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UPSTATE UNION HEALTH AND WELFARE FUND 401k Plan overview

Plan NameUPSTATE UNION HEALTH AND WELFARE FUND
Plan identification number 501

UPSTATE UNION HEALTH AND WELFARE 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

UPSTATE UNION HEALTH AND WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:UPSTATE UNION HEALTH AND WELFARE FUND
Employer identification number (EIN):166072836
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UPSTATE UNION HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01DUANE WRIGHT2023-10-10
5012021-01-01DUANE WRIGHT2022-10-07
5012020-01-01DUANE WRIGHT2021-10-07
5012019-01-01DUANE WRIGHT2020-10-06
5012018-01-01DUANE WRIGHT2019-10-15
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01DUANE WRIGHT
5012011-01-01DUANE WRIGHT
5012010-01-01GARY STARING
5012009-01-01GARY STARING

Plan Statistics for UPSTATE UNION HEALTH AND WELFARE FUND

401k plan membership statisitcs for UPSTATE UNION HEALTH AND WELFARE FUND

Measure Date Value
2022: UPSTATE UNION HEALTH AND WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01352
Total number of active participants reported on line 7a of the Form 55002022-01-01166
Number of retired or separated participants receiving benefits2022-01-01186
Total of all active and inactive participants2022-01-01352
Number of employers contributing to the scheme2022-01-014
2021: UPSTATE UNION HEALTH AND WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01445
Total number of active participants reported on line 7a of the Form 55002021-01-01166
Number of retired or separated participants receiving benefits2021-01-01186
Total of all active and inactive participants2021-01-01352
Number of employers contributing to the scheme2021-01-016
2020: UPSTATE UNION HEALTH AND WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01462
Total number of active participants reported on line 7a of the Form 55002020-01-01268
Number of retired or separated participants receiving benefits2020-01-01177
Total of all active and inactive participants2020-01-01445
Number of employers contributing to the scheme2020-01-017
2019: UPSTATE UNION HEALTH AND WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01341
Total number of active participants reported on line 7a of the Form 55002019-01-01278
Number of retired or separated participants receiving benefits2019-01-01184
Total of all active and inactive participants2019-01-01462
Number of employers contributing to the scheme2019-01-018
2018: UPSTATE UNION HEALTH AND WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01394
Total number of active participants reported on line 7a of the Form 55002018-01-01168
Number of retired or separated participants receiving benefits2018-01-01173
Total of all active and inactive participants2018-01-01341
Number of employers contributing to the scheme2018-01-017
2017: UPSTATE UNION HEALTH AND WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01452
Total number of active participants reported on line 7a of the Form 55002017-01-01267
Number of retired or separated participants receiving benefits2017-01-01127
Total of all active and inactive participants2017-01-01394
Number of employers contributing to the scheme2017-01-017
2016: UPSTATE UNION HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01400
Total number of active participants reported on line 7a of the Form 55002016-01-01324
Number of retired or separated participants receiving benefits2016-01-01128
Total of all active and inactive participants2016-01-01452
Number of employers contributing to the scheme2016-01-017
2015: UPSTATE UNION HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01477
Total number of active participants reported on line 7a of the Form 55002015-01-01281
Number of retired or separated participants receiving benefits2015-01-01119
Total of all active and inactive participants2015-01-01400
Number of employers contributing to the scheme2015-01-017
2014: UPSTATE UNION HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01519
Total number of active participants reported on line 7a of the Form 55002014-01-01294
Number of retired or separated participants receiving benefits2014-01-01183
Total of all active and inactive participants2014-01-01477
Number of employers contributing to the scheme2014-01-0110
2013: UPSTATE UNION HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01580
Total number of active participants reported on line 7a of the Form 55002013-01-01316
Number of retired or separated participants receiving benefits2013-01-01203
Total of all active and inactive participants2013-01-01519
Number of employers contributing to the scheme2013-01-0111
2012: UPSTATE UNION HEALTH AND WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01841
Total number of active participants reported on line 7a of the Form 55002012-01-01345
Number of retired or separated participants receiving benefits2012-01-01235
Total of all active and inactive participants2012-01-01580
Number of employers contributing to the scheme2012-01-0113
2011: UPSTATE UNION HEALTH AND WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01795
Total number of active participants reported on line 7a of the Form 55002011-01-01609
Number of retired or separated participants receiving benefits2011-01-01232
Total of all active and inactive participants2011-01-01841
Number of employers contributing to the scheme2011-01-0115
2010: UPSTATE UNION HEALTH AND WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-01-01416
Total number of active participants reported on line 7a of the Form 55002010-01-01565
Number of retired or separated participants receiving benefits2010-01-01230
Total of all active and inactive participants2010-01-01795
Number of employers contributing to the scheme2010-01-0112
2009: UPSTATE UNION HEALTH AND WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-01220
Total number of active participants reported on line 7a of the Form 55002009-01-01268
Number of retired or separated participants receiving benefits2009-01-01148
Total of all active and inactive participants2009-01-01416
Number of employers contributing to the scheme2009-01-016

Financial Data on UPSTATE UNION HEALTH AND WELFARE FUND

Measure Date Value
2022 : UPSTATE UNION HEALTH AND WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-152,883
Total unrealized appreciation/depreciation of assets2022-12-31$-152,883
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$333,102
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$322,012
Total income from all sources (including contributions)2022-12-31$248,191
Total of all expenses incurred2022-12-31$346,706
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$314,426
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$357,542
Value of total assets at end of year2022-12-31$1,096,384
Value of total assets at beginning of year2022-12-31$1,183,809
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$32,280
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$30,441
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$30,441
Administrative expenses professional fees incurred2022-12-31$13,763
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$219,792
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$3,888
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$21,329
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$331,242
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$312,586
Other income not declared elsewhere2022-12-31$13,091
Administrative expenses (other) incurred2022-12-31$7,143
Liabilities. Value of operating payables at end of year2022-12-31$1,860
Liabilities. Value of operating payables at beginning of year2022-12-31$9,426
Total non interest bearing cash at end of year2022-12-31$217,784
Total non interest bearing cash at beginning of year2022-12-31$150,169
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-98,515
Value of net assets at end of year (total assets less liabilities)2022-12-31$763,282
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$861,797
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$159
Assets. partnership/joint venture interests at beginning of year2022-12-31$272
Investment advisory and management fees2022-12-31$11,374
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$857,225
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$881,979
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$15,837
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$124,785
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$124,785
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$314,426
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$137,750
Employer contributions (assets) at end of year2022-12-31$1,491
Employer contributions (assets) at beginning of year2022-12-31$5,275
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31D'ARCANGELO & CO., LLP
Accountancy firm EIN2022-12-31130255013
2021 : UPSTATE UNION HEALTH AND WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$50,141
Total unrealized appreciation/depreciation of assets2021-12-31$50,141
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$322,012
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$315,924
Total income from all sources (including contributions)2021-12-31$466,912
Total of all expenses incurred2021-12-31$352,729
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$312,623
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$364,055
Value of total assets at end of year2021-12-31$1,183,809
Value of total assets at beginning of year2021-12-31$1,063,538
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$40,106
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$48,524
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$48,524
Administrative expenses professional fees incurred2021-12-31$22,353
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$204,134
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$21,329
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$23,475
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$312,586
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$315,303
Other income not declared elsewhere2021-12-31$4,192
Administrative expenses (other) incurred2021-12-31$6,658
Liabilities. Value of operating payables at end of year2021-12-31$9,426
Liabilities. Value of operating payables at beginning of year2021-12-31$621
Total non interest bearing cash at end of year2021-12-31$150,169
Total non interest bearing cash at beginning of year2021-12-31$118,075
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$114,183
Value of net assets at end of year (total assets less liabilities)2021-12-31$861,797
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$747,614
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Assets. partnership/joint venture interests at end of year2021-12-31$272
Assets. partnership/joint venture interests at beginning of year2021-12-31$269
Investment advisory and management fees2021-12-31$11,095
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$881,979
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$818,543
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$124,785
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$100,656
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$100,656
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$312,623
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$159,921
Employer contributions (assets) at end of year2021-12-31$5,275
Employer contributions (assets) at beginning of year2021-12-31$2,520
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31D'ARCANGELO & CO. LLP
Accountancy firm EIN2021-12-31130255013
2020 : UPSTATE UNION HEALTH AND WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$56,548
Total unrealized appreciation/depreciation of assets2020-12-31$56,548
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$315,924
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$347,617
Total income from all sources (including contributions)2020-12-31$2,145,440
Total loss/gain on sale of assets2020-12-31$-1,638
Total of all expenses incurred2020-12-31$1,996,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,957,552
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,007,176
Value of total assets at end of year2020-12-31$1,063,538
Value of total assets at beginning of year2020-12-31$946,552
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$39,209
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$34,682
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$34,682
Administrative expenses professional fees incurred2020-12-31$18,134
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$188,407
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$23,475
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$85,894
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$315,303
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$347,371
Other income not declared elsewhere2020-12-31$48,672
Administrative expenses (other) incurred2020-12-31$12,888
Liabilities. Value of operating payables at end of year2020-12-31$621
Liabilities. Value of operating payables at beginning of year2020-12-31$246
Total non interest bearing cash at end of year2020-12-31$118,075
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$148,679
Value of net assets at end of year (total assets less liabilities)2020-12-31$747,614
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$598,935
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Assets. partnership/joint venture interests at end of year2020-12-31$269
Assets. partnership/joint venture interests at beginning of year2020-12-31$860
Investment advisory and management fees2020-12-31$8,187
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$818,543
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$791,345
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$100,656
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$65,858
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$65,858
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,957,552
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,818,769
Employer contributions (assets) at end of year2020-12-31$2,520
Employer contributions (assets) at beginning of year2020-12-31$2,595
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$38,379
Aggregate carrying amount (costs) on sale of assets2020-12-31$40,017
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31D'ARCANGELO & CO. LLP
Accountancy firm EIN2020-12-31130255013
2019 : UPSTATE UNION HEALTH AND WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$83,790
Total unrealized appreciation/depreciation of assets2019-12-31$83,790
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$347,617
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$414,281
Total income from all sources (including contributions)2019-12-31$3,170,253
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$2,987,248
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,931,397
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,022,710
Value of total assets at end of year2019-12-31$946,552
Value of total assets at beginning of year2019-12-31$830,211
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$55,851
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$31,473
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$31,473
Administrative expenses professional fees incurred2019-12-31$26,630
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$193,290
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$85,894
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$33,671
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$347,371
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$401,283
Other income not declared elsewhere2019-12-31$32,280
Administrative expenses (other) incurred2019-12-31$21,118
Liabilities. Value of operating payables at end of year2019-12-31$246
Liabilities. Value of operating payables at beginning of year2019-12-31$12,998
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$18,491
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$183,005
Value of net assets at end of year (total assets less liabilities)2019-12-31$598,935
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$415,930
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Assets. partnership/joint venture interests at end of year2019-12-31$860
Assets. partnership/joint venture interests at beginning of year2019-12-31$737
Investment advisory and management fees2019-12-31$8,103
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$791,345
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$607,835
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$65,858
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$167,332
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$167,332
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,931,397
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,829,420
Employer contributions (assets) at end of year2019-12-31$2,595
Employer contributions (assets) at beginning of year2019-12-31$2,145
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$0
Aggregate carrying amount (costs) on sale of assets2019-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31D'ARCANGELO & CO. LLP
Accountancy firm EIN2019-12-31130255013
2018 : UPSTATE UNION HEALTH AND WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-48,176
Total unrealized appreciation/depreciation of assets2018-12-31$-48,176
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$414,281
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$395,406
Total income from all sources (including contributions)2018-12-31$398,325
Total loss/gain on sale of assets2018-12-31$-3,194
Total of all expenses incurred2018-12-31$401,741
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$354,056
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$394,477
Value of total assets at end of year2018-12-31$830,211
Value of total assets at beginning of year2018-12-31$814,752
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$47,685
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$24,128
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$24,128
Administrative expenses professional fees incurred2018-12-31$30,518
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$264,937
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$33,671
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$45,242
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$401,283
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$389,171
Other income not declared elsewhere2018-12-31$31,090
Administrative expenses (other) incurred2018-12-31$8,414
Liabilities. Value of operating payables at end of year2018-12-31$12,998
Liabilities. Value of operating payables at beginning of year2018-12-31$6,235
Total non interest bearing cash at end of year2018-12-31$18,491
Total non interest bearing cash at beginning of year2018-12-31$17,572
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-3,416
Value of net assets at end of year (total assets less liabilities)2018-12-31$415,930
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$419,346
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Assets. partnership/joint venture interests at end of year2018-12-31$737
Assets. partnership/joint venture interests at beginning of year2018-12-31$663
Investment advisory and management fees2018-12-31$8,753
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$607,835
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$735,255
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$167,332
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$15,876
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$15,876
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$354,056
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$129,540
Employer contributions (assets) at end of year2018-12-31$2,145
Employer contributions (assets) at beginning of year2018-12-31$144
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$69,584
Aggregate carrying amount (costs) on sale of assets2018-12-31$72,778
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31D'ARCANGELO & CO. LLP
Accountancy firm EIN2018-12-31132550103
2017 : UPSTATE UNION HEALTH AND WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$43,512
Total unrealized appreciation/depreciation of assets2017-12-31$43,512
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$395,406
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$436,499
Total income from all sources (including contributions)2017-12-31$599,979
Total loss/gain on sale of assets2017-12-31$-4,394
Total of all expenses incurred2017-12-31$517,528
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$480,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$518,378
Value of total assets at end of year2017-12-31$814,752
Value of total assets at beginning of year2017-12-31$773,394
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$37,485
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$36,767
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$36,767
Administrative expenses professional fees incurred2017-12-31$22,397
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$399,913
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$45,242
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$60,355
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$389,171
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$430,600
Other income not declared elsewhere2017-12-31$5,716
Administrative expenses (other) incurred2017-12-31$7,818
Liabilities. Value of operating payables at end of year2017-12-31$6,235
Liabilities. Value of operating payables at beginning of year2017-12-31$5,899
Total non interest bearing cash at end of year2017-12-31$17,572
Total non interest bearing cash at beginning of year2017-12-31$7,964
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$82,451
Value of net assets at end of year (total assets less liabilities)2017-12-31$419,346
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$336,895
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Assets. partnership/joint venture interests at end of year2017-12-31$663
Assets. partnership/joint venture interests at beginning of year2017-12-31$631
Investment advisory and management fees2017-12-31$7,270
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$735,255
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$616,731
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$15,876
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$73,410
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$73,410
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$480,043
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$118,465
Employer contributions (assets) at end of year2017-12-31$144
Employer contributions (assets) at beginning of year2017-12-31$14,303
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$38,667
Aggregate carrying amount (costs) on sale of assets2017-12-31$43,061
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31D'ARCANGELO & CO. LLP
Accountancy firm EIN2017-12-31132550103
2016 : UPSTATE UNION HEALTH AND WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$22,319
Total unrealized appreciation/depreciation of assets2016-12-31$22,319
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$436,499
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$465,766
Total income from all sources (including contributions)2016-12-31$751,458
Total loss/gain on sale of assets2016-12-31$-6,003
Total of all expenses incurred2016-12-31$625,132
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$577,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$670,542
Value of total assets at end of year2016-12-31$773,394
Value of total assets at beginning of year2016-12-31$676,335
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$47,139
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$28,509
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$28,509
Administrative expenses professional fees incurred2016-12-31$34,646
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$516,023
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$60,355
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$67,423
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$430,600
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$464,835
Other income not declared elsewhere2016-12-31$36,091
Administrative expenses (other) incurred2016-12-31$6,346
Liabilities. Value of operating payables at end of year2016-12-31$5,899
Liabilities. Value of operating payables at beginning of year2016-12-31$931
Total non interest bearing cash at end of year2016-12-31$7,964
Total non interest bearing cash at beginning of year2016-12-31$19,449
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$126,326
Value of net assets at end of year (total assets less liabilities)2016-12-31$336,895
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$210,569
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Assets. partnership/joint venture interests at end of year2016-12-31$631
Assets. partnership/joint venture interests at beginning of year2016-12-31$606
Investment advisory and management fees2016-12-31$6,147
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$616,731
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$536,152
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$73,410
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$44,807
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$44,807
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$577,993
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$154,519
Employer contributions (assets) at end of year2016-12-31$14,303
Employer contributions (assets) at beginning of year2016-12-31$7,898
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$37,726
Aggregate carrying amount (costs) on sale of assets2016-12-31$43,729
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31D'ARCANGELO & CO. LLP
Accountancy firm EIN2016-12-31132550103
2015 : UPSTATE UNION HEALTH AND WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-48,135
Total unrealized appreciation/depreciation of assets2015-12-31$-48,135
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$465,766
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$491,858
Total income from all sources (including contributions)2015-12-31$780,052
Total of all expenses incurred2015-12-31$686,565
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$651,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$775,948
Value of total assets at end of year2015-12-31$676,335
Value of total assets at beginning of year2015-12-31$608,940
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$35,154
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$31,887
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$31,887
Administrative expenses professional fees incurred2015-12-31$22,853
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$598,828
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$67,423
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$76,123
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$464,835
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$483,683
Other income not declared elsewhere2015-12-31$20,352
Administrative expenses (other) incurred2015-12-31$6,913
Liabilities. Value of operating payables at end of year2015-12-31$931
Liabilities. Value of operating payables at beginning of year2015-12-31$8,175
Total non interest bearing cash at end of year2015-12-31$19,449
Total non interest bearing cash at beginning of year2015-12-31$36,456
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$93,487
Value of net assets at end of year (total assets less liabilities)2015-12-31$210,569
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$117,082
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Assets. partnership/joint venture interests at end of year2015-12-31$606
Assets. partnership/joint venture interests at beginning of year2015-12-31$597
Investment advisory and management fees2015-12-31$5,388
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$536,152
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$454,404
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$44,807
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$36,812
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$36,812
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$651,411
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$177,120
Employer contributions (assets) at end of year2015-12-31$7,898
Employer contributions (assets) at beginning of year2015-12-31$4,548
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31D'ARCANGELO & CO. LLP
Accountancy firm EIN2015-12-31132550103
2014 : UPSTATE UNION HEALTH AND WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$6,281
Total unrealized appreciation/depreciation of assets2014-12-31$6,281
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$491,858
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$547,010
Total income from all sources (including contributions)2014-12-31$1,000,531
Total of all expenses incurred2014-12-31$870,042
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$812,807
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$934,573
Value of total assets at end of year2014-12-31$608,940
Value of total assets at beginning of year2014-12-31$533,603
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$57,235
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$23,099
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$23,099
Administrative expenses professional fees incurred2014-12-31$46,628
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$777,956
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$76,123
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$66,528
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$483,683
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$536,165
Other income not declared elsewhere2014-12-31$36,578
Administrative expenses (other) incurred2014-12-31$6,511
Liabilities. Value of operating payables at end of year2014-12-31$8,175
Liabilities. Value of operating payables at beginning of year2014-12-31$10,845
Total non interest bearing cash at end of year2014-12-31$36,456
Total non interest bearing cash at beginning of year2014-12-31$93,754
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$130,489
Value of net assets at end of year (total assets less liabilities)2014-12-31$117,082
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$-13,407
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Assets. partnership/joint venture interests at end of year2014-12-31$597
Assets. partnership/joint venture interests at beginning of year2014-12-31$558
Investment advisory and management fees2014-12-31$4,096
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$454,404
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$326,756
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$36,812
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$37,818
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$37,818
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$812,807
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$156,617
Employer contributions (assets) at end of year2014-12-31$4,548
Employer contributions (assets) at beginning of year2014-12-31$8,189
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31D'ARCANGELO & CO., LLP
Accountancy firm EIN2014-12-31132550103
2013 : UPSTATE UNION HEALTH AND WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-6,107
Total unrealized appreciation/depreciation of assets2013-12-31$-6,107
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$547,010
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$581,886
Total income from all sources (including contributions)2013-12-31$2,008,997
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,757,035
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,703,817
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,872,862
Value of total assets at end of year2013-12-31$533,603
Value of total assets at beginning of year2013-12-31$316,517
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$53,218
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$12,788
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$12,788
Administrative expenses professional fees incurred2013-12-31$44,623
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$300,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,138,233
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$66,528
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$63,574
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$536,165
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$558,780
Other income not declared elsewhere2013-12-31$129,454
Administrative expenses (other) incurred2013-12-31$7,003
Liabilities. Value of operating payables at end of year2013-12-31$10,845
Liabilities. Value of operating payables at beginning of year2013-12-31$23,106
Total non interest bearing cash at end of year2013-12-31$93,754
Total non interest bearing cash at beginning of year2013-12-31$156,030
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$251,962
Value of net assets at end of year (total assets less liabilities)2013-12-31$-13,407
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$-265,369
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Assets. partnership/joint venture interests at end of year2013-12-31$558
Assets. partnership/joint venture interests at beginning of year2013-12-31$17,603
Investment advisory and management fees2013-12-31$1,592
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$326,756
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$67,958
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$37,818
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$9,046
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$9,046
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,683,817
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$734,629
Employer contributions (assets) at end of year2013-12-31$8,189
Employer contributions (assets) at beginning of year2013-12-31$2,306
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$20,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$0
Aggregate carrying amount (costs) on sale of assets2013-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31D'ARCANGELO & CO., LLP
Accountancy firm EIN2013-12-31132550103
2012 : UPSTATE UNION HEALTH AND WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-3,569
Total unrealized appreciation/depreciation of assets2012-12-31$-3,569
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$581,886
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$627,503
Total income from all sources (including contributions)2012-12-31$2,043,579
Total loss/gain on sale of assets2012-12-31$4,127
Total of all expenses incurred2012-12-31$1,880,968
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,788,462
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,971,731
Value of total assets at end of year2012-12-31$316,517
Value of total assets at beginning of year2012-12-31$199,523
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$92,506
Total interest from all sources2012-12-31$1,021
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$1,496
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$1,496
Administrative expenses professional fees incurred2012-12-31$79,918
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$300,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,312,820
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$63,574
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$64,198
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$558,780
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$585,992
Other income not declared elsewhere2012-12-31$68,773
Administrative expenses (other) incurred2012-12-31$10,015
Liabilities. Value of operating payables at end of year2012-12-31$23,106
Liabilities. Value of operating payables at beginning of year2012-12-31$21,181
Total non interest bearing cash at end of year2012-12-31$156,030
Total non interest bearing cash at beginning of year2012-12-31$18,605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$162,611
Value of net assets at end of year (total assets less liabilities)2012-12-31$-265,369
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$-427,980
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Assets. partnership/joint venture interests at end of year2012-12-31$17,603
Assets. partnership/joint venture interests at beginning of year2012-12-31$17,553
Investment advisory and management fees2012-12-31$2,573
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$67,958
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$20,610
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$9,046
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$2,619
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$2,619
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$1,021
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$1,779,079
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$658,911
Employer contributions (assets) at end of year2012-12-31$2,306
Employer contributions (assets) at beginning of year2012-12-31$45,594
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$9,383
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$30,344
Contract administrator fees2012-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$20,330
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$31,229
Aggregate carrying amount (costs) on sale of assets2012-12-31$27,102
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31D'ARCANGELO & CO., LLP
Accountancy firm EIN2012-12-31132550103
2011 : UPSTATE UNION HEALTH AND WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-7,718
Total unrealized appreciation/depreciation of assets2011-12-31$-7,718
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$627,503
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,516,534
Total income from all sources (including contributions)2011-12-31$3,296,503
Total loss/gain on sale of assets2011-12-31$7,840
Total of all expenses incurred2011-12-31$3,062,778
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,991,575
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,794,595
Value of total assets at end of year2011-12-31$199,523
Value of total assets at beginning of year2011-12-31$854,829
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$71,203
Total interest from all sources2011-12-31$1,461
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$1,518
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$1,518
Administrative expenses professional fees incurred2011-12-31$57,511
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$300,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,515,200
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$64,198
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$18,517
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$585,992
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$693,933
Other income not declared elsewhere2011-12-31$498,807
Administrative expenses (other) incurred2011-12-31$4,718
Liabilities. Value of operating payables at end of year2011-12-31$21,181
Liabilities. Value of operating payables at beginning of year2011-12-31$80,876
Total non interest bearing cash at end of year2011-12-31$18,605
Total non interest bearing cash at beginning of year2011-12-31$53,952
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$233,725
Value of net assets at end of year (total assets less liabilities)2011-12-31$-427,980
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$-661,705
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Assets. partnership/joint venture interests at end of year2011-12-31$17,553
Assets. partnership/joint venture interests at beginning of year2011-12-31$17,304
Investment advisory and management fees2011-12-31$4,908
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$20,610
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$72,665
Interest earned on other investments2011-12-31$0
Income. Interest from US Government securities2011-12-31$1,461
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$2,619
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$202,868
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$202,868
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$388,248
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,211,316
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,279,395
Employer contributions (assets) at end of year2011-12-31$45,594
Employer contributions (assets) at beginning of year2011-12-31$70,173
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$780,259
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$30,344
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$31,102
Contract administrator fees2011-12-31$4,066
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$20,330
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$741,725
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$442,457
Aggregate carrying amount (costs) on sale of assets2011-12-31$434,617
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31DARCANGELO & CO., LLP
Accountancy firm EIN2011-12-31132550103
2010 : UPSTATE UNION HEALTH AND WELFARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-28,279
Total unrealized appreciation/depreciation of assets2010-12-31$-28,279
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,516,534
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$269,140
Total income from all sources (including contributions)2010-12-31$5,069,445
Total loss/gain on sale of assets2010-12-31$15,830
Total of all expenses incurred2010-12-31$6,600,094
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$6,349,015
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$4,817,012
Value of total assets at end of year2010-12-31$854,829
Value of total assets at beginning of year2010-12-31$1,138,084
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$251,079
Total interest from all sources2010-12-31$9,811
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$8,886
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$8,886
Administrative expenses professional fees incurred2010-12-31$189,422
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$300,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,423,409
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$18,517
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$157,425
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$693,933
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$244,847
Other income not declared elsewhere2010-12-31$245,003
Administrative expenses (other) incurred2010-12-31$9,179
Liabilities. Value of operating payables at end of year2010-12-31$80,876
Liabilities. Value of operating payables at beginning of year2010-12-31$19,256
Total non interest bearing cash at end of year2010-12-31$53,952
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-1,530,649
Value of net assets at end of year (total assets less liabilities)2010-12-31$-661,705
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$868,944
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Assets. partnership/joint venture interests at end of year2010-12-31$17,304
Investment advisory and management fees2010-12-31$7,478
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$72,665
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$212,837
Interest earned on other investments2010-12-31$10,586
Income. Interest from US Government securities2010-12-31$-775
Value of interest in common/collective trusts at end of year2010-12-31$0
Value of interest in common/collective trusts at beginning of year2010-12-31$224,329
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$202,868
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$15,542
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$15,542
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$388,248
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$377,662
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$3,038,547
Net investment gain or loss from common/collective trusts2010-12-31$1,182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$3,393,603
Employer contributions (assets) at end of year2010-12-31$70,173
Employer contributions (assets) at beginning of year2010-12-31$46,255
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$3,310,468
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$31,102
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$104,034
Contract administrator fees2010-12-31$45,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$741,725
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$5,037
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$264,995
Aggregate carrying amount (costs) on sale of assets2010-12-31$249,165
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31D'ARCANGELO & CO., LLP
Accountancy firm EIN2010-12-31132550103

Form 5500 Responses for UPSTATE UNION HEALTH AND WELFARE FUND

2022: UPSTATE UNION HEALTH AND WELFARE FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: UPSTATE UNION HEALTH AND WELFARE FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: UPSTATE UNION HEALTH AND WELFARE FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: UPSTATE UNION HEALTH AND WELFARE FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: UPSTATE UNION HEALTH AND WELFARE FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: UPSTATE UNION HEALTH AND WELFARE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: UPSTATE UNION HEALTH AND WELFARE FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: UPSTATE UNION HEALTH AND WELFARE FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: UPSTATE UNION HEALTH AND WELFARE FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: UPSTATE UNION HEALTH AND WELFARE FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: UPSTATE UNION HEALTH AND WELFARE FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: UPSTATE UNION HEALTH AND WELFARE FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: UPSTATE UNION HEALTH AND WELFARE FUND 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: UPSTATE UNION HEALTH AND WELFARE FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberY2N001C
Policy instance 4
Insurance contract or identification numberY2N001C
Number of Individuals Covered143
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,412
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,121
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,412
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00462921
Policy instance 1
Insurance contract or identification number00462921
Number of Individuals Covered19
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $437
Total amount of fees paid to insurance companyUSD $42
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $428
Amount paid for insurance broker fees42
AMERITAS LIFE INSURANCE CORP OF NY (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number026-202242
Policy instance 2
Insurance contract or identification number026-202242
Number of Individuals Covered107
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,896
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,896
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number4007237
Policy instance 3
Insurance contract or identification number4007237
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number9775
Policy instance 5
Insurance contract or identification number9775
Number of Individuals Covered8
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $6,584
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $165,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,584
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number510408
Policy instance 6
Insurance contract or identification number510408
Number of Individuals Covered7
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $934
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,252
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $934
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number501406
Policy instance 7
Insurance contract or identification number501406
Number of Individuals Covered7
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $24,313
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,313
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,313
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberE00067173308
Policy instance 8
Insurance contract or identification numberE00067173308
Number of Individuals Covered5
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $13,706
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00462921
Policy instance 1
Insurance contract or identification number00462921
Number of Individuals Covered21
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $532
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $522
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number9775
Policy instance 6
Insurance contract or identification number9775
Number of Individuals Covered12
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,151
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $176,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,151
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberY2N001C
Policy instance 5
Insurance contract or identification numberY2N001C
Number of Individuals Covered141
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $725
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $725
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number4007237
Policy instance 4
Insurance contract or identification number4007237
Number of Individuals Covered8
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $653
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $653
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number7607
Policy instance 3
Insurance contract or identification number7607
Number of Individuals Covered1
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $124
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $124
Insurance broker organization code?3
AMERITAS LIFE INSURANCE CORP OF NY (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number026-202242
Policy instance 2
Insurance contract or identification number026-202242
Number of Individuals Covered107
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,774
Total amount of fees paid to insurance companyUSD $450
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,774
Amount paid for insurance broker fees450
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number510408
Policy instance 7
Insurance contract or identification number510408
Number of Individuals Covered7
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $785
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,724
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $785
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE467541
Policy instance 9
Insurance contract or identification numberAE467541
Number of Individuals Covered5
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $425
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $14,973
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $425
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number501406
Policy instance 8
Insurance contract or identification number501406
Number of Individuals Covered7
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $420
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,160
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $420
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number4007237
Policy instance 4
Insurance contract or identification number4007237
Number of Individuals Covered10
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $730
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,301
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $730
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number
Policy instance 3
Number of Individuals Covered107
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $63,348
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,628,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,348
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00462921
Policy instance 1
Insurance contract or identification number00462921
Number of Individuals Covered23
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $547
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $536
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberY2N001C
Policy instance 5
Insurance contract or identification numberY2N001C
Number of Individuals Covered147
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,462
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,462
AMERITAS LIFE INSURANCE CORP OF NY (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number026-202242
Policy instance 2
Insurance contract or identification number026-202242
Number of Individuals Covered92
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,488
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,797
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,488
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number
Policy instance 3
Number of Individuals Covered206
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $90,414
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,793,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $90,414
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberY2N001C
Policy instance 5
Insurance contract or identification numberY2N001C
Number of Individuals Covered127
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,279
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,279
AMERITAS LIFE INSURANCE CORP OF NY (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number026-202242
Policy instance 2
Insurance contract or identification number026-202242
Number of Individuals Covered92
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,488
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,488
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number4007237
Policy instance 4
Insurance contract or identification number4007237
Number of Individuals Covered14
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $1,043
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,427
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,043
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00462921
Policy instance 1
Insurance contract or identification number00462921
Number of Individuals Covered26
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $645
Total amount of fees paid to insurance companyUSD $180
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $632
Amount paid for insurance broker fees180
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number230072
Policy instance 2
Insurance contract or identification number230072
Number of Individuals Covered10
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,927
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,888
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00462921
Policy instance 1
Insurance contract or identification number00462921
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number
Policy instance 3
Number of Individuals Covered13
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,777
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $128,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,777
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number4007237
Policy instance 4
Insurance contract or identification number4007237
Number of Individuals Covered24
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $977
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,773
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $977
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number
Policy instance 3
Number of Individuals Covered16
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,889
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $142,971
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,889
Insurance broker organization code?3
Insurance broker nameUPSTATE FINANCIAL SERVICES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00462921
Policy instance 1
Insurance contract or identification number00462921
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameALLIANCE ADVISORY GROUP, INC.
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number230072
Policy instance 2
Insurance contract or identification number230072
Number of Individuals Covered23
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $8,492
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,492
Insurance broker organization code?3
Insurance broker nameUPSTATE FINANCIAL SERVICES
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number4007237
Policy instance 4
Insurance contract or identification number4007237
Number of Individuals Covered24
Insurance policy start date2016-10-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $1,205
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,205
Insurance broker nameTHE ARGIRO GROUP INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00462921
Policy instance 1
Insurance contract or identification number00462921
Number of Individuals Covered71
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,448
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,420
Insurance broker nameALLIANCE ADVISORY GROUP, INC.
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number230072
Policy instance 2
Insurance contract or identification number230072
Number of Individuals Covered52
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $18,046
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,046
Insurance broker organization code?3
Insurance broker nameUPSTATE FINANCIAL SERVICES
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number
Policy instance 3
Number of Individuals Covered15
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,528
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $122,839
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,528
Insurance broker organization code?3
Insurance broker nameUPSTATE FINANCIAL SERVICES
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number4007237
Policy instance 4
Insurance contract or identification number4007237
Number of Individuals Covered16
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $940
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $940
Insurance broker organization code?3
Insurance broker nameTHE ARGIRO GROUP INC.
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00007607
Policy instance 4
Insurance contract or identification number00007607
Number of Individuals Covered7
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,008
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,008
Insurance broker organization code?3
Insurance broker nameSUPPORT SERVICE ALLIANCE, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00462921
Policy instance 1
Insurance contract or identification number00462921
Number of Individuals Covered69
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,301
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,301
Insurance broker organization code?3
Insurance broker nameUPSTATE FINANCIAL SERVICES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00292794
Policy instance 2
Insurance contract or identification number00292794
Number of Individuals Covered3
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2
Total amount of fees paid to insurance companyUSD $84
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $286
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees84
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $2
Insurance broker nameALLIANCE ADVISOR GROUP, INC.
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number4007237
Policy instance 8
Insurance contract or identification number4007237
Number of Individuals Covered17
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $985
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,846
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees985
Insurance broker organization code?3
Insurance broker nameTHE ARGIRO GROUP INC
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number230072
Policy instance 3
Insurance contract or identification number230072
Number of Individuals Covered65
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $22,067
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,067
Insurance broker nameUPSTATE FINANCIAL SERVICES
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00501406
Policy instance 7
Insurance contract or identification number00501406
Number of Individuals Covered0
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,371
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00510408
Policy instance 6
Insurance contract or identification number00510408
Number of Individuals Covered7
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,640
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00009775
Policy instance 5
Insurance contract or identification number00009775
Number of Individuals Covered3
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,510
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $90,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,510
Insurance broker organization code?3
Insurance broker nameUPSTATE FINANCIAL SERVICES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00292794
Policy instance 5
Insurance contract or identification number00292794
Number of Individuals Covered4
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1
Total amount of fees paid to insurance companyUSD $55
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $186
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees55
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $1
Insurance broker nameALLIANCE ADVISOR GROUP, INC.
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00007607
Policy instance 4
Insurance contract or identification number00007607
Number of Individuals Covered96
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $20,952
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $523,808
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,952
Insurance broker organization code?3
Insurance broker nameSUPPORT SERVICES ALLIANCE, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00462921
Policy instance 3
Insurance contract or identification number00462921
Number of Individuals Covered84
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,223
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,223
Insurance broker organization code?3
Insurance broker nameTHE ARGIRO GROUP INC
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number230072
Policy instance 2
Insurance contract or identification number230072
Number of Individuals Covered92
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $36,237
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,824
Insurance broker organization code?3
Insurance broker nameTHE ARGIRO GROUP INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number4007237
Policy instance 1
Insurance contract or identification number4007237
Number of Individuals Covered18
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $706
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees706
Insurance broker organization code?3
Insurance broker nameTHE ARGIRO GROUP INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number4007237
Policy instance 1
Insurance contract or identification number4007237
Number of Individuals Covered18
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $874
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $874
Insurance broker nameTHE ARGIRO GROUP INC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number7607
Policy instance 6
Insurance contract or identification number7607
Number of Individuals Covered64
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $14,977
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $374,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,977
Insurance broker organization code?3
Insurance broker nameSUPPORT SERVICES ALLIANCE INC.
MOYER, RUSSI AND RANDALL (National Association of Insurance Commissioners NAIC id number: 54111 )
Policy contract number
Policy instance 5
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $70,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00462921
Policy instance 4
Insurance contract or identification number00462921
Number of Individuals Covered166
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,083
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,058
Insurance broker organization code?3
Insurance broker nameALLIANCE ADVISORY GRP INC
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number230072
Policy instance 3
Insurance contract or identification number230072
Number of Individuals Covered118
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $33,669
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,669
Insurance broker nameTHE ARGIRO GROUP INC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number30230
Policy instance 2
Insurance contract or identification number30230
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $385
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,618
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $385
Insurance broker nameSUPPORT SERVICES ALLIANCE INC.
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number4007237
Policy instance 1
Insurance contract or identification number4007237
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $890
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,905
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number1286400
Policy instance 2
Insurance contract or identification number1286400
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number230072
Policy instance 3
Insurance contract or identification number230072
Number of Individuals Covered136
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $36,490
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberGER10020
Policy instance 4
Insurance contract or identification numberGER10020
Number of Individuals Covered3
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $209,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00462921
Policy instance 5
Insurance contract or identification number00462921
Number of Individuals Covered181
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,900
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number510136
Policy instance 7
Insurance contract or identification number510136
Number of Individuals Covered78
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $29,113
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $532,721
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MOYER, RUSSI AND RANDALL (National Association of Insurance Commissioners NAIC id number: 54111 )
Policy contract number
Policy instance 6
Number of Individuals Covered398
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $79,729
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL INTEGRITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 75264 )
Policy contract number1100048830
Policy instance 2
Insurance contract or identification number1100048830
Number of Individuals Covered795
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number4007237
Policy instance 4
Insurance contract or identification number4007237
Number of Individuals Covered20
Insurance policy start date2009-09-01
Insurance policy end date2010-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,721
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number1286400
Policy instance 5
Insurance contract or identification number1286400
Number of Individuals Covered26
Insurance policy start date2009-04-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $7,283
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12314421
Policy instance 6
Insurance contract or identification number12314421
Number of Individuals Covered313
Insurance policy start date2009-08-01
Insurance policy end date2010-07-31
Total amount of commissions paid to insurance brokerUSD $1,268
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFNYH893284
Policy instance 8
Insurance contract or identification numberFNYH893284
Number of Individuals Covered795
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,027
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number25KU5W5P5
Policy instance 9
Insurance contract or identification number25KU5W5P5
Number of Individuals Covered44
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $180,846
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberGER10020
Policy instance 10
Insurance contract or identification numberGER10020
Number of Individuals Covered341
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $170,090
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number230072
Policy instance 7
Insurance contract or identification number230072
Number of Individuals Covered124
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $27,170
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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