HALLSTAR SERVICES CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan HALLSTAR SERVICES GROUP INSURANCE PLAN
| Measure | Date | Value |
|---|
| 2018: HALLSTAR SERVICES GROUP INSURANCE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-10-01 | 279 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 279 |
| Total of all active and inactive participants | 2018-10-01 | 279 |
| 2017: HALLSTAR SERVICES GROUP INSURANCE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-10-01 | 131 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 110 |
| Number of retired or separated participants receiving benefits | 2017-10-01 | 12 |
| Number of other retired or separated participants entitled to future benefits | 2017-10-01 | 3 |
| Total of all active and inactive participants | 2017-10-01 | 125 |
| 2016: HALLSTAR SERVICES GROUP INSURANCE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-10-01 | 143 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 114 |
| Number of retired or separated participants receiving benefits | 2016-10-01 | 15 |
| Number of other retired or separated participants entitled to future benefits | 2016-10-01 | 2 |
| Total of all active and inactive participants | 2016-10-01 | 131 |
| 2015: HALLSTAR SERVICES GROUP INSURANCE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-10-01 | 147 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 122 |
| Number of retired or separated participants receiving benefits | 2015-10-01 | 17 |
| Number of other retired or separated participants entitled to future benefits | 2015-10-01 | 4 |
| Total of all active and inactive participants | 2015-10-01 | 143 |
| 2014: HALLSTAR SERVICES GROUP INSURANCE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-10-01 | 147 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 128 |
| Number of retired or separated participants receiving benefits | 2014-10-01 | 16 |
| Number of other retired or separated participants entitled to future benefits | 2014-10-01 | 3 |
| Total of all active and inactive participants | 2014-10-01 | 147 |
| 2013: HALLSTAR SERVICES GROUP INSURANCE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-10-01 | 138 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-10-01 | 124 |
| Number of retired or separated participants receiving benefits | 2013-10-01 | 19 |
| Number of other retired or separated participants entitled to future benefits | 2013-10-01 | 4 |
| Total of all active and inactive participants | 2013-10-01 | 147 |
| 2012: HALLSTAR SERVICES GROUP INSURANCE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-10-01 | 147 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-10-01 | 117 |
| Number of retired or separated participants receiving benefits | 2012-10-01 | 21 |
| Number of other retired or separated participants entitled to future benefits | 2012-10-01 | 0 |
| Total of all active and inactive participants | 2012-10-01 | 138 |
| 2011: HALLSTAR SERVICES GROUP INSURANCE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-10-01 | 145 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-10-01 | 121 |
| Number of retired or separated participants receiving benefits | 2011-10-01 | 26 |
| Number of other retired or separated participants entitled to future benefits | 2011-10-01 | 0 |
| Total of all active and inactive participants | 2011-10-01 | 147 |
| 2009: HALLSTAR SERVICES GROUP INSURANCE PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-10-01 | 121 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-10-01 | 111 |
| Number of retired or separated participants receiving benefits | 2009-10-01 | 27 |
| Number of other retired or separated participants entitled to future benefits | 2009-10-01 | 0 |
| Total of all active and inactive participants | 2009-10-01 | 138 |
| Measure | Date | Value |
|---|
| 2017 : HALLSTAR SERVICES GROUP INSURANCE PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-09-30 | $2,003,197 |
| Expenses. Total of all expenses incurred | 2017-09-30 | $2,003,197 |
| Benefits paid (including direct rollovers) | 2017-09-30 | $1,965,324 |
| Value of fidelity bond covering the plan | 2017-09-30 | $5,000,000 |
| Total contributions received or receivable from participants | 2017-09-30 | $429,860 |
| Expenses. Other expenses not covered elsewhere | 2017-09-30 | $37,873 |
| Net income (gross income less expenses) | 2017-09-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2017-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2017-09-30 | $1,573,337 |
| 2016 : HALLSTAR SERVICES GROUP INSURANCE PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-09-30 | $2,018,399 |
| Expenses. Total of all expenses incurred | 2016-09-30 | $2,018,399 |
| Benefits paid (including direct rollovers) | 2016-09-30 | $1,965,238 |
| Value of fidelity bond covering the plan | 2016-09-30 | $3,000,000 |
| Total contributions received or receivable from participants | 2016-09-30 | $455,622 |
| Expenses. Other expenses not covered elsewhere | 2016-09-30 | $53,161 |
| Net income (gross income less expenses) | 2016-09-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2016-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2016-09-30 | $1,562,777 |
| 2015 : HALLSTAR SERVICES GROUP INSURANCE PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-09-30 | $2,046,502 |
| Expenses. Total of all expenses incurred | 2015-09-30 | $2,046,502 |
| Benefits paid (including direct rollovers) | 2015-09-30 | $2,017,202 |
| Value of fidelity bond covering the plan | 2015-09-30 | $3,000,000 |
| Total contributions received or receivable from participants | 2015-09-30 | $429,388 |
| Expenses. Other expenses not covered elsewhere | 2015-09-30 | $29,300 |
| Net income (gross income less expenses) | 2015-09-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2015-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2015-09-30 | $1,617,114 |
| 2014 : HALLSTAR SERVICES GROUP INSURANCE PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-09-30 | $1,873,814 |
| Expenses. Total of all expenses incurred | 2014-09-30 | $1,873,814 |
| Benefits paid (including direct rollovers) | 2014-09-30 | $1,858,785 |
| Total contributions received or receivable from participants | 2014-09-30 | $395,963 |
| Expenses. Other expenses not covered elsewhere | 2014-09-30 | $15,029 |
| Net income (gross income less expenses) | 2014-09-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2014-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2014-09-30 | $1,477,851 |
| 2013 : HALLSTAR SERVICES GROUP INSURANCE PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-09-30 | $1,807,061 |
| Expenses. Total of all expenses incurred | 2013-09-30 | $1,807,061 |
| Benefits paid (including direct rollovers) | 2013-09-30 | $1,783,497 |
| Total contributions received or receivable from participants | 2013-09-30 | $406,484 |
| Expenses. Other expenses not covered elsewhere | 2013-09-30 | $23,564 |
| Net income (gross income less expenses) | 2013-09-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2013-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2013-09-30 | $1,400,577 |
| 2012 : HALLSTAR SERVICES GROUP INSURANCE PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-09-30 | $1,841,494 |
| Expenses. Total of all expenses incurred | 2012-09-30 | $1,841,494 |
| Benefits paid (including direct rollovers) | 2012-09-30 | $1,817,120 |
| Total contributions received or receivable from participants | 2012-09-30 | $405,812 |
| Expenses. Other expenses not covered elsewhere | 2012-09-30 | $24,374 |
| Net income (gross income less expenses) | 2012-09-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2012-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2012-09-30 | $1,435,682 |
| 2011 : HALLSTAR SERVICES GROUP INSURANCE PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-09-30 | $1,737,455 |
| Expenses. Total of all expenses incurred | 2011-09-30 | $1,737,455 |
| Benefits paid (including direct rollovers) | 2011-09-30 | $1,713,392 |
| Total contributions received or receivable from participants | 2011-09-30 | $335,482 |
| Expenses. Other expenses not covered elsewhere | 2011-09-30 | $24,063 |
| Net income (gross income less expenses) | 2011-09-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2011-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2011-09-30 | $1,401,973 |
| 2018: HALLSTAR SERVICES GROUP INSURANCE PLAN 2018 form 5500 responses |
|---|
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | Submission has been amended | No |
| 2018-10-01 | This submission is the final filing | No |
| 2018-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-10-01 | Plan is a collectively bargained plan | No |
| 2018-10-01 | Plan funding arrangement – Insurance | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: HALLSTAR SERVICES GROUP INSURANCE PLAN 2017 form 5500 responses |
|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Submission has been amended | No |
| 2017-10-01 | This submission is the final filing | No |
| 2017-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-10-01 | Plan is a collectively bargained plan | No |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: HALLSTAR SERVICES GROUP INSURANCE PLAN 2016 form 5500 responses |
|---|
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Submission has been amended | No |
| 2016-10-01 | This submission is the final filing | No |
| 2016-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-10-01 | Plan is a collectively bargained plan | No |
| 2016-10-01 | Plan funding arrangement – Insurance | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: HALLSTAR SERVICES GROUP INSURANCE PLAN 2015 form 5500 responses |
|---|
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | Submission has been amended | No |
| 2015-10-01 | This submission is the final filing | No |
| 2015-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-10-01 | Plan is a collectively bargained plan | No |
| 2015-10-01 | Plan funding arrangement – Insurance | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: HALLSTAR SERVICES GROUP INSURANCE PLAN 2014 form 5500 responses |
|---|
| 2014-10-01 | Type of plan entity | Single employer plan |
| 2014-10-01 | Submission has been amended | No |
| 2014-10-01 | This submission is the final filing | No |
| 2014-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-10-01 | Plan is a collectively bargained plan | No |
| 2014-10-01 | Plan funding arrangement – Insurance | Yes |
| 2014-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: HALLSTAR SERVICES GROUP INSURANCE PLAN 2013 form 5500 responses |
|---|
| 2013-10-01 | Type of plan entity | Single employer plan |
| 2013-10-01 | Submission has been amended | No |
| 2013-10-01 | This submission is the final filing | No |
| 2013-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-10-01 | Plan is a collectively bargained plan | No |
| 2013-10-01 | Plan funding arrangement – Insurance | Yes |
| 2013-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: HALLSTAR SERVICES GROUP INSURANCE PLAN 2012 form 5500 responses |
|---|
| 2012-10-01 | Type of plan entity | Single employer plan |
| 2012-10-01 | Submission has been amended | No |
| 2012-10-01 | This submission is the final filing | No |
| 2012-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-10-01 | Plan is a collectively bargained plan | No |
| 2012-10-01 | Plan funding arrangement – Insurance | Yes |
| 2012-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: HALLSTAR SERVICES GROUP INSURANCE PLAN 2011 form 5500 responses |
|---|
| 2011-10-01 | Type of plan entity | Single employer plan |
| 2011-10-01 | Submission has been amended | No |
| 2011-10-01 | This submission is the final filing | No |
| 2011-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-10-01 | Plan is a collectively bargained plan | No |
| 2011-10-01 | Plan funding arrangement – Insurance | Yes |
| 2011-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: HALLSTAR SERVICES GROUP INSURANCE PLAN 2009 form 5500 responses |
|---|
| 2009-10-01 | Type of plan entity | Single employer plan |
| 2009-10-01 | Submission has been amended | No |
| 2009-10-01 | This submission is the final filing | No |
| 2009-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-10-01 | Plan is a collectively bargained plan | No |
| 2009-10-01 | Plan funding arrangement – Insurance | Yes |
| 2009-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: HALLSTAR SERVICES GROUP INSURANCE PLAN 2008 form 5500 responses |
|---|
| 2008-10-01 | Type of plan entity | Single employer plan |
| 2008-10-01 | Submission has been amended | No |
| 2008-10-01 | This submission is the final filing | No |
| 2008-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-10-01 | Plan is a collectively bargained plan | No |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 082132 |
| Policy instance | 1 |
| Insurance contract or identification number | 082132 | | Number of Individuals Covered | 279 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $27,908 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,902,137 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $27,908 | | Insurance broker organization code? | 3 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 ) |
| Policy contract number | 30005803 |
| Policy instance | 3 |
| Insurance contract or identification number | 30005803 | | Number of Individuals Covered | 115 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $16,342 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | KM05945407 |
| Policy instance | 2 |
| Insurance contract or identification number | KM05945407 | | Number of Individuals Covered | 279 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $35,895 | | Total amount of fees paid to insurance company | USD $4,565 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $223,948 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $21,209 | | Amount paid for insurance broker fees | 60 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | | Insurance broker organization code? | 3 |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | KM05945407 |
| Policy instance | 2 |
| Insurance contract or identification number | KM05945407 | | Number of Individuals Covered | 279 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $5,587 | | Total amount of fees paid to insurance company | USD $1,221 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $84,657 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 082132 |
| Policy instance | 1 |
| Insurance contract or identification number | 082132 | | Number of Individuals Covered | 279 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $27,908 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,902,137 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
