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MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 401k Plan overview

Plan NameMANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA
Plan identification number 501

MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA has sponsored the creation of one or more 401k plans.

Company Name:MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA
Employer identification number (EIN):136086162
NAIC Classification:488490
NAIC Description:Other Support Activities for Road Transportation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01WAYNE WALSH2024-10-15
5012022-01-01MARK GLADFELTER2023-09-27
5012021-01-01MARK GLADFELTER2022-07-22
5012020-01-01LAMAR BEINHOWER2021-08-30
5012019-01-01LAMAR BEINHOWER2020-07-29
5012018-01-01LAMAR BEINHOWER2019-08-08
5012017-01-01
5012016-01-01LAMAR BEINHOWER
5012015-01-01LAMAR BEINHOWER
5012014-01-01LAMAR BEINHOWER
5012013-01-01
5012012-01-01CHRISTOPHER WALSH
5012011-01-01GIANCARLO PREZIOSO
5012010-01-01GIANCARLO PREZIOSO
5012009-01-01CHRISTOPHER WALSH

Financial Data on MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA

Measure Date Value
2023 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2023 401k financial data
Total plan liabilities at end of year2023-12-31$1,025
Total plan liabilities at beginning of year2023-12-31$42,210
Total income from all sources2023-12-31$632,526
Expenses. Total of all expenses incurred2023-12-31$1,478,504
Benefits paid (including direct rollovers)2023-12-31$1,362,422
Total plan assets at end of year2023-12-31$12,028
Total plan assets at beginning of year2023-12-31$899,191
Value of fidelity bond covering the plan2023-12-31$3,000,000
Expenses. Other expenses not covered elsewhere2023-12-31$22,673
Other income received2023-12-31$22,804
Net income (gross income less expenses)2023-12-31$-845,978
Net plan assets at end of year (total assets less liabilities)2023-12-31$11,003
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$856,981
Total contributions received or receivable from employer(s)2023-12-31$609,722
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$93,409
2022 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2022 401k financial data
Total plan liabilities at end of year2022-12-31$42,210
Total plan liabilities at beginning of year2022-12-31$46,673
Total income from all sources2022-12-31$1,149,377
Expenses. Total of all expenses incurred2022-12-31$1,521,242
Benefits paid (including direct rollovers)2022-12-31$1,391,054
Total plan assets at end of year2022-12-31$899,191
Total plan assets at beginning of year2022-12-31$1,275,519
Value of fidelity bond covering the plan2022-12-31$3,000,000
Expenses. Other expenses not covered elsewhere2022-12-31$25,027
Other income received2022-12-31$-65,567
Net income (gross income less expenses)2022-12-31$-371,865
Net plan assets at end of year (total assets less liabilities)2022-12-31$856,981
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,228,846
Total contributions received or receivable from employer(s)2022-12-31$1,214,944
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$105,161
2021 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2021 401k financial data
Total plan liabilities at end of year2021-12-31$46,673
Total plan liabilities at beginning of year2021-12-31$42,918
Total income from all sources2021-12-31$1,320,394
Expenses. Total of all expenses incurred2021-12-31$1,332,726
Benefits paid (including direct rollovers)2021-12-31$1,202,029
Total plan assets at end of year2021-12-31$1,275,519
Total plan assets at beginning of year2021-12-31$1,284,096
Value of fidelity bond covering the plan2021-12-31$3,000,000
Expenses. Other expenses not covered elsewhere2021-12-31$25,200
Other income received2021-12-31$15,172
Net income (gross income less expenses)2021-12-31$-12,332
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,228,846
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,241,178
Total contributions received or receivable from employer(s)2021-12-31$1,305,222
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$105,497
2020 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2020 401k financial data
Total plan liabilities at end of year2020-12-31$42,918
Total plan liabilities at beginning of year2020-12-31$44,603
Total income from all sources2020-12-31$1,233,292
Expenses. Total of all expenses incurred2020-12-31$1,214,771
Benefits paid (including direct rollovers)2020-12-31$1,086,055
Total plan assets at end of year2020-12-31$1,284,096
Total plan assets at beginning of year2020-12-31$1,267,260
Value of fidelity bond covering the plan2020-12-31$3,000,000
Expenses. Other expenses not covered elsewhere2020-12-31$25,304
Other income received2020-12-31$43,916
Net income (gross income less expenses)2020-12-31$18,521
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,241,178
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,222,657
Total contributions received or receivable from employer(s)2020-12-31$1,189,376
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$103,412
2019 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2019 401k financial data
Total plan liabilities at end of year2019-12-31$44,603
Total plan liabilities at beginning of year2019-12-31$45,714
Total income from all sources2019-12-31$1,396,324
Expenses. Total of all expenses incurred2019-12-31$1,183,509
Benefits paid (including direct rollovers)2019-12-31$1,055,880
Total plan assets at end of year2019-12-31$1,267,260
Total plan assets at beginning of year2019-12-31$1,055,556
Value of fidelity bond covering the plan2019-12-31$3,000,000
Expenses. Other expenses not covered elsewhere2019-12-31$25,626
Contributions received from other sources (not participants or employers)2019-12-31$2,566
Other income received2019-12-31$46,381
Net income (gross income less expenses)2019-12-31$212,815
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,222,657
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,009,842
Total contributions received or receivable from employer(s)2019-12-31$1,347,377
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$102,003
2018 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2018 401k financial data
Total plan liabilities at end of year2018-12-31$45,714
Total plan liabilities at beginning of year2018-12-31$42,076
Total income from all sources2018-12-31$1,189,386
Expenses. Total of all expenses incurred2018-12-31$1,192,776
Benefits paid (including direct rollovers)2018-12-31$1,059,381
Total plan assets at end of year2018-12-31$1,055,556
Total plan assets at beginning of year2018-12-31$1,055,308
Value of fidelity bond covering the plan2018-12-31$3,000,000
Expenses. Other expenses not covered elsewhere2018-12-31$26,874
Contributions received from other sources (not participants or employers)2018-12-31$7,708
Other income received2018-12-31$11,995
Net income (gross income less expenses)2018-12-31$-3,390
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,009,842
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,013,232
Total contributions received or receivable from employer(s)2018-12-31$1,169,683
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$106,521
2017 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2017 401k financial data
Total plan liabilities at end of year2017-12-31$42,076
Total plan liabilities at beginning of year2017-12-31$47,351
Total income from all sources2017-12-31$1,215,122
Expenses. Total of all expenses incurred2017-12-31$1,252,449
Benefits paid (including direct rollovers)2017-12-31$1,122,741
Total plan assets at end of year2017-12-31$1,055,308
Total plan assets at beginning of year2017-12-31$1,097,910
Value of fidelity bond covering the plan2017-12-31$3,000,000
Expenses. Other expenses not covered elsewhere2017-12-31$29,266
Other income received2017-12-31$16,277
Net income (gross income less expenses)2017-12-31$-37,327
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,013,232
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,050,559
Total contributions received or receivable from employer(s)2017-12-31$1,198,845
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$100,442
2016 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2016 401k financial data
Total plan liabilities at end of year2016-12-31$47,351
Total plan liabilities at beginning of year2016-12-31$50,239
Total income from all sources2016-12-31$1,198,195
Expenses. Total of all expenses incurred2016-12-31$1,281,103
Benefits paid (including direct rollovers)2016-12-31$1,151,902
Total plan assets at end of year2016-12-31$1,097,910
Total plan assets at beginning of year2016-12-31$1,183,706
Value of fidelity bond covering the plan2016-12-31$3,000,000
Total contributions received or receivable from participants2016-12-31$9,326
Expenses. Other expenses not covered elsewhere2016-12-31$19,107
Other income received2016-12-31$24,986
Net income (gross income less expenses)2016-12-31$-82,908
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,050,559
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,133,467
Total contributions received or receivable from employer(s)2016-12-31$1,163,883
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$110,094
2015 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2015 401k financial data
Total plan liabilities at end of year2015-12-31$50,239
Total plan liabilities at beginning of year2015-12-31$85,138
Total income from all sources2015-12-31$1,079,118
Expenses. Total of all expenses incurred2015-12-31$1,370,099
Benefits paid (including direct rollovers)2015-12-31$1,095,729
Total plan assets at end of year2015-12-31$1,183,706
Total plan assets at beginning of year2015-12-31$1,509,586
Value of fidelity bond covering the plan2015-12-31$3,000,000
Total contributions received or receivable from participants2015-12-31$11,503
Expenses. Other expenses not covered elsewhere2015-12-31$53,436
Other income received2015-12-31$5,265
Net income (gross income less expenses)2015-12-31$-290,981
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,133,467
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,424,448
Total contributions received or receivable from employer(s)2015-12-31$1,062,350
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$220,934
2014 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2014 401k financial data
Total plan liabilities at end of year2014-12-31$85,138
Total plan liabilities at beginning of year2014-12-31$129,905
Total income from all sources2014-12-31$1,080,151
Expenses. Total of all expenses incurred2014-12-31$1,555,631
Benefits paid (including direct rollovers)2014-12-31$1,134,968
Total plan assets at end of year2014-12-31$1,509,586
Total plan assets at beginning of year2014-12-31$2,029,833
Value of fidelity bond covering the plan2014-12-31$3,000,000
Expenses. Other expenses not covered elsewhere2014-12-31$135,074
Other income received2014-12-31$10,327
Net income (gross income less expenses)2014-12-31$-475,480
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,424,448
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,899,928
Total contributions received or receivable from employer(s)2014-12-31$1,069,824
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$285,589
2013 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2013 401k financial data
Total plan liabilities at end of year2013-12-31$129,905
Total plan liabilities at beginning of year2013-12-31$125,250
Total income from all sources2013-12-31$1,053,094
Expenses. Total of all expenses incurred2013-12-31$1,490,757
Benefits paid (including direct rollovers)2013-12-31$1,080,302
Total plan assets at end of year2013-12-31$2,029,833
Total plan assets at beginning of year2013-12-31$2,462,841
Value of fidelity bond covering the plan2013-12-31$3,000,000
Expenses. Other expenses not covered elsewhere2013-12-31$144,032
Other income received2013-12-31$16,921
Net income (gross income less expenses)2013-12-31$-437,663
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,899,928
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,337,591
Total contributions received or receivable from employer(s)2013-12-31$1,036,173
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$266,423
2012 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2012 401k financial data
Total plan liabilities at end of year2012-12-31$125,250
Total plan liabilities at beginning of year2012-12-31$144,942
Total income from all sources2012-12-31$959,979
Expenses. Total of all expenses incurred2012-12-31$1,472,170
Benefits paid (including direct rollovers)2012-12-31$1,111,725
Total plan assets at end of year2012-12-31$2,462,841
Total plan assets at beginning of year2012-12-31$2,994,724
Value of fidelity bond covering the plan2012-12-31$3,000,000
Expenses. Other expenses not covered elsewhere2012-12-31$117,697
Other income received2012-12-31$22,974
Net income (gross income less expenses)2012-12-31$-512,191
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,337,591
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,849,782
Total contributions received or receivable from employer(s)2012-12-31$937,005
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$242,748
2011 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2011 401k financial data
Total plan liabilities at end of year2011-12-31$144,942
Total plan liabilities at beginning of year2011-12-31$122,445
Total income from all sources2011-12-31$889,564
Expenses. Total of all expenses incurred2011-12-31$1,200,765
Benefits paid (including direct rollovers)2011-12-31$725,147
Total plan assets at end of year2011-12-31$2,994,724
Total plan assets at beginning of year2011-12-31$3,283,428
Value of fidelity bond covering the plan2011-12-31$3,000,000
Total contributions received or receivable from participants2011-12-31$26,763
Expenses. Other expenses not covered elsewhere2011-12-31$166,797
Other income received2011-12-31$49,032
Net income (gross income less expenses)2011-12-31$-311,201
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,849,782
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$3,160,983
Total contributions received or receivable from employer(s)2011-12-31$813,769
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$308,821
2010 : MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2010 401k financial data
Total plan liabilities at end of year2010-12-31$122,445
Total plan liabilities at beginning of year2010-12-31$313,365
Total income from all sources2010-12-31$244,227
Expenses. Total of all expenses incurred2010-12-31$1,131,233
Benefits paid (including direct rollovers)2010-12-31$680,725
Total plan assets at end of year2010-12-31$3,283,428
Total plan assets at beginning of year2010-12-31$4,361,354
Value of fidelity bond covering the plan2010-12-31$3,000,000
Total contributions received or receivable from participants2010-12-31$29,306
Expenses. Other expenses not covered elsewhere2010-12-31$139,884
Other income received2010-12-31$169,209
Net income (gross income less expenses)2010-12-31$-887,006
Net plan assets at end of year (total assets less liabilities)2010-12-31$3,160,983
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$4,047,989
Total contributions received or receivable from employer(s)2010-12-31$45,712
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$310,624

Form 5500 Responses for MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA

2023: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2023 form 5500 responses
2023-01-01Type of plan entityMulti-employer plan
2023-01-01Plan is a collectively bargained planYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: MANAGEMENT-LABOR WELFARE FUND LOCAL 1730 ILA 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342764
Policy instance 2
Insurance contract or identification number3342764
Number of Individuals Covered44
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $14,816
Total amount of fees paid to insurance companyUSD $130
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,305,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 1
Insurance contract or identification number15437
Number of Individuals Covered111
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $290
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $33,872
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 number3342764
Policy instance 2
Insurance contract or identification number3342764
Number of Individuals Covered53
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $19,008
Total amount of fees paid to insurance companyUSD $129
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,267,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 1
Insurance contract or identification number15437
Number of Individuals Covered116
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $315
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $37,631
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 number3342764
Policy instance 2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342764
Policy instance 2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0737386
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0737386
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0737386
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00611019
Policy instance 1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00611019
Policy instance 3
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number376202
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 2
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number376202
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 2
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number376202
Policy instance 1
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number376202
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 2
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number376202
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number15437
Policy instance 2

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