contract or identification number | GG-459 | | Number of Individuals Covered | 87 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $3,928 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $45,991 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,928 |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-686M01 |
| Policy instance | 5 |
| Insurance contract or identification number | GG-686M01 | | Number of Individuals Covered | 23 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,111 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLEX INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11172 ) |
| Policy contract number | K2CJ00348N |
| Policy instance | 6 |
| Insurance contract or identification number | K2CJ00348N | | Number of Individuals Covered | 3 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $643 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00463443 |
| Policy instance | 1 |
| Insurance contract or identification number | 00463443 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $1,902 | | Total amount of fees paid to insurance company | USD $368 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,683 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,846 | | Amount paid for insurance broker fees | 368 |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1100430000 |
| Policy instance | 2 |
| Insurance contract or identification number | 1100430000 | | Number of Individuals Covered | 98 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $26,863 | | Welfare Benefit Premiums Paid to Carrier | USD $698,441 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $26,863 |
|
| SOLSTICE HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13971 ) |
| Policy contract number | 13215 |
| Policy instance | 3 |
| Insurance contract or identification number | 13215 | | Number of Individuals Covered | 122 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $3,686 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,576 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,686 |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-459 |
| Policy instance | 4 |
| Insurance contract or identification number | GG-459 | | Number of Individuals Covered | 121 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $4,666 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $36,225 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,666 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 0009L555 |
| Policy instance | 6 |
| Insurance contract or identification number | 0009L555 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $44 | | Total amount of fees paid to insurance company | USD $275 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,823 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $44 | | Amount paid for insurance broker fees | 275 |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-459 |
| Policy instance | 5 |
| Insurance contract or identification number | GG-459 | | Number of Individuals Covered | 93 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $3,447 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $34,859 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,447 |
|
| SOLSTICE HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13971 ) |
| Policy contract number | 13215 |
| Policy instance | 4 |
| Insurance contract or identification number | 13215 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $2,996 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,979 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,996 |
|
| HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | K2CJ00348N |
| Policy instance | 3 |
| Insurance contract or identification number | K2CJ00348N | | Number of Individuals Covered | 3 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $676 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 000ST431 |
| Policy instance | 1 |
| Insurance contract or identification number | 000ST431 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $1,783 | | Total amount of fees paid to insurance company | USD $275 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,823 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,773 | | Amount paid for insurance broker fees | 275 |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1100430000 |
| Policy instance | 2 |
| Insurance contract or identification number | 1100430000 | | Number of Individuals Covered | 131 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $29,016 | | Welfare Benefit Premiums Paid to Carrier | USD $754,422 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $29,016 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 000ST80 |
| Policy instance | 7 |
| Insurance contract or identification number | 000ST80 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $10 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,823 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10 |
|
| HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | K2CJ00348N |
| Policy instance | 5 |
| Insurance contract or identification number | K2CJ00348N | | Number of Individuals Covered | 3 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $884 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 0009L390 |
| Policy instance | 1 |
| Insurance contract or identification number | 0009L390 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $2 | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $114 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2 |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-459 |
| Policy instance | 8 |
| Insurance contract or identification number | GG-459 | | Number of Individuals Covered | 69 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $1,397 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,718 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,397 |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-686M01 |
| Policy instance | 7 |
| Insurance contract or identification number | GG-686M01 | | Number of Individuals Covered | 23 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,682 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SOLSTICE HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13971 ) |
| Policy contract number | 13215 |
| Policy instance | 6 |
| Insurance contract or identification number | 13215 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $3,583 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,892 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,583 |
|
| HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | GG-687V |
| Policy instance | 4 |
| Insurance contract or identification number | GG-687V | | Number of Individuals Covered | 16 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $654 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | GG-686M01 |
| Policy instance | 3 |
| Insurance contract or identification number | GG-686M01 | | Number of Individuals Covered | 22 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,110 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1100430000 |
| Policy instance | 2 |
| Insurance contract or identification number | 1100430000 | | Number of Individuals Covered | 143 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $29,230 | | Welfare Benefit Premiums Paid to Carrier | USD $760,024 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $29,230 |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-459 |
| Policy instance | 2 |
| Insurance contract or identification number | GG-459 | | Number of Individuals Covered | 26 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $839 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,775 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $839 | | Insurance broker name | BODNER BENEFITS GROUP |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1076900000 |
| Policy instance | 3 |
| Insurance contract or identification number | 1076900000 | | Number of Individuals Covered | 168 | | Insurance policy start date | 2016-11-01 | | Insurance policy end date | 2017-11-01 | | Welfare Benefit Premiums Paid to Carrier | USD $821,010 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-686M01 |
| Policy instance | 4 |
| Insurance contract or identification number | GG-686M01 | | Number of Individuals Covered | 22 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,554 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | GG-686M01 |
| Policy instance | 5 |
| Insurance contract or identification number | GG-686M01 | | Number of Individuals Covered | 22 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,367 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | GG-687V |
| Policy instance | 6 |
| Insurance contract or identification number | GG-687V | | Number of Individuals Covered | 16 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $631 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | K2CJ00348N |
| Policy instance | 7 |
| Insurance contract or identification number | K2CJ00348N | | Number of Individuals Covered | 3 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $172 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SOLSTICE HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13971 ) |
| Policy contract number | 13215 |
| Policy instance | 8 |
| Insurance contract or identification number | 13215 | | Number of Individuals Covered | 133 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $3,819 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,458 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,819 | | Insurance broker name | 21ST CENTURY VIRTUAL MARKETING GROU |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00463443 |
| Policy instance | 1 |
| Insurance contract or identification number | 00463443 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $1,519 | | Total amount of fees paid to insurance company | USD $455 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,651 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,510 | | Amount paid for insurance broker fees | 455 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | ADAM S KAUFMAN |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376300 |
| Policy instance | 5 |
| Insurance contract or identification number | 376300 | | Number of Individuals Covered | 76 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $3,977 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $218,516 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,512 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | GREATER METRO AGENCY INC |
|
| HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | GG-687V |
| Policy instance | 7 |
| Insurance contract or identification number | GG-687V | | Number of Individuals Covered | 18 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $413 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-459 |
| Policy instance | 8 |
| Insurance contract or identification number | GG-459 | | Number of Individuals Covered | 84 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $3,687 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $37,712 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,687 | | Insurance broker name | BODNER BENEFITS GROUP |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-686M01 |
| Policy instance | 4 |
| Insurance contract or identification number | GG-686M01 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,255 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 720257 |
| Policy instance | 3 |
| Insurance contract or identification number | 720257 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $552 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,430 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $552 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | ANDREW FRANZE |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 730136 |
| Policy instance | 2 |
| Insurance contract or identification number | 730136 | | Number of Individuals Covered | 275 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Total amount of commissions paid to insurance broker | USD $24 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,488 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $24 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | ANDREW FRANZE |
|
| HEALTHPLEX INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11172 ) |
| Policy contract number | K2CJ00348N |
| Policy instance | 1 |
| Insurance contract or identification number | K2CJ00348N | | Number of Individuals Covered | 2 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $413 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00463443 |
| Policy instance | 6 |
| Insurance contract or identification number | 00463443 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $1,475 | | Total amount of fees paid to insurance company | USD $384 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9 | | Additional information about fees paid to insurance broker | 3 | | Amount paid for insurance broker fees | 384 | | Insurance broker name | FNA INSURANCE SERVICES INC |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00463443 |
| Policy instance | 6 |
| Insurance contract or identification number | 00463443 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $1,369 | | Total amount of fees paid to insurance company | USD $544 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8 | | Additional information about fees paid to insurance broker | 3 | | Amount paid for insurance broker fees | 544 | | Insurance broker name | FNA INSURANCE SERVICES INC |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-459 |
| Policy instance | 4 |
| Insurance contract or identification number | GG-459 | | Number of Individuals Covered | 94 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $27,255 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 720257 |
| Policy instance | 3 |
| Insurance contract or identification number | 720257 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $3,432 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $157,144 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,432 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | ANDREW FRANZE |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 730136 |
| Policy instance | 2 |
| Insurance contract or identification number | 730136 | | Number of Individuals Covered | 246 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $58,466 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,755,186 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $58,466 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | ANDREW FRANZE |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 800696 |
| Policy instance | 1 |
| Insurance contract or identification number | 800696 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $2,986 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $51,294 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,986 | | Insurance broker name | ANDREW FRANZE |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376300 |
| Policy instance | 5 |
| Insurance contract or identification number | 376300 | | Number of Individuals Covered | 40 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $9,912 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $476,332 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,912 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | ANDREW FRANZE |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 720257 |
| Policy instance | 3 |
| Insurance contract or identification number | 720257 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | ANDREW FRANZE |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376300 |
| Policy instance | 6 |
| Insurance contract or identification number | 376300 | | Number of Individuals Covered | 43 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | ANDREW FRANZE |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00463443 |
| Policy instance | 7 |
| Insurance contract or identification number | 00463443 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $1,765 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10 | | Insurance broker name | FNA INSURANCE SERVICES INC |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-459 |
| Policy instance | 5 |
| Insurance contract or identification number | GG-459 | | Number of Individuals Covered | 68 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | LISA S PECONE |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 800696 |
| Policy instance | 4 |
| Insurance contract or identification number | 800696 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | ANDREW FRANZE |
|
| ATLANTIS HEALTH PLAN DBA EASY CHOICE HEATLH PLAN OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 52624 ) |
| Policy contract number | GY1001A |
| Policy instance | 1 |
| Insurance contract or identification number | GY1001A | | Number of Individuals Covered | 2 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $586 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $586 | | Insurance broker name | ANTHONY PECONE |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 730136 |
| Policy instance | 2 |
| Insurance contract or identification number | 730136 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $3,432 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,432 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | ANDREW FRANZE |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376300 |
| Policy instance | 6 |
| Insurance contract or identification number | 376300 | | Number of Individuals Covered | 43 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $19,888 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $656,185 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,888 | | Insurance broker name | ANDREW FRANZE |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00463443 |
| Policy instance | 7 |
| Insurance contract or identification number | 00463443 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2011-12-01 | | Insurance policy end date | 2012-11-30 | | Total amount of commissions paid to insurance broker | USD $1,507 | | Total amount of fees paid to insurance company | USD $543 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,598 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,498 | | Amount paid for insurance broker fees | 543 | | Insurance broker name | ADAM S KAUFMAN |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 800696 |
| Policy instance | 4 |
| Insurance contract or identification number | 800696 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-02-28 | | Total amount of commissions paid to insurance broker | USD $1,779 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $42,135 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,779 | | Insurance broker name | ANDREW FRANZE |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 720257 |
| Policy instance | 3 |
| Insurance contract or identification number | 720257 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $3,119 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $115,437 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,099 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | ANDREW FRANZE |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 730136 |
| Policy instance | 2 |
| Insurance contract or identification number | 730136 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Total amount of commissions paid to insurance broker | USD $21,911 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $677,637 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,863 | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | ANDREW FRANZE |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-459 |
| Policy instance | 5 |
| Insurance contract or identification number | GG-459 | | Number of Individuals Covered | 68 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $37,436 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | 3 | | Insurance broker name | LISA S PECONE |
|
| ATLANTIS HEALTH PLAN DBA EASY CHOICE HEATLH PLAN OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 52624 ) |
| Policy contract number | GY1001A |
| Policy instance | 1 |
| Insurance contract or identification number | GY1001A | | Number of Individuals Covered | 4 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $686 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,141 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $686 | | Insurance broker name | ANTHONY PECONE |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 800696 |
| Policy instance | 4 |
| Insurance contract or identification number | 800696 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Total amount of commissions paid to insurance broker | USD $746 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,702 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 720257 |
| Policy instance | 3 |
| Insurance contract or identification number | 720257 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $3,119 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $115,437 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 730136 |
| Policy instance | 2 |
| Insurance contract or identification number | 730136 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-26 | | Total amount of commissions paid to insurance broker | USD $21,911 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $677,637 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | LI1511 |
| Policy instance | 1 |
| Insurance contract or identification number | LI1511 | | Number of Individuals Covered | 36 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $723 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-459 |
| Policy instance | 5 |
| Insurance contract or identification number | GG-459 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $6,545 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $60,895 | | 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 number | 800696 |
| Policy instance | 4 |
| Insurance contract or identification number | 800696 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2011-02-28 | | Total amount of commissions paid to insurance broker | USD $594 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,612 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 730136 |
| Policy instance | 3 |
| Insurance contract or identification number | 730136 | | Number of Individuals Covered | 93 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2011-02-28 | | Total amount of commissions paid to insurance broker | USD $34,995 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,147,248 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | LI1511 |
| Policy instance | 1 |
| Insurance contract or identification number | LI1511 | | Number of Individuals Covered | 36 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $9,474 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $503,354 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WELLCHOICE HMO OF NEW JERSEY (National Association of Insurance Commissioners NAIC id number: 95433 ) |
| Policy contract number | 376300 |
| Policy instance | 2 |
| Insurance contract or identification number | 376300 | | Number of Individuals Covered | 50 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $25,465 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $808,924 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-459 |
| Policy instance | 5 |
| Insurance contract or identification number | GG-459 | | Number of Individuals Covered | 152 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $6,711 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $61,329 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
