NORTHERN ILLINOIS WELFARE FUND has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan NORTHERN ILLINOIS WELFARE FUND PLAN
| Measure | Date | Value |
|---|
| 2023 : NORTHERN ILLINOIS WELFARE FUND PLAN 2023 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2023-04-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-04-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-04-30 | $0 |
| Total income from all sources (including contributions) | 2023-04-30 | $1,790,843 |
| Total loss/gain on sale of assets | 2023-04-30 | $0 |
| Total of all expenses incurred | 2023-04-30 | $1,401,045 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-04-30 | $1,330,278 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-04-30 | $1,757,962 |
| Value of total assets at end of year | 2023-04-30 | $3,572,845 |
| Value of total assets at beginning of year | 2023-04-30 | $3,183,047 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-04-30 | $70,767 |
| Total interest from all sources | 2023-04-30 | $59,719 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-04-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-04-30 | No |
| Administrative expenses professional fees incurred | 2023-04-30 | $26,900 |
| Was this plan covered by a fidelity bond | 2023-04-30 | Yes |
| Value of fidelity bond cover | 2023-04-30 | $319,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2023-04-30 | No |
| Participant contributions at end of year | 2023-04-30 | $66,259 |
| Participant contributions at beginning of year | 2023-04-30 | $37,131 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-04-30 | $138,335 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-04-30 | $126,734 |
| Administrative expenses (other) incurred | 2023-04-30 | $7,867 |
| Total non interest bearing cash at end of year | 2023-04-30 | $1,842,388 |
| Total non interest bearing cash at beginning of year | 2023-04-30 | $1,397,299 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-04-30 | No |
| Value of net income/loss | 2023-04-30 | $389,798 |
| Value of net assets at end of year (total assets less liabilities) | 2023-04-30 | $3,572,845 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-04-30 | $3,183,047 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2023-04-30 | $893,810 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-04-30 | $1,010,521 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-04-30 | $205,000 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-04-30 | $200,000 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-04-30 | $200,000 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-04-30 | $59,719 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2023-04-30 | $427,053 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2023-04-30 | $411,362 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-04-30 | $1,330,278 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2023-04-30 | $-26,838 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2023-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-04-30 | No |
| Contributions received in cash from employer | 2023-04-30 | $1,757,962 |
| Contract administrator fees | 2023-04-30 | $36,000 |
| Did the plan have assets held for investment | 2023-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-04-30 | Unqualified |
| Accountancy firm name | 2023-04-30 | WIPFLI LLP |
| Accountancy firm EIN | 2023-04-30 | 390758449 |
| 2022 : NORTHERN ILLINOIS WELFARE FUND PLAN 2022 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2022-04-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-04-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-04-30 | $0 |
| Total income from all sources (including contributions) | 2022-04-30 | $1,692,497 |
| Total loss/gain on sale of assets | 2022-04-30 | $0 |
| Total of all expenses incurred | 2022-04-30 | $1,249,863 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-04-30 | $1,184,154 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-04-30 | $1,683,951 |
| Value of total assets at end of year | 2022-04-30 | $3,183,047 |
| Value of total assets at beginning of year | 2022-04-30 | $2,740,413 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-04-30 | $65,709 |
| Total interest from all sources | 2022-04-30 | $35,374 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-04-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-04-30 | No |
| Administrative expenses professional fees incurred | 2022-04-30 | $24,575 |
| Was this plan covered by a fidelity bond | 2022-04-30 | Yes |
| Value of fidelity bond cover | 2022-04-30 | $275,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-04-30 | No |
| Participant contributions at end of year | 2022-04-30 | $37,131 |
| Participant contributions at beginning of year | 2022-04-30 | $22,757 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-04-30 | $126,734 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-04-30 | $115,615 |
| Administrative expenses (other) incurred | 2022-04-30 | $5,134 |
| Total non interest bearing cash at end of year | 2022-04-30 | $1,397,299 |
| Total non interest bearing cash at beginning of year | 2022-04-30 | $1,412,375 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-04-30 | No |
| Value of net income/loss | 2022-04-30 | $442,634 |
| Value of net assets at end of year (total assets less liabilities) | 2022-04-30 | $3,183,047 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-04-30 | $2,740,413 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-04-30 | $1,010,521 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-04-30 | $568,118 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-04-30 | $200,000 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-04-30 | $200,000 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-04-30 | $200,000 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-04-30 | $35,374 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2022-04-30 | $411,362 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2022-04-30 | $421,548 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-04-30 | $1,184,154 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-04-30 | $-26,828 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-04-30 | No |
| Contributions received in cash from employer | 2022-04-30 | $1,683,951 |
| Contract administrator fees | 2022-04-30 | $36,000 |
| Did the plan have assets held for investment | 2022-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-04-30 | Unqualified |
| Accountancy firm name | 2022-04-30 | WIPFLI LLP |
| Accountancy firm EIN | 2022-04-30 | 390758449 |
| 2021 : NORTHERN ILLINOIS WELFARE FUND PLAN 2021 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2021-04-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-04-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-04-30 | $0 |
| Total income from all sources (including contributions) | 2021-04-30 | $1,610,796 |
| Total loss/gain on sale of assets | 2021-04-30 | $0 |
| Total of all expenses incurred | 2021-04-30 | $1,130,849 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-04-30 | $1,065,358 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-04-30 | $1,448,539 |
| Value of total assets at end of year | 2021-04-30 | $2,740,413 |
| Value of total assets at beginning of year | 2021-04-30 | $2,260,466 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-04-30 | $65,491 |
| Total interest from all sources | 2021-04-30 | $17,645 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-04-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-04-30 | No |
| Administrative expenses professional fees incurred | 2021-04-30 | $24,550 |
| Was this plan covered by a fidelity bond | 2021-04-30 | Yes |
| Value of fidelity bond cover | 2021-04-30 | $227,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-04-30 | No |
| Participant contributions at end of year | 2021-04-30 | $22,757 |
| Participant contributions at beginning of year | 2021-04-30 | $20,658 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-04-30 | $115,615 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-04-30 | $58,613 |
| Administrative expenses (other) incurred | 2021-04-30 | $4,941 |
| Total non interest bearing cash at end of year | 2021-04-30 | $1,412,375 |
| Total non interest bearing cash at beginning of year | 2021-04-30 | $1,466,892 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-04-30 | No |
| Value of net income/loss | 2021-04-30 | $479,947 |
| Value of net assets at end of year (total assets less liabilities) | 2021-04-30 | $2,740,413 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-04-30 | $2,260,466 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-04-30 | $568,118 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-04-30 | $164,485 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-04-30 | $200,000 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-04-30 | $200,000 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-04-30 | $200,000 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-04-30 | $17,645 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2021-04-30 | $421,548 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2021-04-30 | $349,818 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-04-30 | $1,065,358 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-04-30 | $144,612 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-04-30 | No |
| Contributions received in cash from employer | 2021-04-30 | $1,448,539 |
| Contract administrator fees | 2021-04-30 | $36,000 |
| Did the plan have assets held for investment | 2021-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-04-30 | Unqualified |
| Accountancy firm name | 2021-04-30 | WIPFLI LLP |
| Accountancy firm EIN | 2021-04-30 | 390758449 |
| 2020 : NORTHERN ILLINOIS WELFARE FUND PLAN 2020 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2020-04-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-04-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-04-30 | $0 |
| Total income from all sources (including contributions) | 2020-04-30 | $1,190,437 |
| Total loss/gain on sale of assets | 2020-04-30 | $0 |
| Total of all expenses incurred | 2020-04-30 | $952,015 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-04-30 | $886,602 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-04-30 | $1,228,911 |
| Value of total assets at end of year | 2020-04-30 | $2,260,466 |
| Value of total assets at beginning of year | 2020-04-30 | $2,022,044 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-04-30 | $65,413 |
| Total interest from all sources | 2020-04-30 | $34,856 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-04-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-04-30 | No |
| Administrative expenses professional fees incurred | 2020-04-30 | $24,225 |
| Was this plan covered by a fidelity bond | 2020-04-30 | Yes |
| Value of fidelity bond cover | 2020-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-04-30 | No |
| Participant contributions at end of year | 2020-04-30 | $20,658 |
| Participant contributions at beginning of year | 2020-04-30 | $19,462 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-04-30 | $58,613 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-04-30 | $118,812 |
| Administrative expenses (other) incurred | 2020-04-30 | $5,188 |
| Total non interest bearing cash at end of year | 2020-04-30 | $1,466,892 |
| Total non interest bearing cash at beginning of year | 2020-04-30 | $1,454,850 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-04-30 | No |
| Value of net income/loss | 2020-04-30 | $238,422 |
| Value of net assets at end of year (total assets less liabilities) | 2020-04-30 | $2,260,466 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-04-30 | $2,022,044 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-04-30 | $164,485 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-04-30 | $309,170 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-04-30 | $200,000 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-04-30 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-04-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-04-30 | $34,856 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2020-04-30 | $349,818 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2020-04-30 | $119,750 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-04-30 | $886,602 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-04-30 | $-73,330 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-04-30 | No |
| Contributions received in cash from employer | 2020-04-30 | $1,228,911 |
| Contract administrator fees | 2020-04-30 | $36,000 |
| Did the plan have assets held for investment | 2020-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-04-30 | Unqualified |
| Accountancy firm name | 2020-04-30 | WIPFLI LLP |
| Accountancy firm EIN | 2020-04-30 | 390758449 |
| 2019 : NORTHERN ILLINOIS WELFARE FUND PLAN 2019 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2019-04-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-04-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-04-30 | $0 |
| Total income from all sources (including contributions) | 2019-04-30 | $1,193,181 |
| Total loss/gain on sale of assets | 2019-04-30 | $0 |
| Total of all expenses incurred | 2019-04-30 | $1,062,463 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-04-30 | $989,875 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-04-30 | $1,161,032 |
| Value of total assets at end of year | 2019-04-30 | $2,022,044 |
| Value of total assets at beginning of year | 2019-04-30 | $1,891,326 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-04-30 | $72,588 |
| Total interest from all sources | 2019-04-30 | $49,013 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-04-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-04-30 | No |
| Administrative expenses professional fees incurred | 2019-04-30 | $24,414 |
| Was this plan covered by a fidelity bond | 2019-04-30 | Yes |
| Value of fidelity bond cover | 2019-04-30 | $190,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-04-30 | No |
| Participant contributions at end of year | 2019-04-30 | $19,462 |
| Participant contributions at beginning of year | 2019-04-30 | $49,368 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-04-30 | $118,812 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-04-30 | $114,221 |
| Administrative expenses (other) incurred | 2019-04-30 | $6,174 |
| Total non interest bearing cash at end of year | 2019-04-30 | $1,454,850 |
| Total non interest bearing cash at beginning of year | 2019-04-30 | $1,020,523 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-04-30 | No |
| Value of net income/loss | 2019-04-30 | $130,718 |
| Value of net assets at end of year (total assets less liabilities) | 2019-04-30 | $2,022,044 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-04-30 | $1,891,326 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-04-30 | $309,170 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-04-30 | $596,083 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-04-30 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-04-30 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-04-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-04-30 | $49,013 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2019-04-30 | $119,750 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2019-04-30 | $111,131 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-04-30 | $989,875 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-04-30 | $-16,864 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-04-30 | No |
| Contributions received in cash from employer | 2019-04-30 | $1,161,032 |
| Contract administrator fees | 2019-04-30 | $42,000 |
| Did the plan have assets held for investment | 2019-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-04-30 | Unqualified |
| Accountancy firm name | 2019-04-30 | WIPFLI LLP |
| Accountancy firm EIN | 2019-04-30 | 390758449 |
| 2018 : NORTHERN ILLINOIS WELFARE FUND PLAN 2018 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2018-04-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-04-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-04-30 | $0 |
| Total income from all sources (including contributions) | 2018-04-30 | $1,140,120 |
| Total loss/gain on sale of assets | 2018-04-30 | $0 |
| Total of all expenses incurred | 2018-04-30 | $884,938 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-04-30 | $825,750 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-04-30 | $1,121,155 |
| Value of total assets at end of year | 2018-04-30 | $1,891,326 |
| Value of total assets at beginning of year | 2018-04-30 | $1,636,144 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-04-30 | $59,188 |
| Total interest from all sources | 2018-04-30 | $40,171 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-04-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-04-30 | No |
| Administrative expenses professional fees incurred | 2018-04-30 | $24,435 |
| Was this plan covered by a fidelity bond | 2018-04-30 | Yes |
| Value of fidelity bond cover | 2018-04-30 | $150,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-04-30 | No |
| Participant contributions at end of year | 2018-04-30 | $49,368 |
| Participant contributions at beginning of year | 2018-04-30 | $20,501 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-04-30 | $114,221 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-04-30 | $89,129 |
| Administrative expenses (other) incurred | 2018-04-30 | $4,753 |
| Liabilities. Value of operating payables at end of year | 2018-04-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2018-04-30 | $0 |
| Total non interest bearing cash at end of year | 2018-04-30 | $819,420 |
| Total non interest bearing cash at beginning of year | 2018-04-30 | $636,457 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-04-30 | No |
| Value of net income/loss | 2018-04-30 | $255,182 |
| Value of net assets at end of year (total assets less liabilities) | 2018-04-30 | $1,891,326 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-04-30 | $1,636,144 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-04-30 | $596,083 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-04-30 | $717,953 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-04-30 | $201,103 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-04-30 | $67,425 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-04-30 | $67,425 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-04-30 | $40,171 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2018-04-30 | $111,131 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2018-04-30 | $104,679 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-04-30 | $825,750 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-04-30 | $-21,206 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2018-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-04-30 | No |
| Contributions received in cash from employer | 2018-04-30 | $1,121,155 |
| Contract administrator fees | 2018-04-30 | $30,000 |
| Did the plan have assets held for investment | 2018-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-04-30 | Unqualified |
| Accountancy firm name | 2018-04-30 | WIPFLI LLP |
| Accountancy firm EIN | 2018-04-30 | 390758449 |
| 2017 : NORTHERN ILLINOIS WELFARE FUND PLAN 2017 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2017-04-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-04-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-04-30 | $0 |
| Total income from all sources (including contributions) | 2017-04-30 | $1,166,269 |
| Total loss/gain on sale of assets | 2017-04-30 | $0 |
| Total of all expenses incurred | 2017-04-30 | $916,043 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-04-30 | $845,860 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-04-30 | $1,126,974 |
| Value of total assets at end of year | 2017-04-30 | $1,636,144 |
| Value of total assets at beginning of year | 2017-04-30 | $1,385,918 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-04-30 | $70,183 |
| Total interest from all sources | 2017-04-30 | $49,157 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-04-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-04-30 | No |
| Administrative expenses professional fees incurred | 2017-04-30 | $23,355 |
| Was this plan covered by a fidelity bond | 2017-04-30 | Yes |
| Value of fidelity bond cover | 2017-04-30 | $150,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-04-30 | No |
| Participant contributions at end of year | 2017-04-30 | $20,501 |
| Participant contributions at beginning of year | 2017-04-30 | $28,654 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-04-30 | $89,129 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-04-30 | $88,553 |
| Administrative expenses (other) incurred | 2017-04-30 | $6,828 |
| Liabilities. Value of operating payables at end of year | 2017-04-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2017-04-30 | $0 |
| Total non interest bearing cash at end of year | 2017-04-30 | $636,457 |
| Total non interest bearing cash at beginning of year | 2017-04-30 | $23,383 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-04-30 | No |
| Value of net income/loss | 2017-04-30 | $250,226 |
| Value of net assets at end of year (total assets less liabilities) | 2017-04-30 | $1,636,144 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-04-30 | $1,385,918 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-04-30 | $717,953 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-04-30 | $727,814 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-04-30 | $67,425 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-04-30 | $517,514 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-04-30 | $517,514 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-04-30 | $49,157 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2017-04-30 | $104,679 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2017-04-30 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-04-30 | $845,860 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-04-30 | $-9,862 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-04-30 | No |
| Contributions received in cash from employer | 2017-04-30 | $1,126,974 |
| Contract administrator fees | 2017-04-30 | $40,000 |
| Did the plan have assets held for investment | 2017-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-04-30 | Unqualified |
| Accountancy firm name | 2017-04-30 | WIPFLI LLP |
| Accountancy firm EIN | 2017-04-30 | 390758449 |
| 2016 : NORTHERN ILLINOIS WELFARE FUND PLAN 2016 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2016-04-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-04-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-04-30 | $0 |
| Total income from all sources (including contributions) | 2016-04-30 | $1,102,074 |
| Total loss/gain on sale of assets | 2016-04-30 | $0 |
| Total of all expenses incurred | 2016-04-30 | $972,454 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-04-30 | $928,320 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-04-30 | $1,078,026 |
| Value of total assets at end of year | 2016-04-30 | $1,385,918 |
| Value of total assets at beginning of year | 2016-04-30 | $1,256,298 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-04-30 | $44,134 |
| Total interest from all sources | 2016-04-30 | $37,833 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-04-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-04-30 | No |
| Administrative expenses professional fees incurred | 2016-04-30 | $14,134 |
| Was this plan covered by a fidelity bond | 2016-04-30 | Yes |
| Value of fidelity bond cover | 2016-04-30 | $150,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-04-30 | No |
| Participant contributions at end of year | 2016-04-30 | $28,654 |
| Participant contributions at beginning of year | 2016-04-30 | $503,362 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-04-30 | $88,553 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-04-30 | $95,075 |
| Liabilities. Value of operating payables at end of year | 2016-04-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2016-04-30 | $0 |
| Total non interest bearing cash at end of year | 2016-04-30 | $23,383 |
| Total non interest bearing cash at beginning of year | 2016-04-30 | $3,298 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-04-30 | No |
| Value of net income/loss | 2016-04-30 | $129,620 |
| Value of net assets at end of year (total assets less liabilities) | 2016-04-30 | $1,385,918 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-04-30 | $1,256,298 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-04-30 | $727,814 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-04-30 | $654,386 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-04-30 | $517,514 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-04-30 | $177 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-04-30 | $177 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-04-30 | $37,833 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-04-30 | $928,320 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-04-30 | $-13,785 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-04-30 | No |
| Contributions received in cash from employer | 2016-04-30 | $1,078,026 |
| Contract administrator fees | 2016-04-30 | $30,000 |
| Did the plan have assets held for investment | 2016-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-04-30 | Unqualified |
| Accountancy firm name | 2016-04-30 | WIPFLI LLP |
| Accountancy firm EIN | 2016-04-30 | 390758449 |
| 2015 : NORTHERN ILLINOIS WELFARE FUND PLAN 2015 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2015-04-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-04-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-04-30 | $0 |
| Total income from all sources (including contributions) | 2015-04-30 | $1,350,692 |
| Total loss/gain on sale of assets | 2015-04-30 | $0 |
| Total of all expenses incurred | 2015-04-30 | $1,407,001 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-04-30 | $1,361,112 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-04-30 | $1,304,655 |
| Value of total assets at end of year | 2015-04-30 | $1,256,298 |
| Value of total assets at beginning of year | 2015-04-30 | $1,312,607 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-04-30 | $45,889 |
| Total interest from all sources | 2015-04-30 | $45,710 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-04-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-04-30 | No |
| Administrative expenses professional fees incurred | 2015-04-30 | $19,799 |
| Was this plan covered by a fidelity bond | 2015-04-30 | Yes |
| Value of fidelity bond cover | 2015-04-30 | $150,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-04-30 | No |
| Contributions received from participants | 2015-04-30 | $1,304,655 |
| Participant contributions at end of year | 2015-04-30 | $503,362 |
| Participant contributions at beginning of year | 2015-04-30 | $7,926 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-04-30 | $95,075 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-04-30 | $53,467 |
| Administrative expenses (other) incurred | 2015-04-30 | $2,090 |
| Liabilities. Value of operating payables at end of year | 2015-04-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2015-04-30 | $0 |
| Total non interest bearing cash at end of year | 2015-04-30 | $3,298 |
| Total non interest bearing cash at beginning of year | 2015-04-30 | $48,335 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-04-30 | No |
| Value of net income/loss | 2015-04-30 | $-56,309 |
| Value of net assets at end of year (total assets less liabilities) | 2015-04-30 | $1,256,298 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-04-30 | $1,312,607 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-04-30 | $654,386 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-04-30 | $1,192,825 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-04-30 | $177 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-04-30 | $10,054 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-04-30 | $10,054 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-04-30 | $45,710 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-04-30 | $1,361,112 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-04-30 | $327 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-04-30 | No |
| Contract administrator fees | 2015-04-30 | $24,000 |
| Did the plan have assets held for investment | 2015-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-04-30 | Unqualified |
| Accountancy firm name | 2015-04-30 | WIPFLI LLP |
| Accountancy firm EIN | 2015-04-30 | 390758449 |
| 2014 : NORTHERN ILLINOIS WELFARE FUND PLAN 2014 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2014-04-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-04-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-04-30 | $66,019 |
| Total income from all sources (including contributions) | 2014-04-30 | $692,341 |
| Total loss/gain on sale of assets | 2014-04-30 | $0 |
| Total of all expenses incurred | 2014-04-30 | $975,568 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-04-30 | $921,323 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-04-30 | $687,499 |
| Value of total assets at end of year | 2014-04-30 | $1,312,607 |
| Value of total assets at beginning of year | 2014-04-30 | $1,661,853 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-04-30 | $54,245 |
| Total interest from all sources | 2014-04-30 | $51,485 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-04-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-04-30 | No |
| Administrative expenses professional fees incurred | 2014-04-30 | $23,396 |
| Was this plan covered by a fidelity bond | 2014-04-30 | Yes |
| Value of fidelity bond cover | 2014-04-30 | $150,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-04-30 | No |
| Contributions received from participants | 2014-04-30 | $687,499 |
| Participant contributions at end of year | 2014-04-30 | $7,926 |
| Participant contributions at beginning of year | 2014-04-30 | $9,473 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-04-30 | $53,467 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-04-30 | $0 |
| Administrative expenses (other) incurred | 2014-04-30 | $5,439 |
| Liabilities. Value of operating payables at end of year | 2014-04-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2014-04-30 | $66,019 |
| Total non interest bearing cash at end of year | 2014-04-30 | $48,335 |
| Total non interest bearing cash at beginning of year | 2014-04-30 | $454,335 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-04-30 | No |
| Value of net income/loss | 2014-04-30 | $-283,227 |
| Value of net assets at end of year (total assets less liabilities) | 2014-04-30 | $1,312,607 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-04-30 | $1,595,834 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-04-30 | $1,192,825 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-04-30 | $1,193,429 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-04-30 | $10,054 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-04-30 | $4,616 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-04-30 | $4,616 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-04-30 | $51,485 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-04-30 | $921,323 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-04-30 | $-46,643 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-04-30 | No |
| Contract administrator fees | 2014-04-30 | $25,410 |
| Did the plan have assets held for investment | 2014-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-04-30 | Unqualified |
| Accountancy firm name | 2014-04-30 | WIPFLI LLP |
| Accountancy firm EIN | 2014-04-30 | 390758449 |
| 2013 : NORTHERN ILLINOIS WELFARE FUND PLAN 2013 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2013-04-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-04-30 | $66,019 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-04-30 | $0 |
| Total income from all sources (including contributions) | 2013-04-30 | $835,217 |
| Total loss/gain on sale of assets | 2013-04-30 | $0 |
| Total of all expenses incurred | 2013-04-30 | $818,034 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-04-30 | $794,082 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-04-30 | $738,301 |
| Value of total assets at end of year | 2013-04-30 | $1,661,853 |
| Value of total assets at beginning of year | 2013-04-30 | $0 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-04-30 | $23,952 |
| Total interest from all sources | 2013-04-30 | $48,826 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-04-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-04-30 | No |
| Administrative expenses professional fees incurred | 2013-04-30 | $2,111 |
| Was this plan covered by a fidelity bond | 2013-04-30 | Yes |
| Value of fidelity bond cover | 2013-04-30 | $150,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-04-30 | No |
| Contributions received from participants | 2013-04-30 | $738,301 |
| Participant contributions at end of year | 2013-04-30 | $9,473 |
| Participant contributions at beginning of year | 2013-04-30 | $19,584 |
| Other income not declared elsewhere | 2013-04-30 | $48,090 |
| Administrative expenses (other) incurred | 2013-04-30 | $617 |
| Liabilities. Value of operating payables at end of year | 2013-04-30 | $66,019 |
| Liabilities. Value of operating payables at beginning of year | 2013-04-30 | $810 |
| Total non interest bearing cash at end of year | 2013-04-30 | $454,335 |
| Total non interest bearing cash at beginning of year | 2013-04-30 | $453,740 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-04-30 | No |
| Value of net income/loss | 2013-04-30 | $17,183 |
| Value of net assets at end of year (total assets less liabilities) | 2013-04-30 | $1,595,834 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-04-30 | $0 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-04-30 | $1,193,429 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-04-30 | $1,095,416 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-04-30 | $4,616 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-04-30 | $10,721 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-04-30 | $10,721 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-04-30 | $48,826 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-04-30 | $794,082 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-04-30 | $48,090 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-04-30 | No |
| Employer contributions (assets) at end of year | 2013-04-30 | $9,473 |
| Contract administrator fees | 2013-04-30 | $21,224 |
| Did the plan have assets held for investment | 2013-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-04-30 | Unqualified |
| Accountancy firm name | 2013-04-30 | WIPFLI LLP |
| Accountancy firm EIN | 2013-04-30 | 390758449 |
| 2012 : NORTHERN ILLINOIS WELFARE FUND PLAN 2012 401k financial data |
|---|
| Total plan liabilities at end of year | 2012-04-30 | $810 |
| Total plan liabilities at beginning of year | 2012-04-30 | $333 |
| Total income from all sources | 2012-04-30 | $885,601 |
| Expenses. Total of all expenses incurred | 2012-04-30 | $615,983 |
| Benefits paid (including direct rollovers) | 2012-04-30 | $592,136 |
| Total plan assets at end of year | 2012-04-30 | $1,579,461 |
| Total plan assets at beginning of year | 2012-04-30 | $1,309,366 |
| Value of fidelity bond covering the plan | 2012-04-30 | $150,000 |
| Total contributions received or receivable from participants | 2012-04-30 | $822,204 |
| Expenses. Other expenses not covered elsewhere | 2012-04-30 | $326 |
| Other income received | 2012-04-30 | $63,397 |
| Net income (gross income less expenses) | 2012-04-30 | $269,618 |
| Net plan assets at end of year (total assets less liabilities) | 2012-04-30 | $1,578,651 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-04-30 | $1,309,033 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-04-30 | $23,521 |
| 2011 : NORTHERN ILLINOIS WELFARE FUND PLAN 2011 401k financial data |
|---|
| Total plan liabilities at end of year | 2011-04-30 | $333 |
| Total plan liabilities at beginning of year | 2011-04-30 | $833 |
| Total income from all sources | 2011-04-30 | $898,705 |
| Expenses. Total of all expenses incurred | 2011-04-30 | $642,423 |
| Benefits paid (including direct rollovers) | 2011-04-30 | $636,769 |
| Total plan assets at end of year | 2011-04-30 | $1,309,366 |
| Total plan assets at beginning of year | 2011-04-30 | $1,053,584 |
| Value of fidelity bond covering the plan | 2011-04-30 | $150,000 |
| Total contributions received or receivable from participants | 2011-04-30 | $861,363 |
| Other income received | 2011-04-30 | $37,342 |
| Net income (gross income less expenses) | 2011-04-30 | $256,282 |
| Net plan assets at end of year (total assets less liabilities) | 2011-04-30 | $1,309,033 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-04-30 | $1,052,751 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-04-30 | $5,654 |
| 2010 : NORTHERN ILLINOIS WELFARE FUND PLAN 2010 401k financial data |
|---|
| Total plan liabilities at end of year | 2010-04-30 | $833 |
| Total plan liabilities at beginning of year | 2010-04-30 | $1,000 |
| Total income from all sources | 2010-04-30 | $858,495 |
| Expenses. Total of all expenses incurred | 2010-04-30 | $596,595 |
| Benefits paid (including direct rollovers) | 2010-04-30 | $590,462 |
| Total plan assets at end of year | 2010-04-30 | $1,053,584 |
| Total plan assets at beginning of year | 2010-04-30 | $791,851 |
| Value of fidelity bond covering the plan | 2010-04-30 | $150,000 |
| Total contributions received or receivable from participants | 2010-04-30 | $855,817 |
| Other income received | 2010-04-30 | $2,678 |
| Net income (gross income less expenses) | 2010-04-30 | $261,900 |
| Net plan assets at end of year (total assets less liabilities) | 2010-04-30 | $1,052,751 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-04-30 | $790,851 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-04-30 | $6,133 |
| 2009 : NORTHERN ILLINOIS WELFARE FUND PLAN 2009 401k financial data |
|---|
| Total plan liabilities at end of year | 2009-04-30 | $1,000 |
| Total income from all sources | 2009-04-30 | $1,119,338 |
| Expenses. Total of all expenses incurred | 2009-04-30 | $682,573 |
| Benefits paid (including direct rollovers) | 2009-04-30 | $676,188 |
| Total plan assets at end of year | 2009-04-30 | $791,851 |
| Total plan assets at beginning of year | 2009-04-30 | $354,086 |
| Value of fidelity bond covering the plan | 2009-04-30 | $150,000 |
| Total contributions received or receivable from participants | 2009-04-30 | $1,114,005 |
| Other income received | 2009-04-30 | $5,333 |
| Net income (gross income less expenses) | 2009-04-30 | $436,765 |
| Net plan assets at end of year (total assets less liabilities) | 2009-04-30 | $790,851 |
| Net plan assets at beginning of year (total assets less liabilities) | 2009-04-30 | $354,086 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2009-04-30 | $6,385 |
| 2008 : NORTHERN ILLINOIS WELFARE FUND PLAN 2008 401k financial data |
|---|
| Total income from all sources | 2008-04-30 | $835,770 |
| Expenses. Total of all expenses incurred | 2008-04-30 | $679,699 |
| Benefits paid (including direct rollovers) | 2008-04-30 | $672,211 |
| Total plan assets at end of year | 2008-04-30 | $354,086 |
| Total plan assets at beginning of year | 2008-04-30 | $198,015 |
| Value of fidelity bond covering the plan | 2008-04-30 | $150,000 |
| Total contributions received or receivable from participants | 2008-04-30 | $835,770 |
| Expenses. Other expenses not covered elsewhere | 2008-04-30 | $478 |
| Net income (gross income less expenses) | 2008-04-30 | $156,071 |
| Net plan assets at end of year (total assets less liabilities) | 2008-04-30 | $354,086 |
| Net plan assets at beginning of year (total assets less liabilities) | 2008-04-30 | $198,015 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2008-04-30 | $7,010 |
| 2007 : NORTHERN ILLINOIS WELFARE FUND PLAN 2007 401k financial data |
|---|
| Total income from all sources | 2007-04-30 | $774,883 |
| Expenses. Total of all expenses incurred | 2007-04-30 | $576,868 |
| Benefits paid (including direct rollovers) | 2007-04-30 | $565,123 |
| Total plan assets at end of year | 2007-04-30 | $198,015 |
| Total plan assets at beginning of year | 2007-04-30 | $0 |
| Value of fidelity bond covering the plan | 2007-04-30 | $150,000 |
| Total contributions received or receivable from participants | 2007-04-30 | $774,883 |
| Expenses. Other expenses not covered elsewhere | 2007-04-30 | $15 |
| Net income (gross income less expenses) | 2007-04-30 | $198,015 |
| Net plan assets at end of year (total assets less liabilities) | 2007-04-30 | $198,015 |
| Net plan assets at beginning of year (total assets less liabilities) | 2007-04-30 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2007-04-30 | $11,730 |
| PROTEC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 15297 ) |
| Policy contract number | 11289 |
| Policy instance | 3 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 97 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $982 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,817 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $982 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 11289 |
| Policy instance | 2 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $10,163 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $101,635 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,163 | | Insurance broker organization code? | 3 |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | G3304 C4568 |
| Policy instance | 1 |
| Insurance contract or identification number | G3304 C4568 | | Number of Individuals Covered | 2498 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Total amount of commissions paid to insurance broker | USD $29,553 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $295,528 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $29,553 | | Insurance broker organization code? | 3 |
|
| PROTEC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 15297 ) |
| Policy contract number | 11289 |
| Policy instance | 3 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 106 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $1,105 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $11,978 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,105 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 11289 |
| Policy instance | 2 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 171 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $12,276 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $132,997 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,276 | | Insurance broker organization code? | 3 |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | G3304 C4568 |
| Policy instance | 1 |
| Insurance contract or identification number | G3304 C4568 | | Number of Individuals Covered | 1935 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $25,500 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $254,996 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $25,500 | | Insurance broker organization code? | 3 |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | G3304 C4568 |
| Policy instance | 1 |
| Insurance contract or identification number | G3304 C4568 | | Number of Individuals Covered | 2469 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $277,779 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 11289 |
| Policy instance | 2 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $13,704 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $128,172 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,704 | | Insurance broker organization code? | 3 |
|
| PROTEC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 15297 ) |
| Policy contract number | 11289 |
| Policy instance | 3 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $1,184 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $10,995 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,184 | | Insurance broker organization code? | 3 |
|
| PROTEC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 15297 ) |
| Policy contract number | 11289 |
| Policy instance | 3 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 91 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $1,054 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $10,542 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,054 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 11289 |
| Policy instance | 2 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 159 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $12,584 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $125,837 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,584 | | Insurance broker organization code? | 3 |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | G3304 C4568 |
| Policy instance | 1 |
| Insurance contract or identification number | G3304 C4568 | | Number of Individuals Covered | 2376 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $23,131 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $231,313 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,131 | | Insurance broker organization code? | 3 |
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| PROTEC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 15297 ) |
| Policy contract number | 11289 |
| Policy instance | 3 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 104 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $1,206 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $12,058 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,206 | | Insurance broker organization code? | 3 |
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| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 11289 |
| Policy instance | 2 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 186 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $14,611 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $146,115 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,611 | | Insurance broker organization code? | 3 |
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| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | G3304 C4568 |
| Policy instance | 1 |
| Insurance contract or identification number | G3304 C4568 | | Number of Individuals Covered | 2454 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $21,674 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $216,736 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $21,674 | | Insurance broker organization code? | 3 |
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| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | ROCKY RAIKES |
| Policy instance | 4 |
| Insurance contract or identification number | ROCKY RAIKES | | Number of Individuals Covered | 1 | | Insurance policy start date | 2016-10-13 | | Insurance policy end date | 2017-10-12 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| PROTEC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 15297 ) |
| Policy contract number | 11289 |
| Policy instance | 3 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 99 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $1,181 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $11,814 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,181 | | Insurance broker organization code? | 3 | | Insurance broker name | INCENTISURE INC. |
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| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 11289 |
| Policy instance | 2 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 175 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $14,587 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $145,874 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,587 | | Insurance broker organization code? | 3 | | Insurance broker name | INCENTISURE INC. |
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| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | G3304 C4568 |
| Policy instance | 1 |
| Insurance contract or identification number | G3304 C4568 | | Number of Individuals Covered | 2458 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $22,598 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $225,978 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $22,598 | | Insurance broker organization code? | 3 | | Insurance broker name | INCENTISURE INC. |
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| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | F018452 |
| Policy instance | 1 |
| Insurance contract or identification number | F018452 | | Number of Individuals Covered | 767 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $20,308 | | Total amount of fees paid to insurance company | USD $16,816 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $135,392 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,668 | | Amount paid for insurance broker fees | 16580 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 5 | | Insurance broker name | INCENTISURE INC. |
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| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 11289 |
| Policy instance | 2 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 187 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $13,980 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $139,800 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,980 | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT PLANNING SERVICES |
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| PROTEC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 15297 ) |
| Policy contract number | 11289 |
| Policy instance | 3 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 112 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $1,384 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $13,841 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,384 | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT PLANNING SERVICES INC. |
|
| PROTEC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 15297 ) |
| Policy contract number | 11289 |
| Policy instance | 3 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 137 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $1,419 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $14,193 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,419 | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT PLANNING SERVICES INC. |
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| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) |
| Policy contract number | 11289 |
| Policy instance | 2 |
| Insurance contract or identification number | 11289 | | Number of Individuals Covered | 139 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $9,790 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $97,902 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,790 | | Insurance broker organization code? | 3 | | Insurance broker name | BENEFIT PLANNING SERVICES INC |
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| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | F018452 |
| Policy instance | 1 |
| Insurance contract or identification number | F018452 | | Number of Individuals Covered | 2334 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $35,844 | | Total amount of fees paid to insurance company | USD $313 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D, DEPENDENT SPOUSE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $238,957 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $35,844 | | Amount paid for insurance broker fees | 313 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 5 | | Insurance broker name | BENEFIT PLANNING SERVICES INC. |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | F018452 |
| Policy instance | 1 |
| Insurance contract or identification number | F018452 | | Number of Individuals Covered | 2356 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $36,287 | | Total amount of fees paid to insurance company | USD $12,310 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D, DEPENDENT SPOUSE | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $241,911 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $36,287 | | Amount paid for insurance broker fees | 12310 | | Additional information about fees paid to insurance broker | TRANSACTION PROCESSING FEES | | Insurance broker organization code? | 5 | | Insurance broker name | BENEFIT PLANNING SERVICES INC. |
|
| DEARBORN NATIONAL (National Association of Insurance Commissioners NAIC id number: 85090 ) |
| Policy contract number | F018452 |
| Policy instance | 2 |
| Insurance contract or identification number | F018452 | | Number of Individuals Covered | 2384 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | F018452 |
| Policy instance | 1 |
| Insurance contract or identification number | F018452 | | Number of Individuals Covered | 2384 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $36,624 | | Total amount of fees paid to insurance company | USD $253 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $244,163 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $36,624 | | Amount paid for insurance broker fees | 253 | | Additional information about fees paid to insurance broker | TRANSACTION PROCESSING FEES | | Insurance broker organization code? | 5 | | Insurance broker name | BENEFIT PLANNING SERVICES INC. |
|
