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LOCAL 475 HEALTH PLAN 401k Plan overview

Plan NameLOCAL 475 HEALTH PLAN
Plan identification number 501

LOCAL 475 HEALTH PLAN Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES LOCAL 475 HEALTH PLAN has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES LOCAL 475 HEALTH PLAN
Employer identification number (EIN):136179467
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOCAL 475 HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01PETER VAUPEL2023-07-26 EDUARDO MELENDEZ2023-07-26
5012021-01-01PETER VAUPEL2022-07-29 EDUARDO MELENDEZ2022-07-29
5012020-01-01
5012019-01-01
5012019-01-01
5012019-01-01
5012018-01-01PETER VAUPEL
5012017-01-01PETER VAUPEL
5012016-01-01PETER VAUPEL
5012016-01-01
5012015-01-01PETER VAUPEL
5012014-01-01PETER VAUPEL
5012013-01-01GIOVANNI GOMEZ
5012012-01-01GIOVANNI GOMEZ
5012011-01-01GIOVANNI GOMEZ
5012009-01-01GIOVANNI GOMEZ

Plan Statistics for LOCAL 475 HEALTH PLAN

401k plan membership statisitcs for LOCAL 475 HEALTH PLAN

Measure Date Value
2022: LOCAL 475 HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01289
Total number of active participants reported on line 7a of the Form 55002022-01-01292
Total of all active and inactive participants2022-01-01292
Number of employers contributing to the scheme2022-01-014
2021: LOCAL 475 HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01299
Total number of active participants reported on line 7a of the Form 55002021-01-01286
Number of retired or separated participants receiving benefits2021-01-013
Total of all active and inactive participants2021-01-01289
Number of employers contributing to the scheme2021-01-014
2020: LOCAL 475 HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01321
Total number of active participants reported on line 7a of the Form 55002020-01-01296
Number of retired or separated participants receiving benefits2020-01-013
Total of all active and inactive participants2020-01-01299
Total participants2020-01-01299
Number of employers contributing to the scheme2020-01-014
2019: LOCAL 475 HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01292
Total number of active participants reported on line 7a of the Form 55002019-01-01318
Number of retired or separated participants receiving benefits2019-01-013
Total of all active and inactive participants2019-01-01321
Total participants2019-01-01321
Number of participants with account balances2019-01-010
Number of employers contributing to the scheme2019-01-014
2018: LOCAL 475 HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01297
Total number of active participants reported on line 7a of the Form 55002018-01-01290
Number of retired or separated participants receiving benefits2018-01-012
Total of all active and inactive participants2018-01-01292
Total participants2018-01-01292
Number of employers contributing to the scheme2018-01-014
2017: LOCAL 475 HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01261
Total number of active participants reported on line 7a of the Form 55002017-01-01294
Number of retired or separated participants receiving benefits2017-01-013
Total of all active and inactive participants2017-01-01297
Total participants2017-01-01297
Number of employers contributing to the scheme2017-01-014
2016: LOCAL 475 HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01290
Total number of active participants reported on line 7a of the Form 55002016-01-01261
Total of all active and inactive participants2016-01-01261
Total participants2016-01-01261
Number of employers contributing to the scheme2016-01-014
2015: LOCAL 475 HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01318
Total number of active participants reported on line 7a of the Form 55002015-01-01290
Total of all active and inactive participants2015-01-01290
Total participants2015-01-010
Number of employers contributing to the scheme2015-01-013
2014: LOCAL 475 HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01351
Total number of active participants reported on line 7a of the Form 55002014-01-01318
Total of all active and inactive participants2014-01-01318
Total participants2014-01-010
Number of employers contributing to the scheme2014-01-013
2013: LOCAL 475 HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01443
Total number of active participants reported on line 7a of the Form 55002013-01-01351
Total of all active and inactive participants2013-01-01351
Total participants2013-01-010
Number of employers contributing to the scheme2013-01-017
2012: LOCAL 475 HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01452
Total number of active participants reported on line 7a of the Form 55002012-01-01443
Total of all active and inactive participants2012-01-01443
Total participants2012-01-010
Number of employers contributing to the scheme2012-01-019
2011: LOCAL 475 HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01421
Total number of active participants reported on line 7a of the Form 55002011-01-01452
Total of all active and inactive participants2011-01-01452
Total participants2011-01-01452
Number of employers contributing to the scheme2011-01-019
2009: LOCAL 475 HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01548
Total number of active participants reported on line 7a of the Form 55002009-01-01458
Total of all active and inactive participants2009-01-01458
Total participants2009-01-01458
Number of employers contributing to the scheme2009-01-019

Financial Data on LOCAL 475 HEALTH PLAN

Measure Date Value
2022 : LOCAL 475 HEALTH PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$601,055
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,914,325
Total income from all sources (including contributions)2022-12-31$5,243,865
Total of all expenses incurred2022-12-31$4,633,052
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$4,026,401
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$6,923,174
Value of total assets at end of year2022-12-31$14,301,318
Value of total assets at beginning of year2022-12-31$15,003,775
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$606,651
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$190,924
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$190,924
Administrative expenses professional fees incurred2022-12-31$68,970
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$6,923,174
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$360,419
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$1,728,928
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$509,421
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$74,576
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$143,032
Administrative expenses (other) incurred2022-12-31$241,877
Liabilities. Value of operating payables at end of year2022-12-31$26,479
Liabilities. Value of operating payables at beginning of year2022-12-31$49,293
Total non interest bearing cash at end of year2022-12-31$1,976,920
Total non interest bearing cash at beginning of year2022-12-31$1,219,547
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$610,813
Value of net assets at end of year (total assets less liabilities)2022-12-31$13,700,263
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$13,089,450
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
Investment advisory and management fees2022-12-31$7,456
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$10,585,444
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$13,264,878
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$10,026
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$9,929
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$9,929
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$3,665,982
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,870,233
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
Contract administrator fees2022-12-31$288,348
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
Liabilities. Value of benefit claims payable at end of year2022-12-31$500,000
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$1,722,000
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
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 name2022-12-31GETTRY MARCUS CPA, P.C.
Accountancy firm EIN2022-12-31133418879
2021 : LOCAL 475 HEALTH PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,914,325
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$684,124
Total income from all sources (including contributions)2021-12-31$8,263,780
Total of all expenses incurred2021-12-31$6,839,970
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$6,225,473
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$6,997,093
Value of total assets at end of year2021-12-31$15,003,775
Value of total assets at beginning of year2021-12-31$12,349,764
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$614,497
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$179,855
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$179,855
Administrative expenses professional fees incurred2021-12-31$66,264
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$6,967,150
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$29,943
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$386,146
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$509,421
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$402,442
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$143,032
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$131,838
Administrative expenses (other) incurred2021-12-31$246,952
Liabilities. Value of operating payables at end of year2021-12-31$49,293
Liabilities. Value of operating payables at beginning of year2021-12-31$8,286
Total non interest bearing cash at end of year2021-12-31$1,219,547
Total non interest bearing cash at beginning of year2021-12-31$1,439,202
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$1,423,810
Value of net assets at end of year (total assets less liabilities)2021-12-31$13,089,450
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$11,665,640
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
Investment advisory and management fees2021-12-31$12,121
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$13,264,878
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$10,498,192
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$9,929
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$9,928
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$9,928
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$5,839,327
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,086,832
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
Contract administrator fees2021-12-31$289,160
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
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,722,000
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$544,000
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
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 name2021-12-31GETTRY MARCUS CPA P.C.
Accountancy firm EIN2021-12-31133418879
2020 : LOCAL 475 HEALTH PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$684,124
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$667,834
Total income from all sources (including contributions)2020-12-31$7,982,237
Total of all expenses incurred2020-12-31$4,925,494
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,288,278
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$7,006,017
Value of total assets at end of year2020-12-31$12,349,764
Value of total assets at beginning of year2020-12-31$9,276,731
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$637,216
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$164,049
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$164,049
Administrative expenses professional fees incurred2020-12-31$66,200
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$27,820
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$399,114
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$402,442
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$572,515
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$131,838
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$244,888
Administrative expenses (other) incurred2020-12-31$247,001
Liabilities. Value of operating payables at end of year2020-12-31$8,286
Liabilities. Value of operating payables at beginning of year2020-12-31$19,946
Total non interest bearing cash at end of year2020-12-31$1,439,202
Total non interest bearing cash at beginning of year2020-12-31$972,428
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$3,056,743
Value of net assets at end of year (total assets less liabilities)2020-12-31$11,665,640
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$8,608,897
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
Investment advisory and management fees2020-12-31$6,359
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$10,498,192
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$7,722,000
Value of interest in pooled separate accounts at end of year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$9,928
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$9,788
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$9,788
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$3,889,164
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$812,171
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
Contributions received in cash from employer2020-12-31$6,978,197
Contract administrator fees2020-12-31$317,656
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
Liabilities. Value of benefit claims payable at end of year2020-12-31$544,000
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$403,000
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
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 name2020-12-31WAGNER & ZWERMAN LLP
Accountancy firm EIN2020-12-31112836481
2019 : LOCAL 475 HEALTH PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$667,834
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$676,506
Total income from all sources (including contributions)2019-12-31$7,350,568
Total of all expenses incurred2019-12-31$5,323,065
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$4,695,816
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$6,288,266
Value of total assets at end of year2019-12-31$9,276,731
Value of total assets at beginning of year2019-12-31$7,257,900
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$627,249
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$111,813
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$111,813
Administrative expenses professional fees incurred2019-12-31$66,200
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$34,771
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$368,290
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$572,515
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$465,044
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$244,888
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$211,098
Administrative expenses (other) incurred2019-12-31$239,956
Liabilities. Value of operating payables at end of year2019-12-31$19,946
Liabilities. Value of operating payables at beginning of year2019-12-31$79,408
Total non interest bearing cash at end of year2019-12-31$972,428
Total non interest bearing cash at beginning of year2019-12-31$1,124,662
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$2,027,503
Value of net assets at end of year (total assets less liabilities)2019-12-31$8,608,897
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,581,394
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$5,615
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$7,722,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,051,393
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest in common/collective trusts at beginning of year2019-12-31$2,606,530
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$9,788
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$10,271
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$10,271
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$4,327,526
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$950,489
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$6,253,495
Contract administrator fees2019-12-31$315,478
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
Liabilities. Value of benefit claims payable at end of year2019-12-31$403,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$386,000
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
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
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31WAGNER & ZWERMAN LLP
Accountancy firm EIN2019-12-31112836481
2018 : LOCAL 475 HEALTH PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$676,506
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$625,267
Total income from all sources (including contributions)2018-12-31$5,641,244
Total of all expenses incurred2018-12-31$4,790,778
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$4,203,350
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$5,779,111
Value of total assets at end of year2018-12-31$7,257,900
Value of total assets at beginning of year2018-12-31$6,356,195
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$587,428
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$71,196
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$71,196
Administrative expenses professional fees incurred2018-12-31$70,963
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$27,101
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$343,262
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$465,044
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$3,240
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$211,098
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$80,685
Administrative expenses (other) incurred2018-12-31$217,375
Liabilities. Value of operating payables at end of year2018-12-31$79,408
Liabilities. Value of operating payables at beginning of year2018-12-31$30,582
Total non interest bearing cash at end of year2018-12-31$1,124,662
Total non interest bearing cash at beginning of year2018-12-31$1,754,240
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$850,466
Value of net assets at end of year (total assets less liabilities)2018-12-31$6,581,394
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,730,928
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
Investment advisory and management fees2018-12-31$6,200
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$3,051,393
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$2,427,932
Value of interest in pooled separate accounts at end of year2018-12-31$0
Value of interest in common/collective trusts at end of year2018-12-31$2,606,530
Value of interest in common/collective trusts at beginning of year2018-12-31$2,168,859
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$10,271
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,924
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,924
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$3,860,088
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-47,668
Net investment gain or loss from common/collective trusts2018-12-31$-161,395
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$5,752,010
Contract administrator fees2018-12-31$292,890
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
Liabilities. Value of benefit claims payable at end of year2018-12-31$386,000
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$514,000
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
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 name2018-12-31WAGNER & ZWERMAN LLP
Accountancy firm EIN2018-12-31112836481
2017 : LOCAL 475 HEALTH PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$625,267
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$590,300
Total income from all sources (including contributions)2017-12-31$5,953,824
Total of all expenses incurred2017-12-31$4,462,981
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$3,881,554
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$5,537,653
Value of total assets at end of year2017-12-31$6,356,195
Value of total assets at beginning of year2017-12-31$4,830,385
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$581,427
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$48,653
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$48,653
Administrative expenses professional fees incurred2017-12-31$63,615
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$34,102
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$3,240
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$5,480
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$80,685
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$575
Administrative expenses (other) incurred2017-12-31$216,573
Liabilities. Value of operating payables at end of year2017-12-31$30,582
Liabilities. Value of operating payables at beginning of year2017-12-31$74,725
Total non interest bearing cash at end of year2017-12-31$1,754,240
Total non interest bearing cash at beginning of year2017-12-31$1,590,421
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$1,490,843
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,730,928
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$4,240,085
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
Investment advisory and management fees2017-12-31$4,451
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$2,427,932
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,875,232
Value of interest in common/collective trusts at end of year2017-12-31$2,168,859
Value of interest in common/collective trusts at beginning of year2017-12-31$1,355,867
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,924
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$3,385
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$3,385
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$3,881,554
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$4,053
Net investment gain or loss from common/collective trusts2017-12-31$363,465
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$5,503,551
Contract administrator fees2017-12-31$296,788
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
Liabilities. Value of benefit claims payable at end of year2017-12-31$514,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$515,000
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
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 name2017-12-31WAGNER & ZWERMAN LLP
Accountancy firm EIN2017-12-31112836481
2016 : LOCAL 475 HEALTH PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$590,300
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$446,558
Total income from all sources (including contributions)2016-12-31$5,412,427
Total of all expenses incurred2016-12-31$3,981,902
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$3,086,815
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,279,973
Value of total assets at end of year2016-12-31$4,830,385
Value of total assets at beginning of year2016-12-31$3,256,118
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$895,087
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$27,176
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$27,176
Administrative expenses professional fees incurred2016-12-31$63,575
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$39,136
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$5,480
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$100,330
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$575
Administrative expenses (other) incurred2016-12-31$542,548
Liabilities. Value of operating payables at end of year2016-12-31$74,725
Liabilities. Value of operating payables at beginning of year2016-12-31$70,558
Total non interest bearing cash at end of year2016-12-31$1,590,421
Total non interest bearing cash at beginning of year2016-12-31$1,052,730
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$1,430,525
Value of net assets at end of year (total assets less liabilities)2016-12-31$4,240,085
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,809,560
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
Investment advisory and management fees2016-12-31$2,371
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,875,232
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$2,098,646
Value of interest in common/collective trusts at end of year2016-12-31$1,355,867
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$3,385
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$4,412
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$4,412
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$3,086,815
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$105,278
Net investment gain or loss from common/collective trusts2016-12-31$93,496
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
Contributions received in cash from employer2016-12-31$5,240,837
Contract administrator fees2016-12-31$286,593
Liabilities. Value of benefit claims payable at end of year2016-12-31$515,000
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$376,000
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
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 name2016-12-31WAGNER & ZWERMAN LLP
Accountancy firm EIN2016-12-31112836481
2015 : LOCAL 475 HEALTH PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$446,558
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$396,397
Total income from all sources (including contributions)2015-12-31$4,808,634
Total of all expenses incurred2015-12-31$3,659,113
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,706,955
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$4,798,704
Value of total assets at end of year2015-12-31$3,256,118
Value of total assets at beginning of year2015-12-31$2,056,436
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$952,158
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$31,269
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$31,269
Administrative expenses professional fees incurred2015-12-31$63,732
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$28,669
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$100,330
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$260,577
Other income not declared elsewhere2015-12-31$7
Administrative expenses (other) incurred2015-12-31$600,159
Liabilities. Value of operating payables at end of year2015-12-31$70,558
Liabilities. Value of operating payables at beginning of year2015-12-31$67,397
Total non interest bearing cash at end of year2015-12-31$1,052,730
Total non interest bearing cash at beginning of year2015-12-31$502,107
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$1,149,521
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,809,560
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,660,039
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
Investment advisory and management fees2015-12-31$1,416
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,098,646
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,288,723
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$4,412
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$5,029
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$5,029
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$2,706,955
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-21,346
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
Contributions received in cash from employer2015-12-31$4,770,035
Contract administrator fees2015-12-31$286,851
Liabilities. Value of benefit claims payable at end of year2015-12-31$376,000
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$329,000
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31WAGNER & ZWERMAN LLP
Accountancy firm EIN2015-12-31112836481
2014 : LOCAL 475 HEALTH PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-52,232
Total unrealized appreciation/depreciation of assets2014-12-31$-52,232
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$396,397
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$612,891
Total income from all sources (including contributions)2014-12-31$4,762,498
Total loss/gain on sale of assets2014-12-31$50,440
Total of all expenses incurred2014-12-31$4,211,133
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$3,734,115
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$4,743,749
Value of total assets at end of year2014-12-31$2,056,436
Value of total assets at beginning of year2014-12-31$1,721,565
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$477,018
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$20,534
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$20,534
Administrative expenses professional fees incurred2014-12-31$58,044
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$64,169
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$260,577
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$60,483
Other income not declared elsewhere2014-12-31$7
Administrative expenses (other) incurred2014-12-31$246,531
Liabilities. Value of operating payables at end of year2014-12-31$67,397
Liabilities. Value of operating payables at beginning of year2014-12-31$147,891
Total non interest bearing cash at end of year2014-12-31$502,107
Total non interest bearing cash at beginning of year2014-12-31$384,748
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$551,365
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,660,039
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,108,674
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
Investment advisory and management fees2014-12-31$2,115
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,288,723
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,194,984
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$5,029
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$81,350
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$81,350
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$3,734,115
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$4,679,580
Contract administrator fees2014-12-31$170,328
Liabilities. Value of benefit claims payable at end of year2014-12-31$329,000
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$465,000
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$162,478
Aggregate carrying amount (costs) on sale of assets2014-12-31$112,038
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 name2014-12-31WAGNER & ZWERMAN LLP
Accountancy firm EIN2014-12-31112836481
2013 : LOCAL 475 HEALTH PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$612,891
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,342,452
Total income from all sources (including contributions)2013-12-31$5,278,589
Total of all expenses incurred2013-12-31$4,402,906
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$3,723,956
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$5,148,068
Value of total assets at end of year2013-12-31$1,721,565
Value of total assets at beginning of year2013-12-31$1,575,443
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$678,950
Total interest from all sources2013-12-31$29
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$21,809
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$21,809
Administrative expenses professional fees incurred2013-12-31$209,481
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$75,751
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$60,483
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$270,627
Administrative expenses (other) incurred2013-12-31$254,055
Liabilities. Value of operating payables at end of year2013-12-31$147,891
Liabilities. Value of operating payables at beginning of year2013-12-31$172,027
Total non interest bearing cash at end of year2013-12-31$384,748
Total non interest bearing cash at beginning of year2013-12-31$57,005
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$875,683
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,108,674
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$232,991
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
Investment advisory and management fees2013-12-31$2,764
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,194,984
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,165,437
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$81,350
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$82,374
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$82,374
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$29
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$3,723,956
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$108,683
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$5,072,317
Contract administrator fees2013-12-31$212,650
Liabilities. Value of benefit claims payable at end of year2013-12-31$465,000
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,170,425
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
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 name2013-12-31WAGNER & ZWERMAN LLP
Accountancy firm EIN2013-12-31112836481
2012 : LOCAL 475 HEALTH PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,342,452
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,439,894
Total income from all sources (including contributions)2012-12-31$5,510,700
Total of all expenses incurred2012-12-31$5,863,335
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$5,042,491
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$5,365,790
Value of total assets at end of year2012-12-31$1,575,443
Value of total assets at beginning of year2012-12-31$2,025,520
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$820,844
Total interest from all sources2012-12-31$177
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$46,782
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$46,782
Administrative expenses professional fees incurred2012-12-31$224,527
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$49,457
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$270,627
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$169,532
Administrative expenses (other) incurred2012-12-31$337,848
Liabilities. Value of operating payables at end of year2012-12-31$172,027
Liabilities. Value of operating payables at beginning of year2012-12-31$171,052
Total non interest bearing cash at end of year2012-12-31$57,005
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-352,635
Value of net assets at end of year (total assets less liabilities)2012-12-31$232,991
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$585,626
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
Investment advisory and management fees2012-12-31$3,291
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,165,437
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,771,486
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$82,374
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$84,502
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$84,502
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$177
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$5,042,491
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$97,951
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$5,316,333
Contract administrator fees2012-12-31$255,178
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,170,425
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,268,842
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
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 name2012-12-31WAGNER & ZWERMAN LLP
Accountancy firm EIN2012-12-31112836481
2011 : LOCAL 475 HEALTH PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,439,894
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$687,373
Total income from all sources (including contributions)2011-12-31$5,730,623
Total of all expenses incurred2011-12-31$7,053,215
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$6,108,406
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$5,650,784
Value of total assets at end of year2011-12-31$2,025,520
Value of total assets at beginning of year2011-12-31$2,595,591
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$944,809
Total interest from all sources2011-12-31$4,931
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$46,740
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$46,740
Administrative expenses professional fees incurred2011-12-31$105,200
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$72,945
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$169,532
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$6,291
Administrative expenses (other) incurred2011-12-31$358,413
Liabilities. Value of operating payables at end of year2011-12-31$171,052
Liabilities. Value of operating payables at beginning of year2011-12-31$17,684
Total non interest bearing cash at beginning of year2011-12-31$756,782
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,322,592
Value of net assets at end of year (total assets less liabilities)2011-12-31$585,626
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,908,218
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
Investment advisory and management fees2011-12-31$3,159
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,771,486
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,746,108
Interest earned on other investments2011-12-31$4,921
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$84,502
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$86,410
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$86,410
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$10
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$6,108,406
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$28,168
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$5,577,839
Contract administrator fees2011-12-31$478,037
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,268,842
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$669,689
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31WAGNER & ZWERMAN LLP
Accountancy firm EIN2011-12-31112836481
2010 : LOCAL 475 HEALTH PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-2,220
Total unrealized appreciation/depreciation of assets2010-12-31$-2,220
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$687,373
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$512,562
Total income from all sources (including contributions)2010-12-31$4,907,656
Total loss/gain on sale of assets2010-12-31$13,861
Total of all expenses incurred2010-12-31$4,515,282
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$3,800,998
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$4,755,715
Value of total assets at end of year2010-12-31$2,595,591
Value of total assets at beginning of year2010-12-31$2,028,406
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$714,284
Total interest from all sources2010-12-31$26,845
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$19,667
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$10,819
Administrative expenses professional fees incurred2010-12-31$85,483
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$23,845
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$6,291
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$44,362
Administrative expenses (other) incurred2010-12-31$437,552
Liabilities. Value of operating payables at end of year2010-12-31$17,684
Liabilities. Value of operating payables at beginning of year2010-12-31$16,221
Total non interest bearing cash at end of year2010-12-31$756,782
Total non interest bearing cash at beginning of year2010-12-31$290,904
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$392,374
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,908,218
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,515,844
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$31,452
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,746,108
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$697,979
Interest earned on other investments2010-12-31$105
Income. Interest from US Government securities2010-12-31$26,727
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$86,410
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$130,789
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$130,789
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$13
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$3,800,998
Asset value of US Government securities at beginning of year2010-12-31$864,372
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$93,788
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$4,731,870
Income. Dividends from common stock2010-12-31$8,848
Contract administrator fees2010-12-31$159,797
Liabilities. Value of benefit claims payable at end of year2010-12-31$669,689
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$496,341
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$8,467,306
Aggregate carrying amount (costs) on sale of assets2010-12-31$8,453,445
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 name2010-12-31WAGNER & ZWERMAN LLP
Accountancy firm EIN2010-12-31112836481

Form 5500 Responses for LOCAL 475 HEALTH PLAN

2022: LOCAL 475 HEALTH PLAN 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: LOCAL 475 HEALTH PLAN 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: LOCAL 475 HEALTH PLAN 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: LOCAL 475 HEALTH PLAN 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: LOCAL 475 HEALTH PLAN 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: LOCAL 475 HEALTH PLAN 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: LOCAL 475 HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: LOCAL 475 HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LOCAL 475 HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LOCAL 475 HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LOCAL 475 HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LOCAL 475 HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: LOCAL 475 HEALTH PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
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

ALICARE, INC. (National Association of Insurance Commissioners NAIC id number: )
Policy contract number260C70
Policy instance 2
Insurance contract or identification number260C70
Number of Individuals Covered292
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,171
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER-P-19-1143N
Policy instance 1
Insurance contract or identification numberGER-P-19-1143N
Number of Individuals Covered292
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 $360,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALICARE, INC. (National Association of Insurance Commissioners NAIC id number: )
Policy contract number260C70
Policy instance 2
Insurance contract or identification number260C70
Number of Individuals Covered418
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $382
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $6,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $382
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER-P-19-1143N
Policy instance 1
Insurance contract or identification numberGER-P-19-1143N
Number of Individuals Covered286
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $386,164
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberNR859
Policy instance 3
Insurance contract or identification numberNR859
Number of Individuals Covered3
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Welfare Benefit Premiums Paid to CarrierUSD $2,903
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER-P19-1143N
Policy instance 2
Insurance contract or identification numberGER-P19-1143N
Number of Individuals Covered296
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Welfare Benefit Premiums Paid to CarrierUSD $399,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C70
Policy instance 1
Insurance contract or identification number260C70
Number of Individuals Covered218
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $545
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,779
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $545
Additional information about fees paid to insurance brokerCOMMISSIONS PAID
Insurance broker organization code?3
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C70
Policy instance 1
Insurance contract or identification number260C70
Number of Individuals Covered369
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $384
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,401
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $384
Additional information about fees paid to insurance brokerCOMMISSIONS PAID
Insurance broker organization code?3
AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberNR859
Policy instance 2
Insurance contract or identification numberNR859
Number of Individuals Covered3
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $329
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $165
Additional information about fees paid to insurance brokerCOMMISSIONS AND FEES PAID
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER-P19-1143N
Policy instance 3
Insurance contract or identification numberGER-P19-1143N
Number of Individuals Covered321
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Welfare Benefit Premiums Paid to CarrierUSD $368,290
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberNR859
Policy instance 3
Insurance contract or identification numberNR859
Number of Individuals Covered3
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $360
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $180
Additional information about fees paid to insurance brokerCOMMISSIONS AND FEES PAID
Insurance broker organization code?3
SIRIUS AMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38776 )
Policy contract numberJBM-215-NY-17
Policy instance 2
Insurance contract or identification numberJBM-215-NY-17
Number of Individuals Covered290
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Welfare Benefit Premiums Paid to CarrierUSD $343,262
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C70
Policy instance 1
Insurance contract or identification number260C70
Number of Individuals Covered381
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $359
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $359
Additional information about fees paid to insurance brokerCOMMISSIONS PAID
Insurance broker organization code?3
AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberNR859
Policy instance 3
Insurance contract or identification numberNR859
Number of Individuals Covered3
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $485
Total amount of fees paid to insurance companyUSD $46
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,409
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $270
Amount paid for insurance broker fees33
Additional information about fees paid to insurance brokerCOMMISSIONS AND FEES PAID
Insurance broker organization code?3
Insurance broker nameWENDY M CALIENDO
SIRIUS AMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38776 )
Policy contract numberJBM-215-NY-16
Policy instance 2
Insurance contract or identification numberJBM-215-NY-16
Number of Individuals Covered288
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Welfare Benefit Premiums Paid to CarrierUSD $352,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C70
Policy instance 1
Insurance contract or identification number260C70
Number of Individuals Covered345
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
Total amount of commissions paid to insurance brokerUSD $364
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,328
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $364
Additional information about fees paid to insurance brokerCOMMISSIONS PAID
Insurance broker organization code?3
Insurance broker nameQUANTUM FINANCIAL STRATEGIES
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C70
Policy instance 1
Insurance contract or identification number260C70
Number of Individuals Covered326
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of fees paid to insurance companyUSD $339
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees339
Additional information about fees paid to insurance brokerCOMMISSIONS PAID
Insurance broker organization code?3
Insurance broker nameQUANTUM FINANCIAL STRATEGIES
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberJBM-176-NY-15
Policy instance 2
Insurance contract or identification numberJBM-176-NY-15
Number of Individuals Covered295
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Welfare Benefit Premiums Paid to CarrierUSD $339,998
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C70
Policy instance 1
Insurance contract or identification number260C70
Number of Individuals Covered671
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $793
Life 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 $793
Insurance broker organization code?3
Insurance broker nameQUANTUM FINANCIAL STRATEGIES
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberJBM-176-NY-11
Policy instance 2
Insurance contract or identification numberJBM-176-NY-11
Number of Individuals Covered299
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 nameMADISON CONSULTING GROUP, LLC
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C70
Policy instance 1
Insurance contract or identification number260C70
Number of Individuals Covered671
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $322
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $322
Insurance broker organization code?3
Insurance broker nameQUANTUM FINANCIAL STRATEGIES
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberJBM-176-NY-10
Policy instance 2
Insurance contract or identification numberJBM-176-NY-10
Number of Individuals Covered342
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Welfare Benefit Premiums Paid to CarrierUSD $345,937
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C70
Policy instance 2
Insurance contract or identification number260C70
Number of Individuals Covered671
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $439
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $439
Insurance broker organization code?3
Insurance broker nameQUANTUM FINANCIAL STRATEGIES
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1021
Policy instance 1
Insurance contract or identification numberSL1021
Number of Individuals Covered392
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $52,900
Welfare Benefit Premiums Paid to CarrierUSD $457,873
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,900
Insurance broker organization code?3
Insurance broker nameMADISON CONSULTING GROUP, LLC
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C70
Policy instance 2
Insurance contract or identification number260C70
Number of Individuals Covered420
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $1,063
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,820
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1021
Policy instance 1
Insurance contract or identification numberSL1021
Number of Individuals Covered375
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $64,057
Welfare Benefit Premiums Paid to CarrierUSD $427,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1021
Policy instance 1
Insurance contract or identification numberSL1021
Number of Individuals Covered393
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $51,013
Welfare Benefit Premiums Paid to CarrierUSD $328,545
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C70
Policy instance 2
Insurance contract or identification number260C70
Number of Individuals Covered671
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,820
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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