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EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 401k Plan overview

Plan NameEUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008
Plan identification number 501

EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 Benefits

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

401k Sponsoring company profile

EUCLID HEALTH TRUST has sponsored the creation of one or more 401k plans.

Company Name:EUCLID HEALTH TRUST
Employer identification number (EIN):202366635
NAIC Classification:333100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01TITO ANTONELLI2023-09-19
5012021-01-01TITO ANTONELLI2022-08-18
5012020-01-01TITO ANTONELLI2021-08-20
5012019-01-01TITO ANTONELLI2020-08-18
5012018-01-01TITO ANTONELLI2019-08-28
5012017-01-01
5012016-02-01
5012015-02-01
5012014-02-01
5012013-02-01
5012012-02-01TITO ANTONELLI
5012011-02-01TITO ANTONELLI
5012009-02-01PEASE ASSOCIATES, INC.

Plan Statistics for EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008

401k plan membership statisitcs for EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008

Measure Date Value
2022: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2022 401k membership
Total participants, beginning-of-year2022-01-01156
Number of retired or separated participants receiving benefits2022-01-01145
Total of all active and inactive participants2022-01-01145
2021: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2021 401k membership
Total participants, beginning-of-year2021-01-01167
Number of retired or separated participants receiving benefits2021-01-01156
Total of all active and inactive participants2021-01-01156
2020: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2020 401k membership
Total participants, beginning-of-year2020-01-01179
Number of retired or separated participants receiving benefits2020-01-01167
Total of all active and inactive participants2020-01-01167
2019: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2019 401k membership
Total participants, beginning-of-year2019-01-01193
Number of retired or separated participants receiving benefits2019-01-01179
Total of all active and inactive participants2019-01-01179
2018: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2018 401k membership
Total participants, beginning-of-year2018-01-01205
Number of retired or separated participants receiving benefits2018-01-01193
Total of all active and inactive participants2018-01-01193
2017: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2017 401k membership
Total participants, beginning-of-year2017-01-01214
Number of retired or separated participants receiving benefits2017-01-01205
Total of all active and inactive participants2017-01-01205
2016: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2016 401k membership
Total participants, beginning-of-year2016-02-01222
Number of retired or separated participants receiving benefits2016-02-01214
Total of all active and inactive participants2016-02-01214
2015: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2015 401k membership
Total participants, beginning-of-year2015-02-01235
Number of retired or separated participants receiving benefits2015-02-01222
Total of all active and inactive participants2015-02-01222
2014: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2014 401k membership
Total participants, beginning-of-year2014-02-01251
Number of retired or separated participants receiving benefits2014-02-01235
Total of all active and inactive participants2014-02-01235
2013: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2013 401k membership
Total participants, beginning-of-year2013-02-01259
Number of retired or separated participants receiving benefits2013-02-01251
Total of all active and inactive participants2013-02-01251
2012: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2012 401k membership
Total participants, beginning-of-year2012-02-01263
Number of retired or separated participants receiving benefits2012-02-01259
Total of all active and inactive participants2012-02-01259
2011: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2011 401k membership
Total participants, beginning-of-year2011-02-01273
Number of retired or separated participants receiving benefits2011-02-01263
Total of all active and inactive participants2011-02-01263
2009: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2009 401k membership
Total participants, beginning-of-year2009-02-01293
Number of retired or separated participants receiving benefits2009-02-01283
Total of all active and inactive participants2009-02-01283
Total participants2009-02-01283

Financial Data on EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008

Measure Date Value
2022 : EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-458,993
Total unrealized appreciation/depreciation of assets2022-12-31$-458,993
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$15,657
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$17,193
Total income from all sources (including contributions)2022-12-31$-809,422
Total of all expenses incurred2022-12-31$583,717
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$516,741
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,654
Value of total assets at end of year2022-12-31$4,745,158
Value of total assets at beginning of year2022-12-31$6,139,833
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$66,976
Total interest from all sources2022-12-31$4
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$38,493
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$38,493
Administrative expenses professional fees incurred2022-12-31$12,688
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$2,654
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$1,485
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$2,051
Administrative expenses (other) incurred2022-12-31$54,288
Liabilities. Value of operating payables at end of year2022-12-31$15,657
Liabilities. Value of operating payables at beginning of year2022-12-31$17,193
Total non interest bearing cash at beginning of year2022-12-31$7,407
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,393,139
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,729,501
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$6,122,640
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,796,240
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$2,217,328
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$36,690
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$30,134
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$30,134
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$4
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$2,910,743
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$3,882,913
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$332,384
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-391,580
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$184,357
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31PEASE BELL CPAS, LLC
Accountancy firm EIN2022-12-31364267431
2021 : EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-110,624
Total unrealized appreciation/depreciation of assets2021-12-31$-110,624
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$17,193
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$14,957
Total income from all sources (including contributions)2021-12-31$129,647
Total of all expenses incurred2021-12-31$611,766
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$546,988
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,903
Value of total assets at end of year2021-12-31$6,139,833
Value of total assets at beginning of year2021-12-31$6,619,716
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$64,778
Total interest from all sources2021-12-31$6
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$36,269
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$36,269
Administrative expenses professional fees incurred2021-12-31$10,500
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$2,903
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$2,051
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$2,207
Administrative expenses (other) incurred2021-12-31$54,278
Liabilities. Value of operating payables at end of year2021-12-31$17,193
Liabilities. Value of operating payables at beginning of year2021-12-31$14,957
Total non interest bearing cash at end of year2021-12-31$7,407
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-482,119
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,122,640
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$6,604,759
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$2,217,328
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$1,996,965
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$30,134
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$83,570
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$83,570
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$6
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$3,882,913
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$4,536,974
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$355,380
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$201,093
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$191,608
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 name2021-12-31PEASE & ASSOCIATES, LLC
Accountancy firm EIN2021-12-31364267431
2020 : EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$495,978
Total unrealized appreciation/depreciation of assets2020-12-31$495,978
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$14,957
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$17,934
Total income from all sources (including contributions)2020-12-31$766,646
Total of all expenses incurred2020-12-31$626,618
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$562,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$3,622
Value of total assets at end of year2020-12-31$6,619,716
Value of total assets at beginning of year2020-12-31$6,482,665
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$64,262
Total interest from all sources2020-12-31$85
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$36,537
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$36,537
Administrative expenses professional fees incurred2020-12-31$10,563
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$3,622
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$2,207
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$1,675
Administrative expenses (other) incurred2020-12-31$53,699
Liabilities. Value of operating payables at end of year2020-12-31$14,957
Liabilities. Value of operating payables at beginning of year2020-12-31$17,934
Total non interest bearing cash at beginning of year2020-12-31$1,184
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$140,028
Value of net assets at end of year (total assets less liabilities)2020-12-31$6,604,759
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,464,731
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,996,965
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,779,005
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$83,570
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$94,274
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$94,274
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$85
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$4,536,974
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$4,606,527
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$375,738
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$230,424
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$186,618
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
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31PEASE & ASSOCIATES, LLC
Accountancy firm EIN2020-12-31364267431
2019 : EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$332,126
Total unrealized appreciation/depreciation of assets2019-12-31$332,126
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$17,934
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$14,665
Total income from all sources (including contributions)2019-12-31$610,667
Total of all expenses incurred2019-12-31$659,364
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$589,747
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$5,284
Value of total assets at end of year2019-12-31$6,482,665
Value of total assets at beginning of year2019-12-31$6,528,093
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$69,617
Total interest from all sources2019-12-31$194
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$40,447
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$40,447
Administrative expenses professional fees incurred2019-12-31$10,750
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$5,284
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$1,675
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,872
Administrative expenses (other) incurred2019-12-31$58,867
Liabilities. Value of operating payables at end of year2019-12-31$17,934
Liabilities. Value of operating payables at beginning of year2019-12-31$14,665
Total non interest bearing cash at end of year2019-12-31$1,184
Total non interest bearing cash at beginning of year2019-12-31$7,656
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-48,697
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,464,731
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,513,428
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,779,005
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,531,942
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$94,274
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$123,155
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$123,155
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$194
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$4,606,527
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$4,863,468
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$388,497
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$232,616
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$201,250
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31PEASE & ASSOCIATES, LLC
Accountancy firm EIN2019-12-31364267431
2018 : EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-268,627
Total unrealized appreciation/depreciation of assets2018-12-31$-268,627
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$14,665
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$14,996
Total income from all sources (including contributions)2018-12-31$-308,658
Total of all expenses incurred2018-12-31$652,802
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$583,073
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$6,726
Value of total assets at end of year2018-12-31$6,528,093
Value of total assets at beginning of year2018-12-31$7,489,884
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$69,729
Total interest from all sources2018-12-31$137
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$39,089
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$39,089
Administrative expenses professional fees incurred2018-12-31$10,489
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$6,726
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,872
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$1,396
Administrative expenses (other) incurred2018-12-31$59,240
Liabilities. Value of operating payables at end of year2018-12-31$14,665
Liabilities. Value of operating payables at beginning of year2018-12-31$14,996
Total non interest bearing cash at end of year2018-12-31$7,656
Total non interest bearing cash at beginning of year2018-12-31$57,303
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-961,460
Value of net assets at end of year (total assets less liabilities)2018-12-31$6,513,428
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$7,474,888
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$1,531,942
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,635,115
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$123,155
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$45,018
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$45,018
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$137
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$4,863,468
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$5,751,052
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$400,446
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-85,983
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$182,627
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31PEASE & ASSOCIATES, LLC
Accountancy firm EIN2018-12-31364267431
2017 : EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-221,177
Total unrealized appreciation/depreciation of assets2017-12-31$-221,177
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$14,996
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$19,813
Total income from all sources (including contributions)2017-12-31$-48,585
Total of all expenses incurred2017-12-31$655,645
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$585,217
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$6,725
Value of total assets at end of year2017-12-31$7,489,884
Value of total assets at beginning of year2017-12-31$8,198,931
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$70,428
Total interest from all sources2017-12-31$250
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$35,956
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$35,956
Administrative expenses professional fees incurred2017-12-31$10,520
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$6,725
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$1,396
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$1,396
Administrative expenses (other) incurred2017-12-31$59,908
Liabilities. Value of operating payables at end of year2017-12-31$14,996
Liabilities. Value of operating payables at beginning of year2017-12-31$19,813
Total non interest bearing cash at end of year2017-12-31$57,303
Total non interest bearing cash at beginning of year2017-12-31$5,518
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-704,230
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,474,888
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$8,179,118
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,635,115
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,501,093
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$45,018
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$90,952
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$90,952
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$250
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$5,751,052
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$6,599,972
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$406,725
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$129,661
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$178,492
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
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 name2017-12-31PEASE & ASSOCIATES, LLC
Accountancy firm EIN2017-12-31364267431
2016 : EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$1,097,144
Total unrealized appreciation/depreciation of assets2016-12-31$1,097,144
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$19,813
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$14,910
Total income from all sources (including contributions)2016-12-31$1,216,056
Total of all expenses incurred2016-12-31$609,620
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$544,697
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,891
Value of total assets at end of year2016-12-31$8,198,931
Value of total assets at beginning of year2016-12-31$7,587,592
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$64,923
Total interest from all sources2016-12-31$191
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$32,455
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$32,455
Administrative expenses professional fees incurred2016-12-31$10,500
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$5,891
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$1,396
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$1,267
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$1,477
Administrative expenses (other) incurred2016-12-31$54,423
Liabilities. Value of operating payables at end of year2016-12-31$19,813
Liabilities. Value of operating payables at beginning of year2016-12-31$13,433
Total non interest bearing cash at end of year2016-12-31$5,518
Total non interest bearing cash at beginning of year2016-12-31$11,112
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$606,436
Value of net assets at end of year (total assets less liabilities)2016-12-31$8,179,118
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,572,682
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,501,093
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,388,263
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$90,952
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$93,434
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$93,434
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$191
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$6,599,972
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$6,093,516
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$372,956
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$80,375
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$171,741
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31PEASE & ASSOCIATES, LLC
Accountancy firm EIN2016-12-31364267431
Unrealized appreciation/depreciation of other (non real estate) assets2016-01-31$-153,449
Total unrealized appreciation/depreciation of assets2016-01-31$-153,449
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-01-31$14,910
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-01-31$18,517
Total income from all sources (including contributions)2016-01-31$-177,058
Total of all expenses incurred2016-01-31$672,819
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-01-31$602,893
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-01-31$7,019
Value of total assets at end of year2016-01-31$7,587,592
Value of total assets at beginning of year2016-01-31$8,441,076
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-01-31$69,926
Total interest from all sources2016-01-31$228
Total dividends received (eg from common stock, registered investment company shares)2016-01-31$33,033
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-01-31$33,033
Administrative expenses professional fees incurred2016-01-31$10,050
Was this plan covered by a fidelity bond2016-01-31Yes
Value of fidelity bond cover2016-01-31$500,000
If this is an individual account plan, was there a blackout period2016-01-31No
Were there any nonexempt tranactions with any party-in-interest2016-01-31No
Contributions received from participants2016-01-31$7,019
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-01-31$1,267
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-01-31$935
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-01-31$1,477
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-01-31$1,417
Administrative expenses (other) incurred2016-01-31$59,876
Liabilities. Value of operating payables at end of year2016-01-31$13,433
Liabilities. Value of operating payables at beginning of year2016-01-31$17,100
Total non interest bearing cash at end of year2016-01-31$11,112
Total non interest bearing cash at beginning of year2016-01-31$5,962
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Value of net income/loss2016-01-31$-849,877
Value of net assets at end of year (total assets less liabilities)2016-01-31$7,572,682
Value of net assets at beginning of year (total assets less liabilities)2016-01-31$8,422,559
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-01-31No
Were any leases to which the plan was party in default or uncollectible2016-01-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-01-31$1,388,263
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-01-31$1,419,118
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-01-31$93,434
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-01-31$106,708
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-01-31$106,708
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-01-31$228
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-01-31$6,093,516
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-01-31$6,908,353
Expenses. Payments to insurance carriers foe the provision of benefits2016-01-31$404,758
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-01-31$-63,889
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-01-31No
Was there a failure to transmit to the plan any participant contributions2016-01-31No
Has the plan failed to provide any benefit when due under the plan2016-01-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-01-31$198,135
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-01-31No
Did the plan have assets held for investment2016-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-01-31No
Opinion of an independent qualified public accountant for this plan2016-01-31Unqualified
Accountancy firm name2016-01-31PEASE & ASSOCIATES, LLC
Accountancy firm EIN2016-01-31364267431
2015 : EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-01-31$747,226
Total unrealized appreciation/depreciation of assets2015-01-31$747,226
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-01-31$18,517
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-01-31$16,410
Total income from all sources (including contributions)2015-01-31$867,148
Total of all expenses incurred2015-01-31$697,185
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-01-31$619,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-01-31$8,232
Value of total assets at end of year2015-01-31$8,441,076
Value of total assets at beginning of year2015-01-31$8,269,006
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-01-31$77,932
Total interest from all sources2015-01-31$260
Total dividends received (eg from common stock, registered investment company shares)2015-01-31$34,139
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-01-31$34,139
Administrative expenses professional fees incurred2015-01-31$11,700
Was this plan covered by a fidelity bond2015-01-31Yes
Value of fidelity bond cover2015-01-31$500,000
If this is an individual account plan, was there a blackout period2015-01-31No
Were there any nonexempt tranactions with any party-in-interest2015-01-31No
Contributions received from participants2015-01-31$8,232
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-01-31$935
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-01-31$1,005
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-01-31$1,417
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-01-31$1,795
Administrative expenses (other) incurred2015-01-31$66,232
Liabilities. Value of operating payables at end of year2015-01-31$17,100
Liabilities. Value of operating payables at beginning of year2015-01-31$14,615
Total non interest bearing cash at end of year2015-01-31$5,962
Total non interest bearing cash at beginning of year2015-01-31$12,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Value of net income/loss2015-01-31$169,963
Value of net assets at end of year (total assets less liabilities)2015-01-31$8,422,559
Value of net assets at beginning of year (total assets less liabilities)2015-01-31$8,252,596
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-01-31No
Were any leases to which the plan was party in default or uncollectible2015-01-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-01-31$1,419,118
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-01-31$1,307,688
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-01-31$106,708
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-01-31$98,750
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-01-31$98,750
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-01-31$260
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-01-31$6,908,353
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-01-31$6,849,063
Expenses. Payments to insurance carriers foe the provision of benefits2015-01-31$419,932
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-01-31$77,291
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-01-31No
Was there a failure to transmit to the plan any participant contributions2015-01-31No
Has the plan failed to provide any benefit when due under the plan2015-01-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-01-31$199,321
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-01-31No
Did the plan have assets held for investment2015-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-01-31No
Opinion of an independent qualified public accountant for this plan2015-01-31Unqualified
Accountancy firm name2015-01-31PEASE & ASSOCIATES INC
Accountancy firm EIN2015-01-31364267431
2014 : EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-01-31$-64,826
Total unrealized appreciation/depreciation of assets2014-01-31$-64,826
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-01-31$16,410
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-01-31$15,562
Total income from all sources (including contributions)2014-01-31$50,306
Total of all expenses incurred2014-01-31$703,688
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-01-31$627,696
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-01-31$10,476
Value of total assets at end of year2014-01-31$8,269,006
Value of total assets at beginning of year2014-01-31$8,921,540
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-01-31$75,992
Total interest from all sources2014-01-31$254
Total dividends received (eg from common stock, registered investment company shares)2014-01-31$30,034
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-01-31$30,034
Administrative expenses professional fees incurred2014-01-31$10,300
Was this plan covered by a fidelity bond2014-01-31Yes
Value of fidelity bond cover2014-01-31$500,000
If this is an individual account plan, was there a blackout period2014-01-31No
Were there any nonexempt tranactions with any party-in-interest2014-01-31No
Contributions received from participants2014-01-31$10,476
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-01-31$1,005
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-01-31$394
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-01-31$1,795
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-01-31$1,205
Administrative expenses (other) incurred2014-01-31$65,692
Liabilities. Value of operating payables at end of year2014-01-31$14,615
Liabilities. Value of operating payables at beginning of year2014-01-31$14,357
Total non interest bearing cash at end of year2014-01-31$12,500
Total non interest bearing cash at beginning of year2014-01-31$12,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Value of net income/loss2014-01-31$-653,382
Value of net assets at end of year (total assets less liabilities)2014-01-31$8,252,596
Value of net assets at beginning of year (total assets less liabilities)2014-01-31$8,905,978
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-01-31No
Were any leases to which the plan was party in default or uncollectible2014-01-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-01-31$1,307,688
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-01-31$1,203,285
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-01-31$98,750
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-01-31$88,505
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-01-31$88,505
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-01-31$254
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-01-31$6,849,063
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-01-31$7,616,856
Expenses. Payments to insurance carriers foe the provision of benefits2014-01-31$433,148
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-01-31$74,368
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-01-31No
Was there a failure to transmit to the plan any participant contributions2014-01-31No
Has the plan failed to provide any benefit when due under the plan2014-01-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-01-31$194,548
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-01-31No
Did the plan have assets held for investment2014-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-01-31No
Opinion of an independent qualified public accountant for this plan2014-01-31Unqualified
Accountancy firm name2014-01-31PEASE & ASSOCIATES INC
Accountancy firm EIN2014-01-31364267431
2013 : EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-01-31$406,634
Total unrealized appreciation/depreciation of assets2013-01-31$406,634
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-01-31$15,562
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-01-31$18,743
Total income from all sources (including contributions)2013-01-31$513,981
Total of all expenses incurred2013-01-31$692,095
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-01-31$611,870
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-01-31$10,583
Value of total assets at end of year2013-01-31$8,921,540
Value of total assets at beginning of year2013-01-31$9,102,835
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-01-31$80,225
Total interest from all sources2013-01-31$239
Total dividends received (eg from common stock, registered investment company shares)2013-01-31$28,064
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-01-31$28,064
Administrative expenses professional fees incurred2013-01-31$11,700
Was this plan covered by a fidelity bond2013-01-31Yes
Value of fidelity bond cover2013-01-31$500,000
If this is an individual account plan, was there a blackout period2013-01-31No
Were there any nonexempt tranactions with any party-in-interest2013-01-31No
Contributions received from participants2013-01-31$10,583
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-01-31$394
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-01-31$2,384
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-01-31$1,205
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-01-31$2,685
Administrative expenses (other) incurred2013-01-31$68,525
Liabilities. Value of operating payables at end of year2013-01-31$14,357
Liabilities. Value of operating payables at beginning of year2013-01-31$16,058
Total non interest bearing cash at end of year2013-01-31$12,500
Total non interest bearing cash at beginning of year2013-01-31$10,383
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Value of net income/loss2013-01-31$-178,114
Value of net assets at end of year (total assets less liabilities)2013-01-31$8,905,978
Value of net assets at beginning of year (total assets less liabilities)2013-01-31$9,084,092
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-01-31No
Were any leases to which the plan was party in default or uncollectible2013-01-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-01-31$1,203,285
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-01-31$1,106,761
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-01-31$88,505
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-01-31$69,652
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-01-31$69,652
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-01-31$239
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-01-31$7,616,856
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-01-31$7,913,655
Expenses. Payments to insurance carriers foe the provision of benefits2013-01-31$414,674
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-01-31$68,461
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-01-31No
Was there a failure to transmit to the plan any participant contributions2013-01-31No
Has the plan failed to provide any benefit when due under the plan2013-01-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-01-31$197,196
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-01-31No
Did the plan have assets held for investment2013-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-01-31No
Opinion of an independent qualified public accountant for this plan2013-01-31Unqualified
Accountancy firm name2013-01-31PEASE & ASSOCIATES INC
Accountancy firm EIN2013-01-31364267431
2012 : EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-01-31$858,896
Total unrealized appreciation/depreciation of assets2012-01-31$858,896
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-31$18,743
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-31$20,833
Total income from all sources (including contributions)2012-01-31$928,248
Total of all expenses incurred2012-01-31$707,142
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-01-31$625,853
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-01-31$13,202
Value of total assets at end of year2012-01-31$9,102,835
Value of total assets at beginning of year2012-01-31$8,883,819
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-01-31$81,289
Total interest from all sources2012-01-31$299
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-01-31No
Administrative expenses professional fees incurred2012-01-31$11,500
Was this plan covered by a fidelity bond2012-01-31Yes
Value of fidelity bond cover2012-01-31$500,000
If this is an individual account plan, was there a blackout period2012-01-31No
Were there any nonexempt tranactions with any party-in-interest2012-01-31No
Contributions received from participants2012-01-31$13,202
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-01-31$2,384
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-01-31$33,879
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-01-31$2,685
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-01-31$3,685
Administrative expenses (other) incurred2012-01-31$69,789
Liabilities. Value of operating payables at end of year2012-01-31$16,058
Liabilities. Value of operating payables at beginning of year2012-01-31$17,148
Total non interest bearing cash at end of year2012-01-31$10,383
Total non interest bearing cash at beginning of year2012-01-31$10,938
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Value of net income/loss2012-01-31$221,106
Value of net assets at end of year (total assets less liabilities)2012-01-31$9,084,092
Value of net assets at beginning of year (total assets less liabilities)2012-01-31$8,862,986
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-01-31No
Were any leases to which the plan was party in default or uncollectible2012-01-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-01-31$1,106,761
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-01-31$970,910
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-01-31$69,652
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-01-31$88,219
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-01-31$88,219
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-01-31$299
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-01-31$7,913,655
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-01-31$7,779,873
Expenses. Payments to insurance carriers foe the provision of benefits2012-01-31$412,369
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-01-31$55,851
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-01-31No
Was there a failure to transmit to the plan any participant contributions2012-01-31No
Has the plan failed to provide any benefit when due under the plan2012-01-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-01-31$213,484
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-01-31No
Did the plan have assets held for investment2012-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-01-31No
Opinion of an independent qualified public accountant for this plan2012-01-31Unqualified
Accountancy firm name2012-01-31PEASE & ASSOCIATES, INC.
Accountancy firm EIN2012-01-31364267431
2011 : EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-01-31$639,335
Total unrealized appreciation/depreciation of assets2011-01-31$639,335
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-01-31$20,833
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-01-31$19,830
Total income from all sources (including contributions)2011-01-31$773,892
Total of all expenses incurred2011-01-31$704,766
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-01-31$624,228
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-01-31$21,591
Value of total assets at end of year2011-01-31$8,883,819
Value of total assets at beginning of year2011-01-31$8,813,690
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-01-31$80,538
Total interest from all sources2011-01-31$503
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-01-31No
Administrative expenses professional fees incurred2011-01-31$11,500
Was this plan covered by a fidelity bond2011-01-31Yes
Value of fidelity bond cover2011-01-31$500,000
If this is an individual account plan, was there a blackout period2011-01-31No
Were there any nonexempt tranactions with any party-in-interest2011-01-31No
Contributions received from participants2011-01-31$21,591
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-01-31$33,879
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-01-31$33,944
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-01-31$3,685
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-01-31$6,995
Administrative expenses (other) incurred2011-01-31$69,038
Liabilities. Value of operating payables at end of year2011-01-31$17,148
Liabilities. Value of operating payables at beginning of year2011-01-31$12,835
Total non interest bearing cash at end of year2011-01-31$10,938
Total non interest bearing cash at beginning of year2011-01-31$866
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Value of net income/loss2011-01-31$69,126
Value of net assets at end of year (total assets less liabilities)2011-01-31$8,862,986
Value of net assets at beginning of year (total assets less liabilities)2011-01-31$8,793,860
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-01-31No
Were any leases to which the plan was party in default or uncollectible2011-01-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-01-31$970,910
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-01-31$858,447
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-01-31$88,219
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-01-31$35,656
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-01-31$35,656
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-01-31$503
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-01-31$7,779,873
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-01-31$7,884,777
Expenses. Payments to insurance carriers foe the provision of benefits2011-01-31$408,251
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-01-31$112,463
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-01-31No
Was there a failure to transmit to the plan any participant contributions2011-01-31No
Has the plan failed to provide any benefit when due under the plan2011-01-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-01-31$215,977
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-01-31No
Did the plan have assets held for investment2011-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-01-31No
Opinion of an independent qualified public accountant for this plan2011-01-31Unqualified
Accountancy firm name2011-01-31PEASE & ASSOCIATES, INC.
Accountancy firm EIN2011-01-31364267431

Form 5500 Responses for EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008

2022: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
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: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
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: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
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: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
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: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan funding arrangement – TrustYes
2016-02-01Plan benefit arrangement – InsuranceYes
2016-02-01Plan benefit arrangement - TrustYes
2015: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan funding arrangement – TrustYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement - TrustYes
2014: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan funding arrangement – TrustYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement - TrustYes
2013: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – TrustYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement - TrustYes
2012: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – TrustYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement - TrustYes
2011: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – TrustYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement - TrustYes
2009: EUCLID HEALTH TRUST RETIREE MEDICAL INSURANCE PLAN P.O. BOX 43008 RICHMOND HEIGHTS, OH 44143-0008 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01This submission is the final filingNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – TrustYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract number7515/7516
Policy instance 3
Insurance contract or identification number7515/7516
Number of Individuals Covered116
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $36,048
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $105,874
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,036
Insurance broker organization code?5
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMZ0925848H000A
Policy instance 2
Insurance contract or identification numberMZ0925848H000A
Number of Individuals Covered121
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $40,822
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $226,790
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,997
Insurance broker organization code?5
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-20419
Policy instance 1
Insurance contract or identification numberGA-20419
Number of Individuals Covered145
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-20419
Policy instance 1
Insurance contract or identification numberGA-20419
Number of Individuals Covered156
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMZ0925848H000A
Policy instance 2
Insurance contract or identification numberMZ0925848H000A
Number of Individuals Covered133
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $40,339
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $240,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,185
Insurance broker organization code?5
EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract number7515/7516
Policy instance 3
Insurance contract or identification number7515/7516
Number of Individuals Covered129
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $19,176
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $114,763
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,382
Insurance broker organization code?5
ENVISION INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77399 )
Policy contract numberENEUCHT001/002
Policy instance 3
Insurance contract or identification numberENEUCHT001/002
Number of Individuals Covered142
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $21,168
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $129,907
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,804
Insurance broker organization code?5
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-20419
Policy instance 1
Insurance contract or identification numberGA-20419
Number of Individuals Covered167
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMZ0925848H000A
Policy instance 2
Insurance contract or identification numberMZ0925848H000A
Number of Individuals Covered142
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $44,288
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $246,043
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,249
Insurance broker organization code?5
ENVISION INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77399 )
Policy contract numberENEUCHT001/002
Policy instance 3
Insurance contract or identification numberENEUCHT001/002
Number of Individuals Covered154
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $22,584
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $135,983
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,834
Insurance broker organization code?5
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMZ0925848H000A
Policy instance 2
Insurance contract or identification numberMZ0925848H000A
Number of Individuals Covered154
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $45,434
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $252,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,474
Insurance broker organization code?5
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-20419
Policy instance 1
Insurance contract or identification numberGA-20419
Number of Individuals Covered179
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-20419
Policy instance 1
Insurance contract or identification numberGA-20419
Number of Individuals Covered193
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ENVISION INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77399 )
Policy contract numberAW50009001
Policy instance 3
Insurance contract or identification numberAW50009001
Number of Individuals Covered165
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $10,048
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $144,230
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,920
Insurance broker organization code?5
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMZ0925848H000A
Policy instance 2
Insurance contract or identification numberMZ0925848H000A
Number of Individuals Covered165
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $46,119
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $256,216
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,968
Insurance broker organization code?5
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMZ0925848H000A
Policy instance 2
Insurance contract or identification numberMZ0925848H000A
Number of Individuals Covered175
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $46,528
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $258,491
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,783
Insurance broker organization code?5
Insurance broker nameROLLER CONSULTING CO., INC.
ENVISION INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77399 )
Policy contract numberAW50009001
Policy instance 3
Insurance contract or identification numberAW50009001
Number of Individuals Covered172
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $11,758
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $148,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,587
Insurance broker organization code?5
Insurance broker nameROLLER CONSULTING CO., INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-20419
Policy instance 1
Insurance contract or identification numberGA-20419
Number of Individuals Covered205
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STERLING LIFE (National Association of Insurance Commissioners NAIC id number: 77399 )
Policy contract numberENH 4T09
Policy instance 1
Insurance contract or identification numberENH 4T09
Number of Individuals Covered179
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $26,140
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $186,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,813
Insurance broker organization code?5
Insurance broker nameROLLER CONSULTING CO., INC.
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMZ0925848H000A
Policy instance 2
Insurance contract or identification numberMZ0925848H000A
Number of Individuals Covered188
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $47,940
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $218,398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,859
Insurance broker organization code?5
Insurance broker nameROLLER CONSULTING CO., INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-20419
Policy instance 3
Insurance contract or identification numberGA-20419
Number of Individuals Covered222
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMZ0925848H000A
Policy instance 2
Insurance contract or identification numberMZ0925848H000A
Number of Individuals Covered198
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $51,460
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 $234,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,435
Insurance broker organization code?5
Insurance broker nameDIETRICH & ASSOCIATES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-20419
Policy instance 3
Insurance contract or identification numberGA-20419
Number of Individuals Covered235
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STERLING LIFE (National Association of Insurance Commissioners NAIC id number: 77399 )
Policy contract numberS 4802
Policy instance 1
Insurance contract or identification numberS 4802
Number of Individuals Covered192
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $22,076
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 $182,472
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,636
Insurance broker organization code?5
Insurance broker nameDIETRICH & ASSOCIATES
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number
Policy instance 4
Number of Individuals Covered6
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
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 $3,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-20419
Policy instance 3
Insurance contract or identification numberGA-20419
Number of Individuals Covered251
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMZ0925848H000A
Policy instance 2
Insurance contract or identification numberMZ0925848H000A
Number of Individuals Covered204
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $53,265
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 $242,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,550
Insurance broker organization code?5
Insurance broker nameDIETRICH & ASSOCIATES
STERLING LIFE (National Association of Insurance Commissioners NAIC id number: 77399 )
Policy contract numberS 4802
Policy instance 1
Insurance contract or identification numberS 4802
Number of Individuals Covered199
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $19,501
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 $190,262
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,966
Insurance broker organization code?5
Insurance broker nameDIETRICH & ASSOCIATES
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number
Policy instance 4
Number of Individuals Covered6
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $20
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 $237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16
Insurance broker organization code?5
Insurance broker nameDIETRICH AND ASSOCIATES
STERLING LIFE (National Association of Insurance Commissioners NAIC id number: 77399 )
Policy contract numberS 4802
Policy instance 1
Insurance contract or identification numberS 4802
Number of Individuals Covered201
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $25,944
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 $139,825
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,394
Insurance broker organization code?5
Insurance broker nameDIETRICH & ASSOCIATES
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMZ0925848H000A
Policy instance 2
Insurance contract or identification numberMZ0925848H000A
Number of Individuals Covered207
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $49,473
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 $274,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,990
Insurance broker organization code?5
Insurance broker nameDIETRICH & ASSOCIATES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-20419
Policy instance 3
Insurance contract or identification numberGA-20419
Number of Individuals Covered259
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-20419
Policy instance 3
Insurance contract or identification numberGA-20419
Number of Individuals Covered263
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMZ0925848H000A
Policy instance 2
Insurance contract or identification numberMZ0925848H000A
Number of Individuals Covered205
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $49,559
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 $275,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STERLING LIFE (National Association of Insurance Commissioners NAIC id number: 77399 )
Policy contract numberS 4802
Policy instance 1
Insurance contract or identification numberS 4802
Number of Individuals Covered199
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $24,154
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 $137,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMZ0925848H000A
Policy instance 3
Insurance contract or identification numberMZ0925848H000A
Number of Individuals Covered208
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $4,118
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 $22,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,319
Insurance broker organization code?5
Insurance broker nameDIETRICH & ASSOCIATES
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberAGP003702
Policy instance 1
Insurance contract or identification numberAGP003702
Number of Individuals Covered209
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $26,288
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 $276,486
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,859
Insurance broker organization code?5
Insurance broker nameDIETRICH & ASSOCIATES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-20419
Policy instance 4
Insurance contract or identification numberGA-20419
Number of Individuals Covered273
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STERLING LIFE (National Association of Insurance Commissioners NAIC id number: 77399 )
Policy contract numberS 4802
Policy instance 2
Insurance contract or identification numberS 4802
Number of Individuals Covered201
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $25,774
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 $108,885
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,065
Insurance broker organization code?5
Insurance broker nameDIETRICH & ASSOCIATES

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