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KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 401k Plan overview

Plan NameKENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND
Plan identification number 501

KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND Benefits

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

401k Sponsoring company profile

KENMORE TEACHERS ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:KENMORE TEACHERS ASSOCIATION
Employer identification number (EIN):161268457
NAIC Classification:813930
NAIC Description:Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01
5012021-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01
5012017-07-01
5012016-07-01KEITH AUGUSTINE JEFFREY ORLOWSKI2018-02-08
5012015-07-01KEITH AUGUSTINE JEFFREY ORLOWSKI2017-02-02
5012014-07-01KEITH AUGUSTINE JEFFREY ORLOWSKI2016-02-26
5012013-07-01KEITH AUGUSTINE JEFFREY ORLOWSKI2015-01-30
5012012-07-01KEITH AUGUSTINE JEFFREY ORLOWSKI2014-01-27
5012011-07-01RONALD BONGI KEITH AUGUSTINE2013-01-23
5012010-07-01RONALD BONGI KEITH AUGUSTINE2011-12-05
5012009-07-01RONALD BONGI KEITH AUGUSTINE2011-01-11

Plan Statistics for KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND

401k plan membership statisitcs for KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND

Measure Date Value
2022: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2022 401k membership
Total participants, beginning-of-year2022-07-01820
Total number of active participants reported on line 7a of the Form 55002022-07-01845
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01845
2021: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-07-01805
Total number of active participants reported on line 7a of the Form 55002021-07-01820
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01820
2020: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-07-01821
Total number of active participants reported on line 7a of the Form 55002020-07-01792
Number of retired or separated participants receiving benefits2020-07-0113
Total of all active and inactive participants2020-07-01805
Total participants2020-07-01805
2019: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-07-01798
Total number of active participants reported on line 7a of the Form 55002019-07-01795
Number of retired or separated participants receiving benefits2019-07-0126
Total of all active and inactive participants2019-07-01821
Total participants2019-07-01821
2018: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-07-01795
Total number of active participants reported on line 7a of the Form 55002018-07-01773
Number of retired or separated participants receiving benefits2018-07-0125
Total of all active and inactive participants2018-07-01798
Total participants2018-07-01798
2017: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-07-01765
Total number of active participants reported on line 7a of the Form 55002017-07-01767
Number of retired or separated participants receiving benefits2017-07-0128
Total of all active and inactive participants2017-07-01795
Total participants2017-07-01795
2016: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2016 401k membership
Total participants, beginning-of-year2016-07-01729
Total number of active participants reported on line 7a of the Form 55002016-07-01740
Number of retired or separated participants receiving benefits2016-07-0125
Total of all active and inactive participants2016-07-01765
Total participants2016-07-01765
2015: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2015 401k membership
Total participants, beginning-of-year2015-07-01735
Total number of active participants reported on line 7a of the Form 55002015-07-01716
Number of retired or separated participants receiving benefits2015-07-0113
Total of all active and inactive participants2015-07-01729
Total participants2015-07-010
2014: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2014 401k membership
Total participants, beginning-of-year2014-07-01768
Total number of active participants reported on line 7a of the Form 55002014-07-01714
Number of retired or separated participants receiving benefits2014-07-0121
Total of all active and inactive participants2014-07-01735
Total participants2014-07-010
2013: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2013 401k membership
Total participants, beginning-of-year2013-07-01788
Total number of active participants reported on line 7a of the Form 55002013-07-01728
Number of retired or separated participants receiving benefits2013-07-0140
Total of all active and inactive participants2013-07-01768
Total participants2013-07-010
2012: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2012 401k membership
Total participants, beginning-of-year2012-07-01797
Total number of active participants reported on line 7a of the Form 55002012-07-01739
Number of retired or separated participants receiving benefits2012-07-0149
Total of all active and inactive participants2012-07-01788
Total participants2012-07-010
2011: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2011 401k membership
Total participants, beginning-of-year2011-07-01869
Total number of active participants reported on line 7a of the Form 55002011-07-01755
Number of retired or separated participants receiving benefits2011-07-0142
Total of all active and inactive participants2011-07-01797
Total participants2011-07-01797
2010: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2010 401k membership
Total participants, beginning-of-year2010-07-01831
Total number of active participants reported on line 7a of the Form 55002010-07-01825
Number of retired or separated participants receiving benefits2010-07-0144
Total of all active and inactive participants2010-07-01869
Total participants2010-07-01869
2009: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2009 401k membership
Total participants, beginning-of-year2009-07-01877
Total number of active participants reported on line 7a of the Form 55002009-07-01793
Number of retired or separated participants receiving benefits2009-07-0138
Total of all active and inactive participants2009-07-01831
Total participants2009-07-01831

Financial Data on KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND

Measure Date Value
2023 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$41,872
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$19,478
Total income from all sources (including contributions)2023-06-30$1,527,903
Total of all expenses incurred2023-06-30$1,335,721
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$1,117,493
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$1,495,486
Value of total assets at end of year2023-06-30$1,654,513
Value of total assets at beginning of year2023-06-30$1,439,937
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$218,228
Total interest from all sources2023-06-30$32,417
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Administrative expenses professional fees incurred2023-06-30$22,200
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$300,000
If this is an individual account plan, was there a blackout period2023-06-30No
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$98,274
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2023-06-30$41,178
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-06-30$15,932
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-06-30$23,266
Liabilities. Value of operating payables at end of year2023-06-30$18,606
Liabilities. Value of operating payables at beginning of year2023-06-30$19,478
Total non interest bearing cash at end of year2023-06-30$2,488
Total non interest bearing cash at beginning of year2023-06-30$106,256
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$192,182
Value of net assets at end of year (total assets less liabilities)2023-06-30$1,612,641
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$1,420,459
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-06-30$1,618,199
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-06-30$1,295,782
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-06-30$1,295,782
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-06-30$32,417
Expenses. Payments to insurance carriers foe the provision of benefits2023-06-30$268,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30No
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Contributions received in cash from employer2023-06-30$1,397,212
Employer contributions (assets) at end of year2023-06-30$17,894
Employer contributions (assets) at beginning of year2023-06-30$37,899
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-06-30$808,080
Contract administrator fees2023-06-30$196,028
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30JEFFREY L OFFHAUS CPA LLC
Accountancy firm EIN2023-06-30202368569
2022 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$19,478
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$3,824
Total income from all sources (including contributions)2022-06-30$1,387,870
Total of all expenses incurred2022-06-30$1,265,811
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$1,056,966
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$1,382,250
Value of total assets at end of year2022-06-30$1,439,937
Value of total assets at beginning of year2022-06-30$1,302,224
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$208,845
Total interest from all sources2022-06-30$5,620
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$20,900
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$300,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$80,161
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-06-30$40,521
Administrative expenses (other) incurred2022-06-30$128,518
Liabilities. Value of operating payables at end of year2022-06-30$19,478
Liabilities. Value of operating payables at beginning of year2022-06-30$3,824
Total non interest bearing cash at end of year2022-06-30$106,256
Total non interest bearing cash at beginning of year2022-06-30$51,947
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$122,059
Value of net assets at end of year (total assets less liabilities)2022-06-30$1,420,459
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$1,298,400
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$1,295,782
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$1,243,572
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$1,243,572
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$5,620
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$265,679
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$1,302,089
Employer contributions (assets) at end of year2022-06-30$37,899
Employer contributions (assets) at beginning of year2022-06-30$6,705
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$750,766
Contract administrator fees2022-06-30$59,427
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30JEFFREY L OFFHAUS CPA LLC
Accountancy firm EIN2022-06-30202368569
2021 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$3,824
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$34,182
Total income from all sources (including contributions)2021-06-30$1,324,954
Total of all expenses incurred2021-06-30$1,309,398
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$1,104,372
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$1,320,194
Value of total assets at end of year2021-06-30$1,302,224
Value of total assets at beginning of year2021-06-30$1,317,026
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$205,026
Total interest from all sources2021-06-30$4,760
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$21,300
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$300,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$58,867
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-06-30$36,948
Administrative expenses (other) incurred2021-06-30$125,900
Liabilities. Value of operating payables at end of year2021-06-30$3,824
Liabilities. Value of operating payables at beginning of year2021-06-30$34,182
Total non interest bearing cash at end of year2021-06-30$51,947
Total non interest bearing cash at beginning of year2021-06-30$137,515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$15,556
Value of net assets at end of year (total assets less liabilities)2021-06-30$1,298,400
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$1,282,844
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest in pooled separate accounts at end of year2021-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$1,243,572
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$1,156,013
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$1,156,013
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$4,760
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$271,246
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$1,261,327
Employer contributions (assets) at end of year2021-06-30$6,705
Employer contributions (assets) at beginning of year2021-06-30$23,498
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$796,178
Contract administrator fees2021-06-30$57,826
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-06-30No
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN2021-06-30202368569
2020 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$34,182
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$3,797
Total income from all sources (including contributions)2020-06-30$1,282,595
Total of all expenses incurred2020-06-30$1,149,364
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$955,454
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$1,275,165
Value of total assets at end of year2020-06-30$1,317,026
Value of total assets at beginning of year2020-06-30$1,153,410
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$193,910
Total interest from all sources2020-06-30$7,430
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Administrative expenses professional fees incurred2020-06-30$21,250
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$300,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$45,442
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-06-30$41,002
Administrative expenses (other) incurred2020-06-30$116,415
Liabilities. Value of operating payables at end of year2020-06-30$34,182
Liabilities. Value of operating payables at beginning of year2020-06-30$3,797
Total non interest bearing cash at end of year2020-06-30$137,515
Total non interest bearing cash at beginning of year2020-06-30$65,037
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$133,231
Value of net assets at end of year (total assets less liabilities)2020-06-30$1,282,844
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$1,149,613
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in pooled separate accounts at end of year2020-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$1,156,013
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$1,078,581
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$1,078,581
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$7,430
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$266,224
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$1,229,723
Employer contributions (assets) at end of year2020-06-30$23,498
Employer contributions (assets) at beginning of year2020-06-30$9,792
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$648,228
Contract administrator fees2020-06-30$56,245
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN2020-06-30202368569
2019 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$3,797
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$10,586
Total income from all sources (including contributions)2019-06-30$1,207,586
Total of all expenses incurred2019-06-30$1,272,449
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$1,083,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$1,200,822
Value of total assets at end of year2019-06-30$1,153,410
Value of total assets at beginning of year2019-06-30$1,225,062
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$188,950
Total interest from all sources2019-06-30$6,764
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$21,100
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$300,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$43,149
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-06-30$40,483
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$3,002
Administrative expenses (other) incurred2019-06-30$114,061
Liabilities. Value of operating payables at end of year2019-06-30$3,797
Liabilities. Value of operating payables at beginning of year2019-06-30$10,586
Total non interest bearing cash at end of year2019-06-30$65,037
Total non interest bearing cash at beginning of year2019-06-30$87,555
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-64,863
Value of net assets at end of year (total assets less liabilities)2019-06-30$1,149,613
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$1,214,476
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest in pooled separate accounts at end of year2019-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$1,078,581
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$1,106,767
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$1,106,767
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$6,764
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$242,478
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$1,157,673
Employer contributions (assets) at end of year2019-06-30$9,792
Employer contributions (assets) at beginning of year2019-06-30$27,738
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$800,538
Contract administrator fees2019-06-30$53,789
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN2019-06-30202368569
2018 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$10,586
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$3,297
Total income from all sources (including contributions)2018-06-30$1,183,738
Total of all expenses incurred2018-06-30$1,189,109
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$992,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$1,179,232
Value of total assets at end of year2018-06-30$1,225,062
Value of total assets at beginning of year2018-06-30$1,223,144
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$196,564
Total interest from all sources2018-06-30$4,506
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$21,000
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$300,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$38,332
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-06-30$38,297
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$3,002
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$12,745
Administrative expenses (other) incurred2018-06-30$122,767
Liabilities. Value of operating payables at end of year2018-06-30$10,586
Liabilities. Value of operating payables at beginning of year2018-06-30$3,297
Total non interest bearing cash at end of year2018-06-30$87,555
Total non interest bearing cash at beginning of year2018-06-30$30,791
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-5,371
Value of net assets at end of year (total assets less liabilities)2018-06-30$1,214,476
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$1,219,847
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest in common/collective trusts at end of year2018-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$1,106,767
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$1,162,262
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$1,162,262
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$4,506
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$114,452
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$1,140,900
Employer contributions (assets) at end of year2018-06-30$27,738
Employer contributions (assets) at beginning of year2018-06-30$17,346
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$839,796
Contract administrator fees2018-06-30$52,797
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30No
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN2018-06-30202368569
2017 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$3,297
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$3,297
Total income from all sources (including contributions)2017-06-30$1,098,140
Total of all expenses incurred2017-06-30$1,195,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$1,000,012
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$1,093,947
Value of total assets at end of year2017-06-30$1,223,144
Value of total assets at beginning of year2017-06-30$1,320,149
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$195,133
Total interest from all sources2017-06-30$4,193
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$21,300
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$300,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$30,635
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-06-30$36,115
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$12,745
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$16,614
Administrative expenses (other) incurred2017-06-30$121,979
Liabilities. Value of operating payables at end of year2017-06-30$3,297
Liabilities. Value of operating payables at beginning of year2017-06-30$3,297
Total non interest bearing cash at end of year2017-06-30$30,791
Total non interest bearing cash at beginning of year2017-06-30$42,052
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$-97,005
Value of net assets at end of year (total assets less liabilities)2017-06-30$1,219,847
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$1,316,852
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest in common/collective trusts at end of year2017-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$1,162,262
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$1,208,018
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$1,208,018
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$4,193
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$226,466
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$1,063,312
Employer contributions (assets) at end of year2017-06-30$17,346
Employer contributions (assets) at beginning of year2017-06-30$53,465
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$737,431
Contract administrator fees2017-06-30$51,854
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN2017-06-30202368569
2016 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$3,297
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$3,291
Total income from all sources (including contributions)2016-06-30$1,083,133
Total of all expenses incurred2016-06-30$1,216,666
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$1,043,955
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$1,079,416
Value of total assets at end of year2016-06-30$1,320,149
Value of total assets at beginning of year2016-06-30$1,453,676
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$172,711
Total interest from all sources2016-06-30$3,717
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$21,450
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$300,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$33,822
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-06-30$36,048
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$16,614
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$1,050
Administrative expenses (other) incurred2016-06-30$106,730
Liabilities. Value of operating payables at end of year2016-06-30$3,297
Liabilities. Value of operating payables at beginning of year2016-06-30$3,291
Total non interest bearing cash at end of year2016-06-30$42,052
Total non interest bearing cash at beginning of year2016-06-30$19,900
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-133,533
Value of net assets at end of year (total assets less liabilities)2016-06-30$1,316,852
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$1,450,385
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest in common/collective trusts at end of year2016-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$1,208,018
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$1,419,301
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$1,419,301
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$3,717
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$129,976
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$1,045,594
Employer contributions (assets) at end of year2016-06-30$53,465
Employer contributions (assets) at beginning of year2016-06-30$13,425
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$877,931
Contract administrator fees2016-06-30$44,531
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN2016-06-30202368569
2015 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$3,291
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$3,291
Total income from all sources (including contributions)2015-06-30$966,803
Total of all expenses incurred2015-06-30$1,112,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$946,071
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$963,019
Value of total assets at end of year2015-06-30$1,453,676
Value of total assets at beginning of year2015-06-30$1,599,557
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$166,613
Total interest from all sources2015-06-30$3,784
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$21,300
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$300,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$35,968
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-06-30$35,989
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$1,050
Administrative expenses (other) incurred2015-06-30$102,020
Liabilities. Value of operating payables at end of year2015-06-30$3,291
Liabilities. Value of operating payables at beginning of year2015-06-30$3,291
Total non interest bearing cash at end of year2015-06-30$19,900
Total non interest bearing cash at beginning of year2015-06-30$-30,860
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-145,881
Value of net assets at end of year (total assets less liabilities)2015-06-30$1,450,385
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$1,596,266
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in common/collective trusts at end of year2015-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$1,419,301
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$1,630,417
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$1,630,417
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$3,784
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$104,232
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$927,051
Employer contributions (assets) at end of year2015-06-30$13,425
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$805,850
Contract administrator fees2015-06-30$43,293
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN2015-06-30202368569
2014 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$3,291
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$65,150
Total income from all sources (including contributions)2014-06-30$957,286
Total of all expenses incurred2014-06-30$1,147,250
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$973,423
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$952,636
Value of total assets at end of year2014-06-30$1,599,557
Value of total assets at beginning of year2014-06-30$1,851,380
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$173,827
Total interest from all sources2014-06-30$4,650
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$21,300
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$300,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$40,373
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-06-30$32,581
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$1,022
Administrative expenses (other) incurred2014-06-30$109,965
Liabilities. Value of operating payables at end of year2014-06-30$3,291
Liabilities. Value of operating payables at beginning of year2014-06-30$65,150
Total non interest bearing cash at end of year2014-06-30$-30,860
Total non interest bearing cash at beginning of year2014-06-30$4,590
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$-189,964
Value of net assets at end of year (total assets less liabilities)2014-06-30$1,596,266
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$1,786,230
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in common/collective trusts at end of year2014-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$1,630,417
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$1,845,768
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$1,845,768
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$4,650
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$97,508
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$912,263
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$843,334
Contract administrator fees2014-06-30$42,562
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN2014-06-30202368569
2013 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$65,150
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$3,075
Total income from all sources (including contributions)2013-06-30$976,559
Total of all expenses incurred2013-06-30$1,112,821
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$954,774
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$971,867
Value of total assets at end of year2013-06-30$1,851,380
Value of total assets at beginning of year2013-06-30$1,925,567
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$158,047
Total interest from all sources2013-06-30$4,692
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$21,100
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$300,000
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$45,690
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-06-30$35,446
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$1,022
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$1,093
Administrative expenses (other) incurred2013-06-30$94,949
Liabilities. Value of operating payables at end of year2013-06-30$65,150
Liabilities. Value of operating payables at beginning of year2013-06-30$3,075
Total non interest bearing cash at end of year2013-06-30$4,590
Total non interest bearing cash at beginning of year2013-06-30$13,091
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-136,262
Value of net assets at end of year (total assets less liabilities)2013-06-30$1,786,230
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$1,922,492
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in common/collective trusts at end of year2013-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$1,845,768
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$1,911,383
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$1,911,383
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$4,692
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$94,804
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$926,177
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$824,524
Contract administrator fees2013-06-30$41,998
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN2013-06-30202368569
2012 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$3,075
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$4,600
Total income from all sources (including contributions)2012-06-30$551,087
Total of all expenses incurred2012-06-30$1,170,527
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$1,008,126
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$543,220
Value of total assets at end of year2012-06-30$1,925,567
Value of total assets at beginning of year2012-06-30$2,546,532
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$162,401
Total interest from all sources2012-06-30$7,867
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$20,925
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$300,000
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$32,840
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-06-30$34,451
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$1,093
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$6,553
Administrative expenses (other) incurred2012-06-30$98,139
Liabilities. Value of operating payables at end of year2012-06-30$3,075
Liabilities. Value of operating payables at beginning of year2012-06-30$4,600
Total non interest bearing cash at end of year2012-06-30$13,091
Total non interest bearing cash at beginning of year2012-06-30$309,169
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-619,440
Value of net assets at end of year (total assets less liabilities)2012-06-30$1,922,492
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$2,541,932
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$1,911,383
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$2,230,810
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$2,230,810
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$7,867
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$106,553
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$510,380
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$867,122
Contract administrator fees2012-06-30$43,337
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN2012-06-30202368569
2011 : KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$4,600
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$2,375
Total income from all sources (including contributions)2011-06-30$1,080,621
Total of all expenses incurred2011-06-30$1,113,225
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$959,782
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$1,070,985
Value of total assets at end of year2011-06-30$2,546,532
Value of total assets at beginning of year2011-06-30$2,576,911
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$153,443
Total interest from all sources2011-06-30$9,636
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$20,925
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$300,000
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$36,258
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-06-30$35,110
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$6,553
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$9,530
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$75
Administrative expenses (other) incurred2011-06-30$87,646
Liabilities. Value of operating payables at end of year2011-06-30$4,600
Liabilities. Value of operating payables at beginning of year2011-06-30$2,300
Total non interest bearing cash at end of year2011-06-30$309,169
Total non interest bearing cash at beginning of year2011-06-30$27,836
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$-32,604
Value of net assets at end of year (total assets less liabilities)2011-06-30$2,541,932
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$2,574,536
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$2,230,810
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$2,539,545
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$2,539,545
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$9,636
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$102,241
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$1,034,727
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$822,431
Contract administrator fees2011-06-30$44,872
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN2011-06-30202368569

Form 5500 Responses for KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND

2022: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – General assets of the sponsorYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – General assets of the sponsorYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: KENMORE TEACHERS ASSOCIATION WELFARE TRUST FUND 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – General assets of the sponsorYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberX2K 001 002
Policy instance 3
Insurance contract or identification numberX2K 001 002
Number of Individuals Covered2927
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $14,616
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $146,161
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,616
NYSUT (National Association of Insurance Commissioners NAIC id number: 81393 )
Policy contract numberCMMI-004
Policy instance 2
Insurance contract or identification numberCMMI-004
Number of Individuals Covered1382
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Other welfare benefits providedEXCESS MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $71,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number
Policy instance 1
Number of Individuals Covered791
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $4,201
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH/DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $42,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,201
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberX2K 001 002
Policy instance 3
Insurance contract or identification numberX2K 001 002
Number of Individuals Covered2850
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $14,210
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $142,099
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,210
NYSUT (National Association of Insurance Commissioners NAIC id number: 81393 )
Policy contract numberCMMI-004
Policy instance 2
Insurance contract or identification numberCMMI-004
Number of Individuals Covered1308
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Other welfare benefits providedEXCESS MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $87,395
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number
Policy instance 1
Number of Individuals Covered779
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $4,154
Other welfare benefits providedACCIDENTAL DEATH/DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $41,243
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,154
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number824608
Policy instance 1
Insurance contract or identification number824608
Number of Individuals Covered760
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $4,734
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH/DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $40,705
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,734
NYSUT (National Association of Insurance Commissioners NAIC id number: 81393 )
Policy contract numberCMMI-004
Policy instance 2
Insurance contract or identification numberCMMI-004
Number of Individuals Covered1365
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Other welfare benefits providedEXCESS MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $90,005
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 numberX2K 001 002
Policy instance 3
Insurance contract or identification numberX2K 001 002
Number of Individuals Covered2820
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $14,262
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $142,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,262
Insurance broker organization code?4
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberX2K 001 002
Policy instance 3
Insurance contract or identification numberX2K 001 002
Number of Individuals Covered2871
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $12,437
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $124,368
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,437
Insurance broker organization code?4
NYSUT (National Association of Insurance Commissioners NAIC id number: 81393 )
Policy contract numberCMMI-004
Policy instance 2
Insurance contract or identification numberCMMI-004
Number of Individuals Covered1334
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Other welfare benefits providedEXCESS MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $89,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number824608
Policy instance 1
Insurance contract or identification number824608
Number of Individuals Covered770
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $4,090
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH/DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $40,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,375
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberX2K 001 002
Policy instance 3
Insurance contract or identification numberX2K 001 002
Number of Individuals Covered2690
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $11,009
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,093
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,009
Insurance broker organization code?4
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number824608
Policy instance 1
Insurance contract or identification number824608
Number of Individuals Covered760
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $3,748
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH/DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $37,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,748
Insurance broker organization code?3
NYSUT (National Association of Insurance Commissioners NAIC id number: 81393 )
Policy contract numberCMMI-004
Policy instance 2
Insurance contract or identification numberCMMI-004
Number of Individuals Covered1426
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Other welfare benefits providedEXCESS MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $81,740
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 numberX2K 001 002
Policy instance 3
Insurance contract or identification numberX2K 001 002
Number of Individuals Covered2690
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $11,009
Welfare Benefit Premiums Paid to CarrierUSD $110,093
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NYSUT (National Association of Insurance Commissioners NAIC id number: 81393 )
Policy contract numberCMMI-004
Policy instance 2
Insurance contract or identification numberCMMI-004
Number of Individuals Covered1386
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Other welfare benefits providedEXCESS MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $77,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number824608
Policy instance 1
Insurance contract or identification number824608
Number of Individuals Covered744
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of fees paid to insurance companyUSD $3,643
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH/DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $36,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number675629G
Policy instance 1
Insurance contract or identification number675629G
Number of Individuals Covered723
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $4,143
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH/DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $36,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,143
Insurance broker organization code?3
Insurance broker namePREMIER CONSULTING ASOCIATES LLC
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberX2K 001 002
Policy instance 3
Insurance contract or identification numberX2K 001 002
Number of Individuals Covered2478
Insurance policy start date2016-01-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $5,710
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,710
Insurance broker organization code?3
Insurance broker namePREMIER CONSULTING ASOCIATES LLC
NYSUT (National Association of Insurance Commissioners NAIC id number: 81393 )
Policy contract numberCMMI-002
Policy instance 2
Insurance contract or identification numberCMMI-002
Number of Individuals Covered1451
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Other welfare benefits providedEXCESS MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $71,535
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NYSUT (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberCMMI-002
Policy instance 2
Insurance contract or identification numberCMMI-002
Number of Individuals Covered700
Insurance policy start date2014-07-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $5,495
Total amount of fees paid to insurance companyUSD $29,393
Other welfare benefits providedCATASTROPHIC MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $34,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,657
Amount paid for insurance broker fees29393
Additional information about fees paid to insurance brokerBONUS COMPENSATION
Insurance broker organization code?4
Insurance broker namePREFERRED GROUP PLANS
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number675629G
Policy instance 1
Insurance contract or identification number675629G
Number of Individuals Covered719
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $4,516
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH/DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $36,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,516
Insurance broker organization code?3
Insurance broker namePREMIER CONSULTING ASOCIATES LLC
NYSUT (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberCMMI-002
Policy instance 3
Insurance contract or identification numberCMMI-002
Number of Individuals Covered716
Insurance policy start date2015-01-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $5,455
Total amount of fees paid to insurance companyUSD $29,737
Other welfare benefits providedCATASTROPHIC MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $35,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,584
Amount paid for insurance broker fees29737
Additional information about fees paid to insurance brokerBONUS COMPENSATION
Insurance broker organization code?4
Insurance broker namePREFERRED GROUP PLANS
NYSUT (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberCMMI-002
Policy instance 3
Insurance contract or identification numberCMMI-002
Number of Individuals Covered745
Insurance policy start date2014-01-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $5,254
Total amount of fees paid to insurance companyUSD $28,203
Other welfare benefits providedCATASTROPHIC MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $33,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,573
Amount paid for insurance broker fees28203
Additional information about fees paid to insurance brokerBONUS COMPENSATION
Insurance broker organization code?4
Insurance broker namePREFERRED GROUP PLANS
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberE610,219
Policy instance 2
Insurance contract or identification numberE610,219
Number of Individuals Covered738
Insurance policy start date2013-07-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,489
Total amount of fees paid to insurance companyUSD $29,472
Other welfare benefits providedCATASTROPHIC MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $34,961
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees29472
Additional information about fees paid to insurance brokerBONUS COMPENSATION
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $3,846
Insurance broker nameNYSUT
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number675629G
Policy instance 1
Insurance contract or identification number675629G
Number of Individuals Covered707
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $4,452
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH/DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $35,989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,452
Insurance broker organization code?3
Insurance broker namePREMIER CONSULTING ASOCIATES LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number675629G
Policy instance 2
Insurance contract or identification number675629G
Number of Individuals Covered711
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $4,440
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH/DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $36,520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,440
Insurance broker organization code?3
Insurance broker namePREMIER CONSULTING ASOCIATES LLC
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberE610,219
Policy instance 1
Insurance contract or identification numberE610,219
Number of Individuals Covered781
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $10,382
Other welfare benefits providedCATASTROPHIC MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $66,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,117
Insurance broker organization code?4
Insurance broker namePREFERRED GROUP PLANS
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberE610,219
Policy instance 1
Insurance contract or identification numberE610,219
Number of Individuals Covered811
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $14,214
Other welfare benefits providedCATASTROPHIC MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $64,614
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 number675629G
Policy instance 2
Insurance contract or identification number675629G
Number of Individuals Covered757
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $4,605
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH/DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $38,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberE610,219
Policy instance 1
Insurance contract or identification numberE610,219
Number of Individuals Covered811
Total amount of commissions paid to insurance brokerUSD $10,134
Other welfare benefits providedCATASTROPHIC MAJOR MEDICAL
Welfare Benefit Premiums Paid to CarrierUSD $64,346
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 number675629G
Policy instance 2
Insurance contract or identification number675629G
Number of Individuals Covered799
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $4,739
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH/DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $40,387
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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