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TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 401k Plan overview

Plan NameTRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN
Plan identification number 502

TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Prepaid legal

401k Sponsoring company profile

TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION
Employer identification number (EIN):133269303
NAIC Classification:813930
NAIC Description:Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01JAMES MANZELLA2023-10-13
5022021-01-01
5022020-01-01
5022020-01-01
5022019-01-01
5022018-01-01
5022017-01-01MICHAEL TUTRONE
5022016-01-01MICHAEL TUTRONE
5022015-01-01MICHAEL TUTRONE
5022014-01-01MICHAEL TUTRONE
5022013-01-01MICHAEL TUTRONE
5022012-01-01MICHAEL TUTRONE
5022011-01-01MICHAEL TUTRONE
5022010-01-01MICHAEL TUTRONE
5022009-01-01JOHN NOONE

Plan Statistics for TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN

401k plan membership statisitcs for TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN

Measure Date Value
2022: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-015,643
Number of retired or separated participants receiving benefits2022-01-017,793
Total of all active and inactive participants2022-01-017,793
2021: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-015,565
Number of retired or separated participants receiving benefits2021-01-015,643
Total of all active and inactive participants2021-01-015,643
2020: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-015,344
Number of retired or separated participants receiving benefits2020-01-015,565
Total of all active and inactive participants2020-01-015,565
2019: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-018,734
Number of retired or separated participants receiving benefits2019-01-015,344
Total of all active and inactive participants2019-01-015,344
2018: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-016,251
Number of retired or separated participants receiving benefits2018-01-018,734
Total of all active and inactive participants2018-01-018,734
2017: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-014,372
Number of retired or separated participants receiving benefits2017-01-016,251
Total of all active and inactive participants2017-01-016,251
2016: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,672
Number of retired or separated participants receiving benefits2016-01-014,372
Total of all active and inactive participants2016-01-014,372
2015: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,026
Total number of active participants reported on line 7a of the Form 55002015-01-012,672
Total of all active and inactive participants2015-01-012,672
2014: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013,026
Total number of active participants reported on line 7a of the Form 55002014-01-013,026
Total of all active and inactive participants2014-01-013,026
2013: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,306
Total number of active participants reported on line 7a of the Form 55002013-01-013,026
Total of all active and inactive participants2013-01-013,026
2012: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,366
Total number of active participants reported on line 7a of the Form 55002012-01-012,306
Total of all active and inactive participants2012-01-012,306
2011: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,190
Total number of active participants reported on line 7a of the Form 55002011-01-011,366
Total of all active and inactive participants2011-01-011,366
2010: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,073
Total number of active participants reported on line 7a of the Form 55002010-01-011,246
Total of all active and inactive participants2010-01-011,246
2009: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,183
Total number of active participants reported on line 7a of the Form 55002009-01-011,073
Total of all active and inactive participants2009-01-011,073

Financial Data on TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN

Measure Date Value
2022 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$506,498
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$476,092
Total income from all sources (including contributions)2022-12-31$3,387,603
Total of all expenses incurred2022-12-31$3,387,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$3,387,603
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,387,603
Value of total assets at end of year2022-12-31$506,498
Value of total assets at beginning of year2022-12-31$476,092
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31No
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$3,387,603
Participant contributions at end of year2022-12-31$250,910
Participant contributions at beginning of year2022-12-31$214,822
Liabilities. Value of operating payables at end of year2022-12-31$506,498
Liabilities. Value of operating payables at beginning of year2022-12-31$476,092
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$0
Value of net assets at end of year (total assets less liabilities)2022-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$3,387,603
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$255,588
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$261,270
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31ROGOFF & COMPANY PC
Accountancy firm EIN2022-12-31132688836
2021 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$476,092
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$362,041
Total income from all sources (including contributions)2021-12-31$2,872,722
Total of all expenses incurred2021-12-31$2,872,722
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,872,722
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,872,722
Value of total assets at end of year2021-12-31$476,092
Value of total assets at beginning of year2021-12-31$362,041
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31No
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$2,872,722
Participant contributions at end of year2021-12-31$214,822
Participant contributions at beginning of year2021-12-31$179,917
Liabilities. Value of operating payables at end of year2021-12-31$476,092
Liabilities. Value of operating payables at beginning of year2021-12-31$362,041
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$0
Value of net assets at end of year (total assets less liabilities)2021-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$2,872,722
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$261,270
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$182,124
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ROGOFF & COMPANY PC
Accountancy firm EIN2021-12-31132688836
2020 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$362,041
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$385,530
Total income from all sources (including contributions)2020-12-31$2,366,327
Total of all expenses incurred2020-12-31$2,366,327
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,366,327
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,366,327
Value of total assets at end of year2020-12-31$362,041
Value of total assets at beginning of year2020-12-31$385,530
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$2,366,327
Participant contributions at end of year2020-12-31$179,917
Participant contributions at beginning of year2020-12-31$215,639
Liabilities. Value of operating payables at end of year2020-12-31$362,041
Liabilities. Value of operating payables at beginning of year2020-12-31$385,530
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$0
Value of net assets at end of year (total assets less liabilities)2020-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$2,366,327
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$182,124
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$169,891
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31ROGOFF & COMPANY PC
Accountancy firm EIN2020-12-31132688836
2019 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$385,530
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$385,530
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$374,840
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$374,840
Total income from all sources (including contributions)2019-12-31$2,342,139
Total income from all sources (including contributions)2019-12-31$2,342,139
Total of all expenses incurred2019-12-31$2,342,139
Total of all expenses incurred2019-12-31$2,342,139
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,342,139
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,342,139
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,342,139
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,342,139
Value of total assets at end of year2019-12-31$385,530
Value of total assets at end of year2019-12-31$385,530
Value of total assets at beginning of year2019-12-31$374,840
Value of total assets at beginning of year2019-12-31$374,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$2,342,139
Contributions received from participants2019-12-31$2,342,139
Participant contributions at end of year2019-12-31$215,639
Participant contributions at end of year2019-12-31$215,639
Participant contributions at beginning of year2019-12-31$188,617
Liabilities. Value of operating payables at end of year2019-12-31$385,530
Liabilities. Value of operating payables at end of year2019-12-31$385,530
Liabilities. Value of operating payables at beginning of year2019-12-31$374,840
Liabilities. Value of operating payables at beginning of year2019-12-31$374,840
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$0
Value of net income/loss2019-12-31$0
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,342,139
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,342,139
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$169,891
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$169,891
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$186,223
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$186,223
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31ROGOFF & COMPANY PC
Accountancy firm name2019-12-31ROGOFF & COMPANY PC
Accountancy firm EIN2019-12-31132688836
Accountancy firm EIN2019-12-31132688836
2018 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$374,840
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$167,809
Total income from all sources (including contributions)2018-12-31$2,125,310
Total of all expenses incurred2018-12-31$2,125,310
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,125,310
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,125,310
Value of total assets at end of year2018-12-31$374,840
Value of total assets at beginning of year2018-12-31$167,809
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$2,125,310
Participant contributions at end of year2018-12-31$188,617
Participant contributions at beginning of year2018-12-31$167,809
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$167,809
Liabilities. Value of operating payables at end of year2018-12-31$374,840
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$0
Value of net assets at end of year (total assets less liabilities)2018-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$2,125,310
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$186,223
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31ROGOFF & COMPANY PC
Accountancy firm EIN2018-12-31132688836
2017 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$167,809
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$148,541
Total income from all sources (including contributions)2017-12-31$1,846,362
Total of all expenses incurred2017-12-31$1,846,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,846,362
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,846,362
Value of total assets at end of year2017-12-31$167,809
Value of total assets at beginning of year2017-12-31$148,541
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31No
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,846,362
Participant contributions at end of year2017-12-31$167,809
Participant contributions at beginning of year2017-12-31$148,541
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$167,809
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$147,812
Liabilities. Value of operating payables at beginning of year2017-12-31$729
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$0
Value of net assets at end of year (total assets less liabilities)2017-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,846,362
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31ROGOFF & COMPANY PC
Accountancy firm EIN2017-12-31132688836
2016 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$148,541
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$160,220
Total income from all sources (including contributions)2016-12-31$1,653,609
Total of all expenses incurred2016-12-31$1,653,609
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,653,609
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,653,609
Value of total assets at end of year2016-12-31$148,541
Value of total assets at beginning of year2016-12-31$160,220
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31No
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,653,609
Participant contributions at end of year2016-12-31$148,541
Participant contributions at beginning of year2016-12-31$132,712
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$147,812
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$160,220
Liabilities. Value of operating payables at end of year2016-12-31$729
Liabilities. Value of operating payables at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$0
Value of net assets at end of year (total assets less liabilities)2016-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,653,609
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$27,508
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31ROGOFF & COMPANY PC
Accountancy firm EIN2016-12-31132688836
2015 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$160,220
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$133,292
Total income from all sources (including contributions)2015-12-31$1,422,195
Total of all expenses incurred2015-12-31$1,422,195
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,422,195
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,422,195
Value of total assets at end of year2015-12-31$160,220
Value of total assets at beginning of year2015-12-31$133,292
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31No
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,422,195
Participant contributions at end of year2015-12-31$132,712
Participant contributions at beginning of year2015-12-31$109,488
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$160,220
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$133,292
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$0
Value of net assets at end of year (total assets less liabilities)2015-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,422,195
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$27,508
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$23,804
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31ROGOFF & COMPANY PC
Accountancy firm EIN2015-12-31132688836
2014 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$133,292
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$122,523
Total income from all sources (including contributions)2014-12-31$1,110,380
Total of all expenses incurred2014-12-31$1,110,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,110,380
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,110,380
Value of total assets at end of year2014-12-31$133,292
Value of total assets at beginning of year2014-12-31$122,523
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31No
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,110,380
Participant contributions at end of year2014-12-31$109,488
Participant contributions at beginning of year2014-12-31$76,808
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$45,715
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$133,292
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$122,523
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$0
Value of net assets at end of year (total assets less liabilities)2014-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,110,380
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$23,804
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31ROGOFF & COMPANY PC
Accountancy firm EIN2014-12-31132688836
2013 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$122,523
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$70,102
Total income from all sources (including contributions)2013-12-31$791,298
Total of all expenses incurred2013-12-31$791,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$791,298
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$791,298
Value of total assets at end of year2013-12-31$122,523
Value of total assets at beginning of year2013-12-31$70,102
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$791,298
Participant contributions at end of year2013-12-31$76,808
Participant contributions at beginning of year2013-12-31$70,102
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$45,715
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$122,523
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$70,102
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$0
Value of net assets at end of year (total assets less liabilities)2013-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$791,298
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31ROGOFF & COMPANY, PC
Accountancy firm EIN2013-12-31132688836
2012 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$70,102
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$57,758
Total income from all sources (including contributions)2012-12-31$676,023
Total of all expenses incurred2012-12-31$676,023
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$676,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$676,023
Value of total assets at end of year2012-12-31$70,102
Value of total assets at beginning of year2012-12-31$57,758
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$676,023
Participant contributions at end of year2012-12-31$70,102
Participant contributions at beginning of year2012-12-31$57,758
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$70,102
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$19,489
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$0
Value of net assets at end of year (total assets less liabilities)2012-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$676,023
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$38,269
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31ROGOFF & COMPANY, PC
Accountancy firm EIN2012-12-31132688836
2011 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$57,758
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$67,730
Total income from all sources (including contributions)2011-12-31$652,346
Total of all expenses incurred2011-12-31$652,346
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$652,346
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$652,346
Value of total assets at end of year2011-12-31$57,758
Value of total assets at beginning of year2011-12-31$67,730
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$652,346
Participant contributions at end of year2011-12-31$57,758
Participant contributions at beginning of year2011-12-31$52,999
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$14,731
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$19,489
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$0
Value of net assets at end of year (total assets less liabilities)2011-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$652,346
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$38,269
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$67,730
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31ROGOFF & COMPANY, PC
Accountancy firm EIN2011-12-31132688836
2010 : TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$67,730
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$77,994
Total income from all sources (including contributions)2010-12-31$621,643
Total of all expenses incurred2010-12-31$621,643
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$621,643
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$621,643
Value of total assets at end of year2010-12-31$67,730
Value of total assets at beginning of year2010-12-31$77,994
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$21,266
Participant contributions at end of year2010-12-31$52,999
Participant contributions at beginning of year2010-12-31$46,051
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$600,377
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$23,248
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$14,731
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$31,943
Liabilities. Value of operating payables at end of year2010-12-31$67,730
Liabilities. Value of operating payables at beginning of year2010-12-31$77,994
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net assets at end of year (total assets less liabilities)2010-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$598,395
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31JOSEPH WARREN & CO
Accountancy firm EIN2010-12-31131935859

Form 5500 Responses for TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN

2022: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: TRANSPORT WORKERS UNION LOCAL 100 RETIREES' ASSOCIATION DENTAL AND OPTICAL INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

US LEGAL SERVICES OF WISCONSIN, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance 3
Number of Individuals Covered17
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342740
Policy instance 2
Insurance contract or identification number3342740
Number of Individuals Covered5744
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $290,980
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,088,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $223,822
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12225361
Policy instance 1
Insurance contract or identification number12225361
Number of Individuals Covered2032
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $30,083
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $501,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,083
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342740
Policy instance 2
Insurance contract or identification number3342740
Number of Individuals Covered4343
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $228,394
Total amount of fees paid to insurance companyUSD $22,372
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,555,241
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $175,589
Amount paid for insurance broker fees17258
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12225361
Policy instance 1
Insurance contract or identification number12225361
Number of Individuals Covered1820
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $26,934
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $449,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,934
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12225361
Policy instance 1
Insurance contract or identification number12225361
Number of Individuals Covered1656
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $25,345
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $422,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,345
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342740
Policy instance 2
Insurance contract or identification number3342740
Number of Individuals Covered3909
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $198,052
Total amount of fees paid to insurance companyUSD $59,426
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,997,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $198,052
Insurance broker organization code?3
Amount paid for insurance broker fees59426
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342740
Policy instance 3
Insurance contract or identification number3342740
Number of Individuals Covered3909
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $257,478
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,997,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $198,052
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number842841
Policy instance 2
Insurance contract or identification number842841
Number of Individuals Covered8226
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $238,908
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,857,778
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $238,908
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12225361
Policy instance 1
Insurance contract or identification number12225361
Number of Individuals Covered1623
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $24,352
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $406,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,352
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number842841
Policy instance 2
Insurance contract or identification number842841
Number of Individuals Covered7215
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $205,447
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,600,933
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $205,447
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12225361
Policy instance 1
Insurance contract or identification number12225361
Number of Individuals Covered1519
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $30,171
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $385,300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,120
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number842841
Policy instance 2
Insurance contract or identification number842841
Number of Individuals Covered6251
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $180,721
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,387,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $180,721
Insurance broker organization code?3
Insurance broker nameTRI STATE UNION BENEFITS CORP
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12225361
Policy instance 1
Insurance contract or identification number12225361
Number of Individuals Covered1389
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $20,000
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $237,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,000
Insurance broker organization code?3
Insurance broker nameNICHOLAS SAIA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12225361
Policy instance 1
Insurance contract or identification number12225361
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameNICHOLAS SAIA
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number842841
Policy instance 2
Insurance contract or identification number842841
Number of Individuals Covered3824
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $145,274
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $987,482
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $145,274
Insurance broker organization code?3
Insurance broker nameTRI STATE UNION BENEFITS CORP
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12225361
Policy instance 1
Insurance contract or identification number12225361
Number of Individuals Covered1060
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $19,332
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14499
Insurance broker organization code?3
Insurance broker nameNICHOLAS SAIA
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number842841
Policy instance 2
Insurance contract or identification number842841
Number of Individuals Covered3026
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $108,164
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $744,679
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees108164
Insurance broker organization code?3
Insurance broker nameTRI STATE UNION BENEFITS CORP
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12225361
Policy instance 1
Insurance contract or identification number12225361
Number of Individuals Covered879
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $13,755
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,316
Insurance broker organization code?3
Insurance broker nameNICHOLAS SAIA
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number842841
Policy instance 2
Insurance contract or identification number842841
Number of Individuals Covered3026
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $108,164
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $744,679
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $108,164
Insurance broker organization code?3
Insurance broker nameTRI STATE UNION BENEFITS CORP
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number842841
Policy instance 2
Insurance contract or identification number842841
Number of Individuals Covered2306
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $58,236
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $435,343
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,236
Insurance broker organization code?3
Insurance broker nameTRI STATE UNION BENEFITS CORP
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12225361
Policy instance 1
Insurance contract or identification number12225361
Number of Individuals Covered1152
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $19,937
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,953
Insurance broker organization code?3
Insurance broker nameNICHOLAS SAIA
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3217184
Policy instance 2
Insurance contract or identification number3217184
Number of Individuals Covered1357
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $44,456
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $447,353
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12225361
Policy instance 1
Insurance contract or identification number12225361
Number of Individuals Covered1366
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $19,139
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12225361
Policy instance 1
Insurance contract or identification number12225361
Number of Individuals Covered1246
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $17,610
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $215,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3217184
Policy instance 2
Insurance contract or identification number3217184
Number of Individuals Covered1244
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $36,806
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $370,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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