TRUSTEES OF BRICKLAYERS & ALLIED CRAFT WORKERS LO 3 NIAGARA FALLS-BFLO has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN
401k plan membership statisitcs for BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN
| Measure | Date | Value |
|---|
| 2023 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2023 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2023-05-31 | $-35,101 |
| Total unrealized appreciation/depreciation of assets | 2023-05-31 | $-35,101 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-05-31 | $87,160 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-05-31 | $72,000 |
| Total income from all sources (including contributions) | 2023-05-31 | $3,974,581 |
| Total loss/gain on sale of assets | 2023-05-31 | $-7,424 |
| Total of all expenses incurred | 2023-05-31 | $3,361,131 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-05-31 | $3,170,928 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-05-31 | $3,853,397 |
| Value of total assets at end of year | 2023-05-31 | $6,155,564 |
| Value of total assets at beginning of year | 2023-05-31 | $5,526,954 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-05-31 | $190,203 |
| Total interest from all sources | 2023-05-31 | $57,025 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-05-31 | $125,435 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2023-05-31 | $107,859 |
| Administrative expenses professional fees incurred | 2023-05-31 | $44,514 |
| Was this plan covered by a fidelity bond | 2023-05-31 | Yes |
| Value of fidelity bond cover | 2023-05-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2023-05-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2023-05-31 | No |
| Contributions received from participants | 2023-05-31 | $123,714 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-05-31 | $48,228 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-05-31 | $70,697 |
| Other income not declared elsewhere | 2023-05-31 | $87,993 |
| Administrative expenses (other) incurred | 2023-05-31 | $127,592 |
| Liabilities. Value of operating payables at end of year | 2023-05-31 | $73,986 |
| Liabilities. Value of operating payables at beginning of year | 2023-05-31 | $45,886 |
| Total non interest bearing cash at end of year | 2023-05-31 | $269,733 |
| Total non interest bearing cash at beginning of year | 2023-05-31 | $275,733 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-05-31 | No |
| Value of net income/loss | 2023-05-31 | $613,450 |
| Value of net assets at end of year (total assets less liabilities) | 2023-05-31 | $6,068,404 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-05-31 | $5,454,954 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-05-31 | No |
| Assets. partnership/joint venture interests at end of year | 2023-05-31 | $898 |
| Assets. partnership/joint venture interests at beginning of year | 2023-05-31 | $1,071 |
| Investment advisory and management fees | 2023-05-31 | $18,097 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2023-05-31 | $2,185,759 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-05-31 | $2,190,071 |
| Income. Interest from US Government securities | 2023-05-31 | $11 |
| Income. Interest from corporate debt instruments | 2023-05-31 | $29,369 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-05-31 | $932,786 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-05-31 | $407,637 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-05-31 | $407,637 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-05-31 | $27,645 |
| Assets. Value of investments in 103.12 investment entities at end of year | 2023-05-31 | $377,971 |
| Assets. Value of investments in 103.12 investment entities at beginning of year | 2023-05-31 | $495,486 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-05-31 | $1,011,966 |
| Asset value of US Government securities at end of year | 2023-05-31 | $0 |
| Asset value of US Government securities at beginning of year | 2023-05-31 | $4,628 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2023-05-31 | $-89,229 |
| Net gain/loss from 103.12 investment entities | 2023-05-31 | $-17,515 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2023-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-05-31 | No |
| Contributions received in cash from employer | 2023-05-31 | $3,729,683 |
| Employer contributions (assets) at end of year | 2023-05-31 | $542,953 |
| Employer contributions (assets) at beginning of year | 2023-05-31 | $440,493 |
| Income. Dividends from common stock | 2023-05-31 | $17,576 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-05-31 | $2,158,962 |
| Asset. Corporate debt instrument debt (other) at end of year | 2023-05-31 | $684,484 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2023-05-31 | $607,070 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2023-05-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2023-05-31 | $1,059,380 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2023-05-31 | $996,239 |
| Liabilities. Value of benefit claims payable at end of year | 2023-05-31 | $13,174 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-05-31 | $26,114 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2023-05-31 | $53,372 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2023-05-31 | $37,829 |
| Did the plan have assets held for investment | 2023-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-05-31 | No |
| Aggregate proceeds on sale of assets | 2023-05-31 | $3,881,198 |
| Aggregate carrying amount (costs) on sale of assets | 2023-05-31 | $3,888,622 |
| Opinion of an independent qualified public accountant for this plan | 2023-05-31 | Unqualified |
| Accountancy firm name | 2023-05-31 | TRONCONI SEGARRA & ASSOCIATES LLP |
| Accountancy firm EIN | 2023-05-31 | 043728817 |
| 2022 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2022 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2022-05-31 | $-149,653 |
| Total unrealized appreciation/depreciation of assets | 2022-05-31 | $-149,653 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-05-31 | $72,000 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-05-31 | $111,356 |
| Total income from all sources (including contributions) | 2022-05-31 | $3,266,704 |
| Total loss/gain on sale of assets | 2022-05-31 | $-26,392 |
| Total of all expenses incurred | 2022-05-31 | $3,315,200 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-05-31 | $3,100,191 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-05-31 | $3,289,790 |
| Value of total assets at end of year | 2022-05-31 | $5,526,954 |
| Value of total assets at beginning of year | 2022-05-31 | $5,614,806 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-05-31 | $215,009 |
| Total interest from all sources | 2022-05-31 | $29,605 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-05-31 | $72,517 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-05-31 | $49,584 |
| Administrative expenses professional fees incurred | 2022-05-31 | $57,932 |
| Was this plan covered by a fidelity bond | 2022-05-31 | Yes |
| Value of fidelity bond cover | 2022-05-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2022-05-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-05-31 | No |
| Contributions received from participants | 2022-05-31 | $158,889 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-05-31 | $70,697 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-05-31 | $56,617 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-05-31 | $30,325 |
| Other income not declared elsewhere | 2022-05-31 | $64,718 |
| Administrative expenses (other) incurred | 2022-05-31 | $140,415 |
| Liabilities. Value of operating payables at end of year | 2022-05-31 | $45,886 |
| Liabilities. Value of operating payables at beginning of year | 2022-05-31 | $69,581 |
| Total non interest bearing cash at end of year | 2022-05-31 | $275,733 |
| Total non interest bearing cash at beginning of year | 2022-05-31 | $244,562 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-05-31 | No |
| Value of net income/loss | 2022-05-31 | $-48,496 |
| Value of net assets at end of year (total assets less liabilities) | 2022-05-31 | $5,454,954 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-05-31 | $5,503,450 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-05-31 | No |
| Assets. partnership/joint venture interests at end of year | 2022-05-31 | $1,071 |
| Assets. partnership/joint venture interests at beginning of year | 2022-05-31 | $537,826 |
| Investment advisory and management fees | 2022-05-31 | $16,662 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-05-31 | $2,190,071 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-05-31 | $1,719,521 |
| Income. Interest from US Government securities | 2022-05-31 | $19 |
| Income. Interest from corporate debt instruments | 2022-05-31 | $28,870 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-05-31 | $407,637 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-05-31 | $627,851 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-05-31 | $627,851 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-05-31 | $716 |
| Assets. Value of investments in 103.12 investment entities at end of year | 2022-05-31 | $495,486 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-05-31 | $1,039,270 |
| Asset value of US Government securities at end of year | 2022-05-31 | $4,628 |
| Asset value of US Government securities at beginning of year | 2022-05-31 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-05-31 | $27,388 |
| Net gain/loss from 103.12 investment entities | 2022-05-31 | $-41,269 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-05-31 | No |
| Contributions received in cash from employer | 2022-05-31 | $3,130,901 |
| Employer contributions (assets) at end of year | 2022-05-31 | $440,493 |
| Employer contributions (assets) at beginning of year | 2022-05-31 | $359,308 |
| Income. Dividends from common stock | 2022-05-31 | $22,933 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-05-31 | $2,060,921 |
| Asset. Corporate debt instrument debt (other) at end of year | 2022-05-31 | $607,070 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2022-05-31 | $691,259 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-05-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2022-05-31 | $996,239 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2022-05-31 | $1,339,378 |
| Liabilities. Value of benefit claims payable at end of year | 2022-05-31 | $26,114 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-05-31 | $11,450 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2022-05-31 | $37,829 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2022-05-31 | $38,484 |
| Did the plan have assets held for investment | 2022-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-05-31 | No |
| Aggregate proceeds on sale of assets | 2022-05-31 | $4,455,974 |
| Aggregate carrying amount (costs) on sale of assets | 2022-05-31 | $4,482,366 |
| Opinion of an independent qualified public accountant for this plan | 2022-05-31 | Unqualified |
| Accountancy firm name | 2022-05-31 | TRONCONI SEGARRA & ASSOCIATES LLP |
| Accountancy firm EIN | 2022-05-31 | 043728817 |
| 2021 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2021 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2021-05-31 | $306,388 |
| Total unrealized appreciation/depreciation of assets | 2021-05-31 | $306,388 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-05-31 | $111,356 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-05-31 | $50,660 |
| Total income from all sources (including contributions) | 2021-05-31 | $3,733,606 |
| Total loss/gain on sale of assets | 2021-05-31 | $218,171 |
| Total of all expenses incurred | 2021-05-31 | $2,957,979 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-05-31 | $2,716,083 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-05-31 | $2,912,216 |
| Value of total assets at end of year | 2021-05-31 | $5,614,806 |
| Value of total assets at beginning of year | 2021-05-31 | $4,778,483 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-05-31 | $241,896 |
| Total interest from all sources | 2021-05-31 | $32,430 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-05-31 | $46,915 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-05-31 | $46,915 |
| Administrative expenses professional fees incurred | 2021-05-31 | $51,091 |
| Was this plan covered by a fidelity bond | 2021-05-31 | Yes |
| Value of fidelity bond cover | 2021-05-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2021-05-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-05-31 | No |
| Contributions received from participants | 2021-05-31 | $147,749 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-05-31 | $56,617 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-05-31 | $69,550 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-05-31 | $30,325 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-05-31 | $285 |
| Other income not declared elsewhere | 2021-05-31 | $111,438 |
| Administrative expenses (other) incurred | 2021-05-31 | $173,514 |
| Liabilities. Value of operating payables at end of year | 2021-05-31 | $69,581 |
| Liabilities. Value of operating payables at beginning of year | 2021-05-31 | $31,842 |
| Total non interest bearing cash at end of year | 2021-05-31 | $244,562 |
| Total non interest bearing cash at beginning of year | 2021-05-31 | $176,994 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-05-31 | No |
| Value of net income/loss | 2021-05-31 | $775,627 |
| Value of net assets at end of year (total assets less liabilities) | 2021-05-31 | $5,503,450 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-05-31 | $4,727,823 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-05-31 | No |
| Assets. partnership/joint venture interests at end of year | 2021-05-31 | $537,826 |
| Assets. partnership/joint venture interests at beginning of year | 2021-05-31 | $660,769 |
| Investment advisory and management fees | 2021-05-31 | $17,291 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-05-31 | $1,719,521 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-05-31 | $1,075,867 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-05-31 | $627,851 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-05-31 | $563,167 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-05-31 | $563,167 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-05-31 | $32,430 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-05-31 | $1,074,217 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-05-31 | $106,048 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-05-31 | No |
| Contributions received in cash from employer | 2021-05-31 | $2,764,467 |
| Employer contributions (assets) at end of year | 2021-05-31 | $359,308 |
| Employer contributions (assets) at beginning of year | 2021-05-31 | $270,933 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-05-31 | $1,641,866 |
| Asset. Corporate debt instrument debt (other) at end of year | 2021-05-31 | $691,259 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2021-05-31 | $741,953 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-05-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2021-05-31 | $1,339,378 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2021-05-31 | $1,180,111 |
| Liabilities. Value of benefit claims payable at end of year | 2021-05-31 | $11,450 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-05-31 | $18,533 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2021-05-31 | $38,484 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2021-05-31 | $39,139 |
| Did the plan have assets held for investment | 2021-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-05-31 | No |
| Aggregate proceeds on sale of assets | 2021-05-31 | $4,415,126 |
| Aggregate carrying amount (costs) on sale of assets | 2021-05-31 | $4,196,955 |
| Opinion of an independent qualified public accountant for this plan | 2021-05-31 | Unqualified |
| Accountancy firm name | 2021-05-31 | TRONCONI SEGARRA & ASSOCIATES LLP |
| Accountancy firm EIN | 2021-05-31 | 043728817 |
| 2020 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-05-31 | $-22,889 |
| Total unrealized appreciation/depreciation of assets | 2020-05-31 | $-22,889 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-05-31 | $50,660 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-05-31 | $55,002 |
| Total income from all sources (including contributions) | 2020-05-31 | $3,417,643 |
| Total loss/gain on sale of assets | 2020-05-31 | $80,986 |
| Total of all expenses incurred | 2020-05-31 | $3,562,774 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-05-31 | $3,329,151 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-05-31 | $3,152,929 |
| Value of total assets at end of year | 2020-05-31 | $4,778,483 |
| Value of total assets at beginning of year | 2020-05-31 | $4,927,956 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-05-31 | $233,623 |
| Total interest from all sources | 2020-05-31 | $31,198 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-05-31 | $113,221 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-05-31 | $113,221 |
| Administrative expenses professional fees incurred | 2020-05-31 | $50,559 |
| Was this plan covered by a fidelity bond | 2020-05-31 | Yes |
| Value of fidelity bond cover | 2020-05-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-05-31 | No |
| Contributions received from participants | 2020-05-31 | $156,468 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-05-31 | $69,550 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-05-31 | $38,706 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-05-31 | $285 |
| Other income not declared elsewhere | 2020-05-31 | $156,544 |
| Administrative expenses (other) incurred | 2020-05-31 | $160,540 |
| Liabilities. Value of operating payables at end of year | 2020-05-31 | $31,842 |
| Liabilities. Value of operating payables at beginning of year | 2020-05-31 | $36,002 |
| Total non interest bearing cash at end of year | 2020-05-31 | $176,994 |
| Total non interest bearing cash at beginning of year | 2020-05-31 | $189,594 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-05-31 | No |
| Value of net income/loss | 2020-05-31 | $-145,131 |
| Value of net assets at end of year (total assets less liabilities) | 2020-05-31 | $4,727,823 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-05-31 | $4,872,954 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-05-31 | No |
| Assets. partnership/joint venture interests at end of year | 2020-05-31 | $660,769 |
| Assets. partnership/joint venture interests at beginning of year | 2020-05-31 | $2,429 |
| Investment advisory and management fees | 2020-05-31 | $22,524 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-05-31 | $1,075,867 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-05-31 | $1,935,514 |
| Income. Interest from corporate debt instruments | 2020-05-31 | $31,198 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-05-31 | $563,167 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-05-31 | $341,583 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-05-31 | $341,583 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-05-31 | $1,166,941 |
| Asset value of US Government securities at beginning of year | 2020-05-31 | $1,061,691 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-05-31 | $-94,346 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-05-31 | No |
| Contributions received in cash from employer | 2020-05-31 | $2,996,461 |
| Employer contributions (assets) at end of year | 2020-05-31 | $270,933 |
| Employer contributions (assets) at beginning of year | 2020-05-31 | $497,235 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-05-31 | $2,162,210 |
| Asset. Corporate debt instrument debt (other) at end of year | 2020-05-31 | $741,953 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2020-05-31 | $268,664 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2020-05-31 | $1,180,111 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2020-05-31 | $588,476 |
| Liabilities. Value of benefit claims payable at end of year | 2020-05-31 | $18,533 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-05-31 | $19,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2020-05-31 | $39,139 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2020-05-31 | $4,064 |
| Did the plan have assets held for investment | 2020-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-05-31 | No |
| Aggregate proceeds on sale of assets | 2020-05-31 | $10,668,503 |
| Aggregate carrying amount (costs) on sale of assets | 2020-05-31 | $10,587,517 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-05-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-05-31 | Unqualified |
| Accountancy firm name | 2020-05-31 | BONADIO & CO., LLP |
| Accountancy firm EIN | 2020-05-31 | 161131146 |
| 2019 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-05-31 | $29,037 |
| Total unrealized appreciation/depreciation of assets | 2019-05-31 | $29,037 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-05-31 | $55,002 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-05-31 | $41,222 |
| Total income from all sources (including contributions) | 2019-05-31 | $4,114,311 |
| Total loss/gain on sale of assets | 2019-05-31 | $56,823 |
| Total of all expenses incurred | 2019-05-31 | $3,782,541 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-05-31 | $3,521,702 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-05-31 | $3,879,054 |
| Value of total assets at end of year | 2019-05-31 | $4,927,956 |
| Value of total assets at beginning of year | 2019-05-31 | $4,582,406 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-05-31 | $260,839 |
| Total interest from all sources | 2019-05-31 | $44,834 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-05-31 | $25,660 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-05-31 | $20,723 |
| Administrative expenses professional fees incurred | 2019-05-31 | $53,968 |
| Was this plan covered by a fidelity bond | 2019-05-31 | Yes |
| Value of fidelity bond cover | 2019-05-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-05-31 | No |
| Contributions received from participants | 2019-05-31 | $132,970 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-05-31 | $38,706 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-05-31 | $25,503 |
| Other income not declared elsewhere | 2019-05-31 | $32,256 |
| Administrative expenses (other) incurred | 2019-05-31 | $187,225 |
| Liabilities. Value of operating payables at end of year | 2019-05-31 | $36,002 |
| Liabilities. Value of operating payables at beginning of year | 2019-05-31 | $25,830 |
| Total non interest bearing cash at end of year | 2019-05-31 | $189,594 |
| Total non interest bearing cash at beginning of year | 2019-05-31 | $140,592 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-05-31 | No |
| Value of net income/loss | 2019-05-31 | $331,770 |
| Value of net assets at end of year (total assets less liabilities) | 2019-05-31 | $4,872,954 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-05-31 | $4,541,184 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-05-31 | No |
| Assets. partnership/joint venture interests at end of year | 2019-05-31 | $2,429 |
| Assets. partnership/joint venture interests at beginning of year | 2019-05-31 | $2,429 |
| Investment advisory and management fees | 2019-05-31 | $19,646 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-05-31 | $1,935,514 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-05-31 | $513,226 |
| Income. Interest from US Government securities | 2019-05-31 | $31,608 |
| Income. Interest from corporate debt instruments | 2019-05-31 | $13,226 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-05-31 | $341,583 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-05-31 | $1,871,344 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-05-31 | $1,871,344 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-05-31 | $1,224,079 |
| Asset value of US Government securities at end of year | 2019-05-31 | $1,061,691 |
| Asset value of US Government securities at beginning of year | 2019-05-31 | $945,718 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-05-31 | $46,647 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-05-31 | No |
| Contributions received in cash from employer | 2019-05-31 | $3,746,084 |
| Employer contributions (assets) at end of year | 2019-05-31 | $497,235 |
| Employer contributions (assets) at beginning of year | 2019-05-31 | $314,765 |
| Income. Dividends from common stock | 2019-05-31 | $4,937 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-05-31 | $2,297,623 |
| Asset. Corporate debt instrument debt (other) at end of year | 2019-05-31 | $268,664 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2019-05-31 | $365,960 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2019-05-31 | $588,476 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2019-05-31 | $400,317 |
| Liabilities. Value of benefit claims payable at end of year | 2019-05-31 | $19,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-05-31 | $15,392 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2019-05-31 | $4,064 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2019-05-31 | $2,552 |
| Did the plan have assets held for investment | 2019-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-05-31 | No |
| Aggregate proceeds on sale of assets | 2019-05-31 | $7,787,878 |
| Aggregate carrying amount (costs) on sale of assets | 2019-05-31 | $7,731,055 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-05-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-05-31 | Unqualified |
| Accountancy firm name | 2019-05-31 | BONADIO & CO., LLP |
| Accountancy firm EIN | 2019-05-31 | 161131146 |
| 2018 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-05-31 | $-108,851 |
| Total unrealized appreciation/depreciation of assets | 2018-05-31 | $-108,851 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-05-31 | $41,222 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-05-31 | $96,058 |
| Total income from all sources (including contributions) | 2018-05-31 | $3,728,034 |
| Total loss/gain on sale of assets | 2018-05-31 | $128,270 |
| Total of all expenses incurred | 2018-05-31 | $3,774,342 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-05-31 | $3,520,538 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-05-31 | $3,571,678 |
| Value of total assets at end of year | 2018-05-31 | $4,582,406 |
| Value of total assets at beginning of year | 2018-05-31 | $4,683,550 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-05-31 | $253,804 |
| Total interest from all sources | 2018-05-31 | $54,153 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-05-31 | $30,633 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-05-31 | $22,610 |
| Administrative expenses professional fees incurred | 2018-05-31 | $46,414 |
| Was this plan covered by a fidelity bond | 2018-05-31 | Yes |
| Value of fidelity bond cover | 2018-05-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2018-05-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-05-31 | No |
| Contributions received from participants | 2018-05-31 | $164,054 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-05-31 | $25,503 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-05-31 | $62,294 |
| Other income not declared elsewhere | 2018-05-31 | $56,660 |
| Administrative expenses (other) incurred | 2018-05-31 | $188,039 |
| Liabilities. Value of operating payables at end of year | 2018-05-31 | $25,830 |
| Liabilities. Value of operating payables at beginning of year | 2018-05-31 | $80,994 |
| Total non interest bearing cash at end of year | 2018-05-31 | $140,592 |
| Total non interest bearing cash at beginning of year | 2018-05-31 | $138,844 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-05-31 | No |
| Value of net income/loss | 2018-05-31 | $-46,308 |
| Value of net assets at end of year (total assets less liabilities) | 2018-05-31 | $4,541,184 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-05-31 | $4,587,492 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-05-31 | No |
| Assets. partnership/joint venture interests at end of year | 2018-05-31 | $2,429 |
| Assets. partnership/joint venture interests at beginning of year | 2018-05-31 | $2,429 |
| Investment advisory and management fees | 2018-05-31 | $19,351 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-05-31 | $513,226 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-05-31 | $1,009,727 |
| Income. Interest from US Government securities | 2018-05-31 | $40,881 |
| Income. Interest from corporate debt instruments | 2018-05-31 | $13,272 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-05-31 | $1,871,344 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-05-31 | $306,885 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-05-31 | $306,885 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-05-31 | $1,268,282 |
| Asset value of US Government securities at end of year | 2018-05-31 | $945,718 |
| Asset value of US Government securities at beginning of year | 2018-05-31 | $1,867,867 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-05-31 | $-4,509 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2018-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-05-31 | No |
| Contributions received in cash from employer | 2018-05-31 | $3,407,624 |
| Employer contributions (assets) at end of year | 2018-05-31 | $314,765 |
| Employer contributions (assets) at beginning of year | 2018-05-31 | $340,049 |
| Income. Dividends from common stock | 2018-05-31 | $8,023 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-05-31 | $2,252,256 |
| Asset. Corporate debt instrument debt (other) at end of year | 2018-05-31 | $365,960 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2018-05-31 | $209,147 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2018-05-31 | $400,317 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2018-05-31 | $742,140 |
| Liabilities. Value of benefit claims payable at end of year | 2018-05-31 | $15,392 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-05-31 | $15,064 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2018-05-31 | $2,552 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2018-05-31 | $4,168 |
| Did the plan have assets held for investment | 2018-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-05-31 | No |
| Aggregate proceeds on sale of assets | 2018-05-31 | $9,615,120 |
| Aggregate carrying amount (costs) on sale of assets | 2018-05-31 | $9,486,850 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-05-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-05-31 | Unqualified |
| Accountancy firm name | 2018-05-31 | BONADIO & CO., LLP |
| Accountancy firm EIN | 2018-05-31 | 161131146 |
| 2017 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-05-31 | $78,698 |
| Total unrealized appreciation/depreciation of assets | 2017-05-31 | $78,698 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-05-31 | $96,058 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-05-31 | $87,874 |
| Total income from all sources (including contributions) | 2017-05-31 | $3,844,860 |
| Total loss/gain on sale of assets | 2017-05-31 | $2,869 |
| Total of all expenses incurred | 2017-05-31 | $3,688,085 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-05-31 | $3,457,593 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-05-31 | $3,593,577 |
| Value of total assets at end of year | 2017-05-31 | $4,683,550 |
| Value of total assets at beginning of year | 2017-05-31 | $4,518,591 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-05-31 | $230,492 |
| Total interest from all sources | 2017-05-31 | $59,544 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-05-31 | $31,993 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-05-31 | $20,023 |
| Administrative expenses professional fees incurred | 2017-05-31 | $43,798 |
| Was this plan covered by a fidelity bond | 2017-05-31 | Yes |
| Value of fidelity bond cover | 2017-05-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-05-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-05-31 | No |
| Contributions received from participants | 2017-05-31 | $229,889 |
| Assets. Other investments not covered elsewhere at beginning of year | 2017-05-31 | $2,429 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-05-31 | $62,294 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-05-31 | $51,015 |
| Other income not declared elsewhere | 2017-05-31 | $47,933 |
| Administrative expenses (other) incurred | 2017-05-31 | $166,349 |
| Liabilities. Value of operating payables at end of year | 2017-05-31 | $80,994 |
| Liabilities. Value of operating payables at beginning of year | 2017-05-31 | $55,617 |
| Total non interest bearing cash at end of year | 2017-05-31 | $138,844 |
| Total non interest bearing cash at beginning of year | 2017-05-31 | $147,704 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-05-31 | No |
| Value of net income/loss | 2017-05-31 | $156,775 |
| Value of net assets at end of year (total assets less liabilities) | 2017-05-31 | $4,587,492 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-05-31 | $4,430,717 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-05-31 | No |
| Assets. partnership/joint venture interests at end of year | 2017-05-31 | $2,429 |
| Investment advisory and management fees | 2017-05-31 | $20,345 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-05-31 | $1,009,727 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-05-31 | $938,680 |
| Income. Interest from US Government securities | 2017-05-31 | $36,588 |
| Income. Interest from corporate debt instruments | 2017-05-31 | $22,956 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-05-31 | $306,885 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-05-31 | $119,116 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-05-31 | $119,116 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-05-31 | $1,384,163 |
| Asset value of US Government securities at end of year | 2017-05-31 | $1,867,867 |
| Asset value of US Government securities at beginning of year | 2017-05-31 | $1,713,827 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-05-31 | $30,246 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-05-31 | No |
| Contributions received in cash from employer | 2017-05-31 | $3,363,688 |
| Employer contributions (assets) at end of year | 2017-05-31 | $340,049 |
| Employer contributions (assets) at beginning of year | 2017-05-31 | $318,438 |
| Income. Dividends from common stock | 2017-05-31 | $11,970 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-05-31 | $2,073,430 |
| Asset. Corporate debt instrument debt (other) at end of year | 2017-05-31 | $209,147 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2017-05-31 | $492,754 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2017-05-31 | $742,140 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2017-05-31 | $725,721 |
| Liabilities. Value of benefit claims payable at end of year | 2017-05-31 | $15,064 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-05-31 | $32,257 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2017-05-31 | $4,168 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2017-05-31 | $8,907 |
| Did the plan have assets held for investment | 2017-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-05-31 | No |
| Aggregate proceeds on sale of assets | 2017-05-31 | $6,393,111 |
| Aggregate carrying amount (costs) on sale of assets | 2017-05-31 | $6,390,242 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-05-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-05-31 | Unqualified |
| Accountancy firm name | 2017-05-31 | BONADIO & CO., LLP |
| Accountancy firm EIN | 2017-05-31 | 161131146 |
| 2016 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-05-31 | $-1,827 |
| Total unrealized appreciation/depreciation of assets | 2016-05-31 | $-1,827 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-05-31 | $87,874 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-05-31 | $73,630 |
| Total income from all sources (including contributions) | 2016-05-31 | $3,424,595 |
| Total loss/gain on sale of assets | 2016-05-31 | $30,659 |
| Total of all expenses incurred | 2016-05-31 | $3,902,532 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-05-31 | $3,680,393 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-05-31 | $3,289,996 |
| Value of total assets at end of year | 2016-05-31 | $4,518,591 |
| Value of total assets at beginning of year | 2016-05-31 | $4,982,284 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-05-31 | $222,139 |
| Total interest from all sources | 2016-05-31 | $84,947 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-05-31 | $21,875 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-05-31 | $12,146 |
| Administrative expenses professional fees incurred | 2016-05-31 | $43,872 |
| Was this plan covered by a fidelity bond | 2016-05-31 | Yes |
| Value of fidelity bond cover | 2016-05-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-05-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-05-31 | No |
| Contributions received from participants | 2016-05-31 | $315,659 |
| Assets. Other investments not covered elsewhere at end of year | 2016-05-31 | $2,429 |
| Assets. Other investments not covered elsewhere at beginning of year | 2016-05-31 | $2,355 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-05-31 | $51,015 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-05-31 | $58,723 |
| Other income not declared elsewhere | 2016-05-31 | $20,963 |
| Administrative expenses (other) incurred | 2016-05-31 | $152,760 |
| Liabilities. Value of operating payables at end of year | 2016-05-31 | $55,617 |
| Liabilities. Value of operating payables at beginning of year | 2016-05-31 | $60,311 |
| Total non interest bearing cash at end of year | 2016-05-31 | $147,704 |
| Total non interest bearing cash at beginning of year | 2016-05-31 | $172,292 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-05-31 | No |
| Value of net income/loss | 2016-05-31 | $-477,937 |
| Value of net assets at end of year (total assets less liabilities) | 2016-05-31 | $4,430,717 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-05-31 | $4,908,654 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-05-31 | No |
| Investment advisory and management fees | 2016-05-31 | $25,507 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-05-31 | $938,680 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-05-31 | $407,029 |
| Income. Interest from US Government securities | 2016-05-31 | $49,182 |
| Income. Interest from corporate debt instruments | 2016-05-31 | $35,626 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-05-31 | $119,116 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-05-31 | $87,649 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-05-31 | $87,649 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-05-31 | $139 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-05-31 | $1,626,197 |
| Asset value of US Government securities at end of year | 2016-05-31 | $1,713,827 |
| Asset value of US Government securities at beginning of year | 2016-05-31 | $2,295,984 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-05-31 | $-22,018 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-05-31 | No |
| Contributions received in cash from employer | 2016-05-31 | $2,974,337 |
| Employer contributions (assets) at end of year | 2016-05-31 | $318,438 |
| Employer contributions (assets) at beginning of year | 2016-05-31 | $377,516 |
| Income. Dividends from common stock | 2016-05-31 | $9,729 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-05-31 | $2,054,196 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2016-05-31 | $478,008 |
| Asset. Corporate debt instrument debt (other) at end of year | 2016-05-31 | $492,754 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2016-05-31 | $298,696 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2016-05-31 | $725,721 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2016-05-31 | $784,390 |
| Liabilities. Value of benefit claims payable at end of year | 2016-05-31 | $32,257 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-05-31 | $13,319 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2016-05-31 | $8,907 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2016-05-31 | $19,642 |
| Did the plan have assets held for investment | 2016-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-05-31 | No |
| Aggregate proceeds on sale of assets | 2016-05-31 | $8,505,599 |
| Aggregate carrying amount (costs) on sale of assets | 2016-05-31 | $8,474,940 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-05-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-05-31 | Unqualified |
| Accountancy firm name | 2016-05-31 | ARCARA ZUCARELLI LENDA & STRAKA CPA |
| Accountancy firm EIN | 2016-05-31 | 471793720 |
| 2015 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-05-31 | $-33,492 |
| Total unrealized appreciation/depreciation of assets | 2015-05-31 | $-33,492 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-05-31 | $73,630 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-05-31 | $275,354 |
| Total income from all sources (including contributions) | 2015-05-31 | $3,832,281 |
| Total loss/gain on sale of assets | 2015-05-31 | $-28,594 |
| Total of all expenses incurred | 2015-05-31 | $4,148,564 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-05-31 | $3,923,126 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-05-31 | $3,765,431 |
| Value of total assets at end of year | 2015-05-31 | $4,982,284 |
| Value of total assets at beginning of year | 2015-05-31 | $5,500,291 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-05-31 | $225,438 |
| Total interest from all sources | 2015-05-31 | $103,185 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-05-31 | $17,081 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-05-31 | $2,348 |
| Administrative expenses professional fees incurred | 2015-05-31 | $46,630 |
| Was this plan covered by a fidelity bond | 2015-05-31 | Yes |
| Value of fidelity bond cover | 2015-05-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-05-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-05-31 | No |
| Contributions received from participants | 2015-05-31 | $399,956 |
| Assets. Other investments not covered elsewhere at end of year | 2015-05-31 | $2,355 |
| Assets. Other investments not covered elsewhere at beginning of year | 2015-05-31 | $179,776 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-05-31 | $58,723 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-05-31 | $67,381 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-05-31 | $198,878 |
| Other income not declared elsewhere | 2015-05-31 | $16,869 |
| Administrative expenses (other) incurred | 2015-05-31 | $148,620 |
| Liabilities. Value of operating payables at end of year | 2015-05-31 | $60,311 |
| Liabilities. Value of operating payables at beginning of year | 2015-05-31 | $58,309 |
| Total non interest bearing cash at end of year | 2015-05-31 | $172,292 |
| Total non interest bearing cash at beginning of year | 2015-05-31 | $166,729 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-05-31 | No |
| Value of net income/loss | 2015-05-31 | $-316,283 |
| Value of net assets at end of year (total assets less liabilities) | 2015-05-31 | $4,908,654 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-05-31 | $5,224,937 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-05-31 | No |
| Investment advisory and management fees | 2015-05-31 | $30,188 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-05-31 | $407,029 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-05-31 | $425,305 |
| Income. Interest from US Government securities | 2015-05-31 | $54,986 |
| Income. Interest from corporate debt instruments | 2015-05-31 | $48,173 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-05-31 | $87,649 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-05-31 | $257,632 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-05-31 | $257,632 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-05-31 | $26 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-05-31 | $1,878,771 |
| Asset value of US Government securities at end of year | 2015-05-31 | $2,295,984 |
| Asset value of US Government securities at beginning of year | 2015-05-31 | $1,997,070 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-05-31 | $-8,199 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-05-31 | No |
| Contributions received in cash from employer | 2015-05-31 | $3,365,475 |
| Employer contributions (assets) at end of year | 2015-05-31 | $377,516 |
| Employer contributions (assets) at beginning of year | 2015-05-31 | $518,061 |
| Income. Dividends from common stock | 2015-05-31 | $14,733 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-05-31 | $2,044,355 |
| Asset. Corporate debt instrument preferred debt at end of year | 2015-05-31 | $478,008 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2015-05-31 | $420,698 |
| Asset. Corporate debt instrument debt (other) at end of year | 2015-05-31 | $298,696 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2015-05-31 | $579,815 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2015-05-31 | $784,390 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2015-05-31 | $857,951 |
| Liabilities. Value of benefit claims payable at end of year | 2015-05-31 | $13,319 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-05-31 | $18,167 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2015-05-31 | $19,642 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2015-05-31 | $29,873 |
| Did the plan have assets held for investment | 2015-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-05-31 | No |
| Aggregate proceeds on sale of assets | 2015-05-31 | $6,897,535 |
| Aggregate carrying amount (costs) on sale of assets | 2015-05-31 | $6,926,129 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-05-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-05-31 | Unqualified |
| Accountancy firm name | 2015-05-31 | ARCARA ZUCARELLI LENDA & STRAKA CPA |
| Accountancy firm EIN | 2015-05-31 | 471793720 |
| 2014 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-05-31 | $103,658 |
| Total unrealized appreciation/depreciation of assets | 2014-05-31 | $103,658 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-05-31 | $275,354 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-05-31 | $118,086 |
| Total income from all sources (including contributions) | 2014-05-31 | $3,368,809 |
| Total loss/gain on sale of assets | 2014-05-31 | $18,806 |
| Total of all expenses incurred | 2014-05-31 | $3,876,877 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-05-31 | $3,627,994 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-05-31 | $3,045,755 |
| Value of total assets at end of year | 2014-05-31 | $5,500,291 |
| Value of total assets at beginning of year | 2014-05-31 | $5,851,091 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-05-31 | $248,883 |
| Total interest from all sources | 2014-05-31 | $130,093 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-05-31 | $16,257 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-05-31 | $2,430 |
| Administrative expenses professional fees incurred | 2014-05-31 | $75,151 |
| Was this plan covered by a fidelity bond | 2014-05-31 | Yes |
| Value of fidelity bond cover | 2014-05-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-05-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-05-31 | No |
| Contributions received from participants | 2014-05-31 | $424,351 |
| Assets. Other investments not covered elsewhere at end of year | 2014-05-31 | $179,776 |
| Assets. Other investments not covered elsewhere at beginning of year | 2014-05-31 | $385,425 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-05-31 | $67,381 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-05-31 | $464,378 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-05-31 | $198,878 |
| Other income not declared elsewhere | 2014-05-31 | $986 |
| Administrative expenses (other) incurred | 2014-05-31 | $143,694 |
| Liabilities. Value of operating payables at end of year | 2014-05-31 | $58,309 |
| Liabilities. Value of operating payables at beginning of year | 2014-05-31 | $80,096 |
| Total non interest bearing cash at end of year | 2014-05-31 | $166,729 |
| Total non interest bearing cash at beginning of year | 2014-05-31 | $246,951 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-05-31 | No |
| Value of net income/loss | 2014-05-31 | $-508,068 |
| Value of net assets at end of year (total assets less liabilities) | 2014-05-31 | $5,224,937 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-05-31 | $5,733,005 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-05-31 | No |
| Investment advisory and management fees | 2014-05-31 | $30,038 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-05-31 | $425,305 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-05-31 | $455,173 |
| Income. Interest from US Government securities | 2014-05-31 | $71,960 |
| Income. Interest from corporate debt instruments | 2014-05-31 | $58,113 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-05-31 | $257,632 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-05-31 | $143,731 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-05-31 | $143,731 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-05-31 | $20 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-05-31 | $1,785,062 |
| Asset value of US Government securities at end of year | 2014-05-31 | $1,997,070 |
| Asset value of US Government securities at beginning of year | 2014-05-31 | $1,729,721 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-05-31 | $53,254 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-05-31 | No |
| Contributions received in cash from employer | 2014-05-31 | $2,621,404 |
| Employer contributions (assets) at end of year | 2014-05-31 | $518,061 |
| Employer contributions (assets) at beginning of year | 2014-05-31 | $575,149 |
| Income. Dividends from common stock | 2014-05-31 | $13,827 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-05-31 | $1,842,932 |
| Asset. Corporate debt instrument preferred debt at end of year | 2014-05-31 | $420,698 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2014-05-31 | $465,069 |
| Asset. Corporate debt instrument debt (other) at end of year | 2014-05-31 | $579,815 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2014-05-31 | $610,987 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2014-05-31 | $857,951 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2014-05-31 | $739,911 |
| Liabilities. Value of benefit claims payable at end of year | 2014-05-31 | $18,167 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-05-31 | $37,990 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2014-05-31 | $29,873 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2014-05-31 | $34,596 |
| Did the plan have assets held for investment | 2014-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-05-31 | No |
| Aggregate proceeds on sale of assets | 2014-05-31 | $5,166,673 |
| Aggregate carrying amount (costs) on sale of assets | 2014-05-31 | $5,147,867 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-05-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-05-31 | Unqualified |
| Accountancy firm name | 2014-05-31 | ARCARA & BORCZYNSKI, LLP |
| Accountancy firm EIN | 2014-05-31 | 161462141 |
| 2013 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-05-31 | $424,487 |
| Total unrealized appreciation/depreciation of assets | 2013-05-31 | $424,487 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-05-31 | $118,086 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-05-31 | $186,473 |
| Total income from all sources (including contributions) | 2013-05-31 | $5,040,169 |
| Total loss/gain on sale of assets | 2013-05-31 | $55,672 |
| Total of all expenses incurred | 2013-05-31 | $4,070,606 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-05-31 | $3,840,170 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-05-31 | $3,922,944 |
| Value of total assets at end of year | 2013-05-31 | $5,851,091 |
| Value of total assets at beginning of year | 2013-05-31 | $4,949,915 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-05-31 | $230,436 |
| Total interest from all sources | 2013-05-31 | $128,399 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-05-31 | $14,564 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-05-31 | $3,463 |
| Administrative expenses professional fees incurred | 2013-05-31 | $61,203 |
| Was this plan covered by a fidelity bond | 2013-05-31 | Yes |
| Value of fidelity bond cover | 2013-05-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2013-05-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-05-31 | No |
| Contributions received from participants | 2013-05-31 | $399,202 |
| Assets. Other investments not covered elsewhere at end of year | 2013-05-31 | $385,425 |
| Assets. Other investments not covered elsewhere at beginning of year | 2013-05-31 | $69,156 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-05-31 | $464,378 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-05-31 | $43,720 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-05-31 | $78,986 |
| Other income not declared elsewhere | 2013-05-31 | $424,987 |
| Administrative expenses (other) incurred | 2013-05-31 | $140,379 |
| Liabilities. Value of operating payables at end of year | 2013-05-31 | $80,096 |
| Liabilities. Value of operating payables at beginning of year | 2013-05-31 | $73,627 |
| Total non interest bearing cash at end of year | 2013-05-31 | $246,951 |
| Total non interest bearing cash at beginning of year | 2013-05-31 | $111,918 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-05-31 | No |
| Value of net income/loss | 2013-05-31 | $969,563 |
| Value of net assets at end of year (total assets less liabilities) | 2013-05-31 | $5,733,005 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-05-31 | $4,763,442 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-05-31 | No |
| Investment advisory and management fees | 2013-05-31 | $28,854 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-05-31 | $455,173 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-05-31 | $293,676 |
| Income. Interest from US Government securities | 2013-05-31 | $67,245 |
| Income. Interest from corporate debt instruments | 2013-05-31 | $61,079 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-05-31 | $143,731 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-05-31 | $275,344 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-05-31 | $275,344 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-05-31 | $75 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-05-31 | $1,740,076 |
| Asset value of US Government securities at end of year | 2013-05-31 | $1,729,721 |
| Asset value of US Government securities at beginning of year | 2013-05-31 | $1,695,849 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-05-31 | $69,116 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-05-31 | No |
| Contributions received in cash from employer | 2013-05-31 | $3,523,742 |
| Employer contributions (assets) at end of year | 2013-05-31 | $575,149 |
| Employer contributions (assets) at beginning of year | 2013-05-31 | $400,240 |
| Income. Dividends from common stock | 2013-05-31 | $11,101 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-05-31 | $2,100,094 |
| Asset. Corporate debt instrument preferred debt at end of year | 2013-05-31 | $465,069 |
| Asset. Corporate debt instrument debt (other) at end of year | 2013-05-31 | $610,987 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2013-05-31 | $1,183,066 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2013-05-31 | $739,911 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2013-05-31 | $732,805 |
| Liabilities. Value of benefit claims payable at end of year | 2013-05-31 | $37,990 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-05-31 | $33,860 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2013-05-31 | $34,596 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2013-05-31 | $144,141 |
| Did the plan have assets held for investment | 2013-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-05-31 | No |
| Aggregate proceeds on sale of assets | 2013-05-31 | $6,367,668 |
| Aggregate carrying amount (costs) on sale of assets | 2013-05-31 | $6,311,996 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-05-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-05-31 | Unqualified |
| Accountancy firm name | 2013-05-31 | ARCARA & BORCZYNSKI, LLP |
| Accountancy firm EIN | 2013-05-31 | 161462141 |
| 2012 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-05-31 | $19,256 |
| Total unrealized appreciation/depreciation of assets | 2012-05-31 | $19,256 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-05-31 | $186,473 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-05-31 | $91,069 |
| Total income from all sources (including contributions) | 2012-05-31 | $3,669,229 |
| Total loss/gain on sale of assets | 2012-05-31 | $-24,401 |
| Total of all expenses incurred | 2012-05-31 | $3,764,886 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-05-31 | $3,591,707 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-05-31 | $3,572,949 |
| Value of total assets at end of year | 2012-05-31 | $4,949,915 |
| Value of total assets at beginning of year | 2012-05-31 | $4,950,168 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-05-31 | $173,179 |
| Total interest from all sources | 2012-05-31 | $131,248 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-05-31 | $15,740 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-05-31 | $3,082 |
| Administrative expenses professional fees incurred | 2012-05-31 | $38,930 |
| Was this plan covered by a fidelity bond | 2012-05-31 | Yes |
| Value of fidelity bond cover | 2012-05-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2012-05-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-05-31 | No |
| Contributions received from participants | 2012-05-31 | $409,459 |
| Assets. Other investments not covered elsewhere at end of year | 2012-05-31 | $69,156 |
| Assets. Other investments not covered elsewhere at beginning of year | 2012-05-31 | $68,468 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-05-31 | $43,720 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-05-31 | $76,089 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-05-31 | $78,986 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-05-31 | $14,584 |
| Administrative expenses (other) incurred | 2012-05-31 | $102,439 |
| Liabilities. Value of operating payables at end of year | 2012-05-31 | $73,627 |
| Liabilities. Value of operating payables at beginning of year | 2012-05-31 | $62,364 |
| Total non interest bearing cash at end of year | 2012-05-31 | $111,918 |
| Total non interest bearing cash at beginning of year | 2012-05-31 | $124,294 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-05-31 | No |
| Value of net income/loss | 2012-05-31 | $-95,657 |
| Value of net assets at end of year (total assets less liabilities) | 2012-05-31 | $4,763,442 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-05-31 | $4,859,099 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-05-31 | No |
| Investment advisory and management fees | 2012-05-31 | $31,810 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-05-31 | $293,676 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-05-31 | $370,897 |
| Income. Interest from US Government securities | 2012-05-31 | $68,198 |
| Income. Interest from corporate debt instruments | 2012-05-31 | $63,020 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-05-31 | $275,344 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-05-31 | $48,487 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-05-31 | $48,487 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-05-31 | $30 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-05-31 | $1,424,371 |
| Asset value of US Government securities at end of year | 2012-05-31 | $1,695,849 |
| Asset value of US Government securities at beginning of year | 2012-05-31 | $1,711,993 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-05-31 | $-45,563 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-05-31 | No |
| Contributions received in cash from employer | 2012-05-31 | $3,163,490 |
| Employer contributions (assets) at end of year | 2012-05-31 | $400,240 |
| Employer contributions (assets) at beginning of year | 2012-05-31 | $403,524 |
| Income. Dividends from common stock | 2012-05-31 | $12,658 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-05-31 | $2,167,336 |
| Asset. Corporate debt instrument debt (other) at end of year | 2012-05-31 | $1,183,066 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2012-05-31 | $1,291,514 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2012-05-31 | $732,805 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2012-05-31 | $829,933 |
| Liabilities. Value of benefit claims payable at end of year | 2012-05-31 | $33,860 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-05-31 | $14,121 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2012-05-31 | $144,141 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2012-05-31 | $24,969 |
| Did the plan have assets held for investment | 2012-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-05-31 | No |
| Aggregate proceeds on sale of assets | 2012-05-31 | $4,714,079 |
| Aggregate carrying amount (costs) on sale of assets | 2012-05-31 | $4,738,480 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-05-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-05-31 | Unqualified |
| Accountancy firm name | 2012-05-31 | ARCARA & BORCZYNSKI, LLP |
| Accountancy firm EIN | 2012-05-31 | 161462141 |
| 2011 : BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL NO. 3 NEW YORK NIAGARA FALLS-BUFFALO CHAPTER HEALTH & WELFARE PLAN 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-05-31 | $56,005 |
| Total unrealized appreciation/depreciation of assets | 2011-05-31 | $56,005 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-05-31 | $91,069 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-05-31 | $138,115 |
| Total income from all sources (including contributions) | 2011-05-31 | $3,743,246 |
| Total loss/gain on sale of assets | 2011-05-31 | $44,729 |
| Total of all expenses incurred | 2011-05-31 | $3,467,175 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-05-31 | $3,292,818 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-05-31 | $3,430,797 |
| Value of total assets at end of year | 2011-05-31 | $4,950,168 |
| Value of total assets at beginning of year | 2011-05-31 | $4,721,143 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-05-31 | $174,357 |
| Total interest from all sources | 2011-05-31 | $108,667 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-05-31 | $11,233 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-05-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-05-31 | $2,790 |
| Administrative expenses professional fees incurred | 2011-05-31 | $36,862 |
| Was this plan covered by a fidelity bond | 2011-05-31 | Yes |
| Value of fidelity bond cover | 2011-05-31 | $3,000,000 |
| If this is an individual account plan, was there a blackout period | 2011-05-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-05-31 | No |
| Contributions received from participants | 2011-05-31 | $388,129 |
| Assets. Other investments not covered elsewhere at end of year | 2011-05-31 | $68,468 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-05-31 | $76,089 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-05-31 | $12,487 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-05-31 | $14,584 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-05-31 | $66,268 |
| Other income not declared elsewhere | 2011-05-31 | $88 |
| Administrative expenses (other) incurred | 2011-05-31 | $105,560 |
| Liabilities. Value of operating payables at end of year | 2011-05-31 | $62,364 |
| Liabilities. Value of operating payables at beginning of year | 2011-05-31 | $57,742 |
| Total non interest bearing cash at end of year | 2011-05-31 | $124,294 |
| Total non interest bearing cash at beginning of year | 2011-05-31 | $202,736 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-05-31 | No |
| Value of net income/loss | 2011-05-31 | $276,071 |
| Value of net assets at end of year (total assets less liabilities) | 2011-05-31 | $4,859,099 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-05-31 | $4,583,028 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-05-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-05-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-05-31 | No |
| Investment advisory and management fees | 2011-05-31 | $31,935 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-05-31 | $370,897 |
| Income. Interest from US Government securities | 2011-05-31 | $59,162 |
| Income. Interest from corporate debt instruments | 2011-05-31 | $49,340 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-05-31 | $48,487 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-05-31 | $651,053 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-05-31 | $651,053 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-05-31 | $165 |
| Assets. Value of investments in 103.12 investment entities at beginning of year | 2011-05-31 | $884,752 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-05-31 | $1,536,965 |
| Asset value of US Government securities at end of year | 2011-05-31 | $1,711,993 |
| Asset value of US Government securities at beginning of year | 2011-05-31 | $1,954,917 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-05-31 | $91,727 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-05-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-05-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-05-31 | No |
| Contributions received in cash from employer | 2011-05-31 | $3,042,668 |
| Employer contributions (assets) at end of year | 2011-05-31 | $403,524 |
| Employer contributions (assets) at beginning of year | 2011-05-31 | $627,880 |
| Income. Dividends from common stock | 2011-05-31 | $8,443 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-05-31 | $1,755,853 |
| Asset. Corporate debt instrument debt (other) at end of year | 2011-05-31 | $1,291,514 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2011-05-31 | $366,767 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2011-05-31 | $829,933 |
| Liabilities. Value of benefit claims payable at end of year | 2011-05-31 | $14,121 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-05-31 | $14,105 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2011-05-31 | $24,969 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2011-05-31 | $20,551 |
| Did the plan have assets held for investment | 2011-05-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-05-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-05-31 | No |
| Aggregate proceeds on sale of assets | 2011-05-31 | $12,600,042 |
| Aggregate carrying amount (costs) on sale of assets | 2011-05-31 | $12,555,313 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-05-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-05-31 | Unqualified |
| Accountancy firm name | 2011-05-31 | ARCARA & BORCZYNSKI, LLP |
| Accountancy firm EIN | 2011-05-31 | 161462141 |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 286535 |
| Policy instance | 7 |
| Insurance contract or identification number | 286535 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,650 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00309318 |
| Policy instance | 6 |
| Insurance contract or identification number | 00309318 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2022-06-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,843 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00029532 |
| Policy instance | 5 |
| Insurance contract or identification number | 00029532 | | Number of Individuals Covered | 259 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-05-31 | | Total amount of commissions paid to insurance broker | USD $3,359 | | Total amount of fees paid to insurance company | USD $1,384 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $33,588 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,359 | | Amount paid for insurance broker fees | 1384 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5999116BUFF |
| Policy instance | 4 |
| Insurance contract or identification number | 5999116BUFF | | Number of Individuals Covered | 256 | | Insurance policy start date | 2022-06-01 | | Insurance policy end date | 2023-05-31 | | Total amount of commissions paid to insurance broker | USD $1,441 | | Total amount of fees paid to insurance company | USD $394 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $23,283 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,441 | | Amount paid for insurance broker fees | 33 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | | Insurance broker organization code? | 3 |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00500263 |
| Policy instance | 3 |
| Insurance contract or identification number | 00500263 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2022-06-01 | | Insurance policy end date | 2023-05-31 | | Total amount of commissions paid to insurance broker | USD $300 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,340 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $300 | | Insurance broker organization code? | 3 |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00009839 |
| Policy instance | 2 |
| Insurance contract or identification number | 00009839 | | Number of Individuals Covered | 111 | | Insurance policy start date | 2022-06-01 | | Insurance policy end date | 2023-05-31 | | Total amount of commissions paid to insurance broker | USD $27,205 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $27,205 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00998182 |
| Policy instance | 1 |
| Insurance contract or identification number | 00998182 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2022-06-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,768 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00009839 |
| Policy instance | 2 |
| Insurance contract or identification number | 00009839 | | Number of Individuals Covered | 119 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-05-31 | | Total amount of commissions paid to insurance broker | USD $25,152 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $25,152 | | Insurance broker organization code? | 3 |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00500263 |
| Policy instance | 3 |
| Insurance contract or identification number | 00500263 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-05-31 | | Total amount of commissions paid to insurance broker | USD $300 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $300 | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5999116BUFF |
| Policy instance | 4 |
| Insurance contract or identification number | 5999116BUFF | | Number of Individuals Covered | 246 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-05-31 | | Total amount of commissions paid to insurance broker | USD $1,092 | | Total amount of fees paid to insurance company | USD $342 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $22,624 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,092 | | Insurance broker organization code? | 4 | | Amount paid for insurance broker fees | 342 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00998182 |
| Policy instance | 1 |
| Insurance contract or identification number | 00998182 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,055 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00029532 |
| Policy instance | 5 |
| Insurance contract or identification number | 00029532 | | Number of Individuals Covered | 249 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-05-31 | | Total amount of commissions paid to insurance broker | USD $1,354 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,541 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,354 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00998182 |
| Policy instance | 4 |
| Insurance contract or identification number | 00998182 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,625 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00500263 |
| Policy instance | 3 |
| Insurance contract or identification number | 00500263 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-05-31 | | Total amount of commissions paid to insurance broker | USD $363 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,515 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $363 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00309318 |
| Policy instance | 1 |
| Insurance contract or identification number | 00309318 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,020 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00009839 |
| Policy instance | 2 |
| Insurance contract or identification number | 00009839 | | Number of Individuals Covered | 371 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-05-31 | | Total amount of commissions paid to insurance broker | USD $77,760 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $77,760 | | Insurance broker organization code? | 3 |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | BLL-005 |
| Policy instance | 5 |
| Insurance contract or identification number | BLL-005 | | Insurance policy end date | 2020-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00009839 |
| Policy instance | 4 |
| Insurance contract or identification number | 00009839 | | Number of Individuals Covered | 403 | | Insurance policy end date | 2020-05-31 | | Total amount of commissions paid to insurance broker | USD $89,566 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $89,566 | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00309318 |
| Policy instance | 3 |
| Insurance contract or identification number | 00309318 | | Number of Individuals Covered | 1 | | Insurance policy end date | 2020-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,951 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00500263 |
| Policy instance | 2 |
| Insurance contract or identification number | 00500263 | | Number of Individuals Covered | 3 | | Insurance policy end date | 2020-05-31 | | Total amount of commissions paid to insurance broker | USD $188 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,318 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $188 | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5999116 |
| Policy instance | 1 |
| Insurance contract or identification number | 5999116 | | Number of Individuals Covered | 290 | | Insurance policy end date | 2020-05-31 | | Total amount of commissions paid to insurance broker | USD $1,596 | | Total amount of fees paid to insurance company | USD $563 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $27,950 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,596 | | Amount paid for insurance broker fees | 563 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00998182 |
| Policy instance | 6 |
| Insurance contract or identification number | 00998182 | | Number of Individuals Covered | 7 | | Insurance policy end date | 2020-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,148 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00009839 |
| Policy instance | 4 |
| Insurance contract or identification number | 00009839 | | Number of Individuals Covered | 170 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $87,039 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $87,039 | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5999116 |
| Policy instance | 1 |
| Insurance contract or identification number | 5999116 | | Number of Individuals Covered | 302 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $1,329 | | Total amount of fees paid to insurance company | USD $325 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $28,869 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,329 | | Amount paid for insurance broker fees | 325 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00500263 |
| Policy instance | 2 |
| Insurance contract or identification number | 00500263 | | Number of Individuals Covered | 3 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,892 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00998182 |
| Policy instance | 3 |
| Insurance contract or identification number | 00998182 | | Number of Individuals Covered | 1 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $10,979 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | BLL-005 |
| Policy instance | 5 |
| Insurance contract or identification number | BLL-005 | | Number of Individuals Covered | 734 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $40,401 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00309318 |
| Policy instance | 6 |
| Insurance contract or identification number | 00309318 | | Number of Individuals Covered | 1 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,301 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5999116 |
| Policy instance | 1 |
| Insurance contract or identification number | 5999116 | | Number of Individuals Covered | 311 | | Insurance policy end date | 2018-05-31 | | Total amount of commissions paid to insurance broker | USD $1,784 | | Total amount of fees paid to insurance company | USD $448 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $26,285 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,784 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker name | BROWN & BROWN OF NY |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00500263 |
| Policy instance | 2 |
| Insurance contract or identification number | 00500263 | | Number of Individuals Covered | 3 | | Insurance policy end date | 2018-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $18,782 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00998182 |
| Policy instance | 3 |
| Insurance contract or identification number | 00998182 | | Number of Individuals Covered | 11 | | Insurance policy end date | 2018-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $4,309 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00009839 |
| Policy instance | 4 |
| Insurance contract or identification number | 00009839 | | Number of Individuals Covered | 376 | | Insurance policy end date | 2018-05-31 | | Total amount of commissions paid to insurance broker | USD $82,256 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $82,256 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF NY |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | BLL-005 |
| Policy instance | 5 |
| Insurance contract or identification number | BLL-005 | | Number of Individuals Covered | 739 | | Insurance policy end date | 2018-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $65,052 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | BLL-005 |
| Policy instance | 7 |
| Insurance contract or identification number | BLL-005 | | Number of Individuals Covered | 772 | | Insurance policy start date | 2015-06-01 | | Insurance policy end date | 2016-05-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $61,559 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TM059991160002 |
| Policy instance | 1 |
| Insurance contract or identification number | TM059991160002 | | Number of Individuals Covered | 320 | | Insurance policy start date | 2015-06-01 | | Insurance policy end date | 2016-05-31 | | Total amount of commissions paid to insurance broker | USD $2,205 | | Total amount of fees paid to insurance company | USD $532 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $35,321 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,205 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 532 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker name | BROWN & BROWN OF NY INC D/B/A ROWLA |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00009839 |
| Policy instance | 6 |
| Insurance contract or identification number | 00009839 | | Number of Individuals Covered | 389 | | Insurance policy start date | 2015-06-01 | | Insurance policy end date | 2016-05-31 | | Total amount of commissions paid to insurance broker | USD $85,727 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $85,727 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF NEW YORK, INC |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00998182 |
| Policy instance | 5 |
| Insurance contract or identification number | 00998182 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2015-06-01 | | Insurance policy end date | 2016-05-31 | | Welfare Benefit Premiums Paid to Carrier | USD $5,371 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 95308 ) |
| Policy contract number | 16466 |
| Policy instance | 4 |
| Insurance contract or identification number | 16466 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2015-06-01 | | Insurance policy end date | 2016-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $56,312 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00500263 |
| Policy instance | 3 |
| Insurance contract or identification number | 00500263 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2015-06-01 | | Insurance policy end date | 2016-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $16,183 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00309318 |
| Policy instance | 2 |
| Insurance contract or identification number | 00309318 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2015-06-01 | | Insurance policy end date | 2016-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,200 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | BLL-005 |
| Policy instance | 7 |
| Insurance contract or identification number | BLL-005 | | Number of Individuals Covered | 740 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $57,809 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00998182 |
| Policy instance | 5 |
| Insurance contract or identification number | 00998182 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | Welfare Benefit Premiums Paid to Carrier | USD $2,437 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 95308 ) |
| Policy contract number | 16466 |
| Policy instance | 4 |
| Insurance contract or identification number | 16466 | | Number of Individuals Covered | 22 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $66,153 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00500263 |
| Policy instance | 3 |
| Insurance contract or identification number | 00500263 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,908 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TM059991160002 |
| Policy instance | 1 |
| Insurance contract or identification number | TM059991160002 | | Number of Individuals Covered | 334 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | Total amount of commissions paid to insurance broker | USD $1,876 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $29,283 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,311 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF NY INC D/B/A ROWLA |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00309318 |
| Policy instance | 2 |
| Insurance contract or identification number | 00309318 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | Welfare Benefit Premiums Paid to Carrier | USD $25,091 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00009839 |
| Policy instance | 6 |
| Insurance contract or identification number | 00009839 | | Number of Individuals Covered | 211 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | Total amount of commissions paid to insurance broker | USD $39,858 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $39,858 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF NEW YORK, INC |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00500263 |
| Policy instance | 3 |
| Insurance contract or identification number | 00500263 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,717 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 00009839 |
| Policy instance | 6 |
| Insurance contract or identification number | 00009839 | | Number of Individuals Covered | 208 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | Total amount of commissions paid to insurance broker | USD $36,574 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $36,574 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF NEW YORK, INC |
|
| INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 95308 ) |
| Policy contract number | 12126M |
| Policy instance | 7 |
| Insurance contract or identification number | 12126M | | Number of Individuals Covered | 19 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2013-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $40,524 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00309318 |
| Policy instance | 5 |
| Insurance contract or identification number | 00309318 | | Number of Individuals Covered | 32 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | Other welfare benefits provided | MEDICARE PART D | | Welfare Benefit Premiums Paid to Carrier | USD $174 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 95308 ) |
| Policy contract number | 16466 |
| Policy instance | 4 |
| Insurance contract or identification number | 16466 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,147 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00309318 |
| Policy instance | 2 |
| Insurance contract or identification number | 00309318 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | Welfare Benefit Premiums Paid to Carrier | USD $174 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | BLL-005 |
| Policy instance | 8 |
| Insurance contract or identification number | BLL-005 | | Number of Individuals Covered | 743 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $61,652 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TM059991160002 |
| Policy instance | 1 |
| Insurance contract or identification number | TM059991160002 | | Number of Individuals Covered | 280 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | Total amount of commissions paid to insurance broker | USD $2,268 | | Total amount of fees paid to insurance company | USD $1,886 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $27,014 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,268 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1886 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker name | BROWN & BROWN OF NY INC D/B/A ROWLA |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 17746/00009839 |
| Policy instance | 6 |
| Insurance contract or identification number | 17746/00009839 | | Number of Individuals Covered | 230 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $34,334 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $34,334 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF NEW YORK, INC |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 5999116 |
| Policy instance | 9 |
| Insurance contract or identification number | 5999116 | | Number of Individuals Covered | 349 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2013-05-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD, OPT LIFE, DEP LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $2,764 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | BLL-005 |
| Policy instance | 8 |
| Insurance contract or identification number | BLL-005 | | Number of Individuals Covered | 913 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $59,321 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH ECONOMICS GROUP, INC. (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 541990 |
| Policy instance | 7 |
| Insurance contract or identification number | 541990 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $36,450 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
| Policy contract number | 677915G |
| Policy instance | 1 |
| Insurance contract or identification number | 677915G | | Number of Individuals Covered | 376 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $1,974 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $32,412 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,974 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF NY |
|
| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00998182 |
| Policy instance | 5 |
| Insurance contract or identification number | 00998182 | | Number of Individuals Covered | 31 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Other welfare benefits provided | MEDICARE PART D LEP | | Welfare Benefit Premiums Paid to Carrier | USD $26 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | AK23 / 00500263 |
| Policy instance | 3 |
| Insurance contract or identification number | AK23 / 00500263 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,836 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 95308 ) |
| Policy contract number | 12126M |
| Policy instance | 4 |
| Insurance contract or identification number | 12126M | | Number of Individuals Covered | 19 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $78,592 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00309318 |
| Policy instance | 2 |
| Insurance contract or identification number | 00309318 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Other welfare benefits provided | POS | | Welfare Benefit Premiums Paid to Carrier | USD $41,855 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HEALTH ECONOMICS GROUP, INC. (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 541990 |
| Policy instance | 7 |
| Insurance contract or identification number | 541990 | | Number of Individuals Covered | 59 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,245 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00309318 |
| Policy instance | 2 |
| Insurance contract or identification number | 00309318 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Other welfare benefits provided | POS | | Welfare Benefit Premiums Paid to Carrier | USD $56,820 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 17746 |
| Policy instance | 6 |
| Insurance contract or identification number | 17746 | | Number of Individuals Covered | 336 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $29,174 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
| Policy contract number | 677915G |
| Policy instance | 1 |
| Insurance contract or identification number | 677915G | | Number of Individuals Covered | 335 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $2,649 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $37,948 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | AK23 |
| Policy instance | 3 |
| Insurance contract or identification number | AK23 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,575 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 95308 ) |
| Policy contract number | 12126M |
| Policy instance | 4 |
| Insurance contract or identification number | 12126M | | Number of Individuals Covered | 22 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $84,994 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00998182 |
| Policy instance | 5 |
| Insurance contract or identification number | 00998182 | | Number of Individuals Covered | 33 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Other welfare benefits provided | MEDICARE PART D | | Welfare Benefit Premiums Paid to Carrier | USD $27 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HM LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 60213 ) |
| Policy contract number | BLL-005 |
| Policy instance | 8 |
| Insurance contract or identification number | BLL-005 | | Number of Individuals Covered | 757 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-05-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $27,152 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
| Policy contract number | 677915G |
| Policy instance | 1 |
| Insurance contract or identification number | 677915G | | Number of Individuals Covered | 341 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $2,584 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ADD | | Welfare Benefit Premiums Paid to Carrier | USD $34,531 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00998182 |
| Policy instance | 2 |
| Insurance contract or identification number | 00998182 | | Number of Individuals Covered | 34 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Other welfare benefits provided | MEDICARELEP | | Welfare Benefit Premiums Paid to Carrier | USD $27 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 95308 ) |
| Policy contract number | 12126M |
| Policy instance | 4 |
| Insurance contract or identification number | 12126M | | Number of Individuals Covered | 26 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $84,065 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | AK23 |
| Policy instance | 3 |
| Insurance contract or identification number | AK23 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,264 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HEALTH ECONOMICS GROUP, INC. (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 541990 |
| Policy instance | 7 |
| Insurance contract or identification number | 541990 | | Number of Individuals Covered | 41 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,145 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 00309318 |
| Policy instance | 5 |
| Insurance contract or identification number | 00309318 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Other welfare benefits provided | POS | | Welfare Benefit Premiums Paid to Carrier | USD $86,577 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
| Policy contract number | 17746 |
| Policy instance | 6 |
| Insurance contract or identification number | 17746 | | Number of Individuals Covered | 336 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $32,290 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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