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TEAMSTERS LOCAL NO. 469 WELFARE PLAN 401k Plan overview

Plan NameTEAMSTERS LOCAL NO. 469 WELFARE PLAN
Plan identification number 501

TEAMSTERS LOCAL NO. 469 WELFARE PLAN Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES TEAMSTERS LOCAL NO 469 WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES TEAMSTERS LOCAL NO 469 WELFARE FUND
Employer identification number (EIN):221552880
NAIC Classification:484110
NAIC Description:General Freight Trucking, Local

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEAMSTERS LOCAL NO. 469 WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01MICHAEL BRODERICK2023-10-12
5012021-01-01MICHAEL BRODERICK2022-10-06
5012020-01-01FREDRICK POTTER2021-10-13
5012019-01-01FREDRICK POTTER2020-10-14
5012018-01-01FREDRICK POTTER2019-10-15
5012017-01-01
5012016-01-01
5012015-01-01FREDRICK POTTER
5012014-01-01FREDRICK POTTER
5012013-01-01
5012012-01-01GIANCARLO PREZIOSO
5012011-01-01GIANCARLO PREZIOSO
5012010-01-01GIANCARLO PREZIOSO
5012009-01-01GIANCARLO PREZIOSO

Plan Statistics for TEAMSTERS LOCAL NO. 469 WELFARE PLAN

401k plan membership statisitcs for TEAMSTERS LOCAL NO. 469 WELFARE PLAN

Measure Date Value
2022: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01681
Total number of active participants reported on line 7a of the Form 55002022-01-01668
Number of retired or separated participants receiving benefits2022-01-012
Total of all active and inactive participants2022-01-01670
Number of employers contributing to the scheme2022-01-0160
2021: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01687
Total number of active participants reported on line 7a of the Form 55002021-01-01675
Number of retired or separated participants receiving benefits2021-01-016
Total of all active and inactive participants2021-01-01681
Number of employers contributing to the scheme2021-01-0158
2020: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01713
Total number of active participants reported on line 7a of the Form 55002020-01-01670
Number of retired or separated participants receiving benefits2020-01-0117
Total of all active and inactive participants2020-01-01687
Number of employers contributing to the scheme2020-01-0158
2019: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01729
Total number of active participants reported on line 7a of the Form 55002019-01-01710
Number of retired or separated participants receiving benefits2019-01-013
Total of all active and inactive participants2019-01-01713
Number of employers contributing to the scheme2019-01-0157
2018: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01725
Total number of active participants reported on line 7a of the Form 55002018-01-01716
Number of retired or separated participants receiving benefits2018-01-0113
Total of all active and inactive participants2018-01-01729
Number of employers contributing to the scheme2018-01-0164
2017: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01748
Total number of active participants reported on line 7a of the Form 55002017-01-01710
Number of retired or separated participants receiving benefits2017-01-0115
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01725
Number of employers contributing to the scheme2017-01-0160
2016: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01774
Total number of active participants reported on line 7a of the Form 55002016-01-01738
Number of retired or separated participants receiving benefits2016-01-0110
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01748
2015: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01837
Total number of active participants reported on line 7a of the Form 55002015-01-01761
Number of retired or separated participants receiving benefits2015-01-0113
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01774
2014: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01852
Total number of active participants reported on line 7a of the Form 55002014-01-01821
Number of retired or separated participants receiving benefits2014-01-0116
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01837
2013: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01885
Total number of active participants reported on line 7a of the Form 55002013-01-01821
Number of retired or separated participants receiving benefits2013-01-0131
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01852
2012: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01903
Total number of active participants reported on line 7a of the Form 55002012-01-01857
Number of retired or separated participants receiving benefits2012-01-0128
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01885
2011: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01920
Total number of active participants reported on line 7a of the Form 55002011-01-01896
Number of retired or separated participants receiving benefits2011-01-017
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01903
2010: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01674
Total number of active participants reported on line 7a of the Form 55002010-01-01889
Number of retired or separated participants receiving benefits2010-01-0131
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01920
2009: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01702
Total number of active participants reported on line 7a of the Form 55002009-01-01632
Number of retired or separated participants receiving benefits2009-01-0142
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01674

Financial Data on TEAMSTERS LOCAL NO. 469 WELFARE PLAN

Measure Date Value
2022 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-12-31$115,855
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-617,539
Total unrealized appreciation/depreciation of assets2022-12-31$-501,684
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$841,272
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,106,413
Total income from all sources (including contributions)2022-12-31$13,109,908
Total loss/gain on sale of assets2022-12-31$-65,159
Total of all expenses incurred2022-12-31$13,968,801
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$13,033,371
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$13,339,762
Value of total assets at end of year2022-12-31$16,374,061
Value of total assets at beginning of year2022-12-31$17,498,095
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$935,430
Total interest from all sources2022-12-31$336,989
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$93,913
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$110,921
Assets. Other investments not covered elsewhere at end of year2022-12-31$2,764,267
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$1,980,179
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$1,898,840
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$1,305,401
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$96,650
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$40,206
Administrative expenses (other) incurred2022-12-31$598,079
Liabilities. Value of operating payables at end of year2022-12-31$45,457
Liabilities. Value of operating payables at beginning of year2022-12-31$60,233
Total non interest bearing cash at end of year2022-12-31$671,194
Total non interest bearing cash at beginning of year2022-12-31$2,527,348
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-858,893
Value of net assets at end of year (total assets less liabilities)2022-12-31$15,532,789
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$16,391,682
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$45,356
Income. Interest from US Government securities2022-12-31$21,086
Income. Interest from corporate debt instruments2022-12-31$309,827
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$423,546
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$440,494
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$440,494
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$6,076
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,289,227
Asset value of US Government securities at end of year2022-12-31$1,711,622
Asset value of US Government securities at beginning of year2022-12-31$1,034,199
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$13,228,841
Employer contributions (assets) at end of year2022-12-31$472,124
Employer contributions (assets) at beginning of year2022-12-31$854,267
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$11,744,144
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$8,371,626
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$9,350,724
Contract administrator fees2022-12-31$198,082
Liabilities. Value of benefit claims payable at end of year2022-12-31$699,165
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$1,005,974
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$60,842
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$5,483
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$5,797,970
Aggregate carrying amount (costs) on sale of assets2022-12-31$5,863,129
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MSPC, CPA'S & ADVISORS, PC
Accountancy firm EIN2022-12-31222951202
2021 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$133,258
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-153,656
Total unrealized appreciation/depreciation of assets2021-12-31$-20,398
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,106,413
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$938,170
Total income from all sources (including contributions)2021-12-31$13,691,956
Total loss/gain on sale of assets2021-12-31$-46,364
Total of all expenses incurred2021-12-31$13,842,680
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$12,874,333
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$13,424,627
Value of total assets at end of year2021-12-31$17,498,095
Value of total assets at beginning of year2021-12-31$17,480,576
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$968,347
Total interest from all sources2021-12-31$297,430
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$99,161
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$104,400
Assets. Other investments not covered elsewhere at end of year2021-12-31$1,980,179
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$1,652,277
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$1,305,401
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$2,509,109
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$40,206
Other income not declared elsewhere2021-12-31$36,661
Administrative expenses (other) incurred2021-12-31$623,312
Liabilities. Value of operating payables at end of year2021-12-31$60,233
Liabilities. Value of operating payables at beginning of year2021-12-31$145,598
Total non interest bearing cash at end of year2021-12-31$2,527,348
Total non interest bearing cash at beginning of year2021-12-31$1,868,751
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-150,724
Value of net assets at end of year (total assets less liabilities)2021-12-31$16,391,682
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$16,542,406
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$39,814
Interest earned on other investments2021-12-31$6,319
Income. Interest from US Government securities2021-12-31$20,223
Income. Interest from corporate debt instruments2021-12-31$270,739
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$440,494
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$667,108
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$667,108
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$149
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,268,116
Asset value of US Government securities at end of year2021-12-31$1,034,199
Asset value of US Government securities at beginning of year2021-12-31$1,524,679
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$13,320,227
Employer contributions (assets) at end of year2021-12-31$854,267
Employer contributions (assets) at beginning of year2021-12-31$701,716
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$11,606,217
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$9,350,724
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$8,544,548
Contract administrator fees2021-12-31$206,060
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,005,974
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$792,572
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$5,483
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$12,388
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$6,044,973
Aggregate carrying amount (costs) on sale of assets2021-12-31$6,091,337
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MSPC, CPA'S & ADVISORS, PC
Accountancy firm EIN2021-12-31222951202
2020 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$87,642
Total unrealized appreciation/depreciation of assets2020-12-31$87,642
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$938,170
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,577,667
Total income from all sources (including contributions)2020-12-31$13,612,642
Total loss/gain on sale of assets2020-12-31$69,874
Total of all expenses incurred2020-12-31$10,655,967
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$9,769,052
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$13,021,739
Value of total assets at end of year2020-12-31$17,480,576
Value of total assets at beginning of year2020-12-31$15,163,398
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$886,915
Total interest from all sources2020-12-31$393,074
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$152,636
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$140,176
Assets. Other investments not covered elsewhere at end of year2020-12-31$1,652,277
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$1,632,987
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$2,509,109
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$843,052
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$468,289
Other income not declared elsewhere2020-12-31$40,313
Administrative expenses (other) incurred2020-12-31$648,555
Liabilities. Value of operating payables at end of year2020-12-31$145,598
Liabilities. Value of operating payables at beginning of year2020-12-31$72,992
Total non interest bearing cash at end of year2020-12-31$1,868,751
Total non interest bearing cash at beginning of year2020-12-31$1,248,820
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,956,675
Value of net assets at end of year (total assets less liabilities)2020-12-31$16,542,406
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$13,585,731
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$38,878
Interest earned on other investments2020-12-31$74,876
Income. Interest from US Government securities2020-12-31$143,468
Income. Interest from corporate debt instruments2020-12-31$174,730
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$667,108
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,015,043
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,015,043
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$918,288
Asset value of US Government securities at end of year2020-12-31$1,524,679
Asset value of US Government securities at beginning of year2020-12-31$2,384,078
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$12,881,563
Employer contributions (assets) at end of year2020-12-31$701,716
Employer contributions (assets) at beginning of year2020-12-31$710,453
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$8,850,764
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$8,544,548
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$7,315,819
Contract administrator fees2020-12-31$46,846
Liabilities. Value of benefit claims payable at end of year2020-12-31$792,572
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$1,036,386
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$12,388
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$13,146
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$6,800,830
Aggregate carrying amount (costs) on sale of assets2020-12-31$6,730,956
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MSPC, CPA'S & ADVISORS, PC
Accountancy firm EIN2020-12-31222951202
2019 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$34,297
Unrealized appreciation/depreciation of real estate assets2019-12-31$34,297
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$166,177
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$166,177
Total unrealized appreciation/depreciation of assets2019-12-31$200,474
Total unrealized appreciation/depreciation of assets2019-12-31$200,474
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,577,667
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,577,667
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,266,499
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,266,499
Total income from all sources (including contributions)2019-12-31$14,725,918
Total income from all sources (including contributions)2019-12-31$14,725,918
Total loss/gain on sale of assets2019-12-31$24,496
Total loss/gain on sale of assets2019-12-31$24,496
Total of all expenses incurred2019-12-31$13,860,484
Total of all expenses incurred2019-12-31$13,860,484
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$13,081,224
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$13,081,224
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$13,141,160
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$13,141,160
Value of total assets at end of year2019-12-31$15,163,398
Value of total assets at end of year2019-12-31$15,163,398
Value of total assets at beginning of year2019-12-31$13,986,796
Value of total assets at beginning of year2019-12-31$13,986,796
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$779,260
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$779,260
Total interest from all sources2019-12-31$403,928
Total interest from all sources2019-12-31$403,928
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$175,416
Administrative expenses professional fees incurred2019-12-31$175,416
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$215,683
Contributions received from participants2019-12-31$215,683
Assets. Other investments not covered elsewhere at end of year2019-12-31$1,632,987
Assets. Other investments not covered elsewhere at end of year2019-12-31$1,632,987
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$1,598,690
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$1,598,690
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$843,052
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$843,052
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,325,507
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,325,507
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$468,289
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$468,289
Other income not declared elsewhere2019-12-31$955,860
Other income not declared elsewhere2019-12-31$955,860
Administrative expenses (other) incurred2019-12-31$569,907
Administrative expenses (other) incurred2019-12-31$569,907
Liabilities. Value of operating payables at end of year2019-12-31$72,992
Liabilities. Value of operating payables at end of year2019-12-31$72,992
Liabilities. Value of operating payables at beginning of year2019-12-31$88,489
Liabilities. Value of operating payables at beginning of year2019-12-31$88,489
Total non interest bearing cash at end of year2019-12-31$1,248,820
Total non interest bearing cash at end of year2019-12-31$1,248,820
Total non interest bearing cash at beginning of year2019-12-31$1,242,492
Total non interest bearing cash at beginning of year2019-12-31$1,242,492
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$865,434
Value of net income/loss2019-12-31$865,434
Value of net assets at end of year (total assets less liabilities)2019-12-31$13,585,731
Value of net assets at end of year (total assets less liabilities)2019-12-31$13,585,731
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$12,720,297
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$12,720,297
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$33,937
Investment advisory and management fees2019-12-31$33,937
Interest earned on other investments2019-12-31$91,539
Interest earned on other investments2019-12-31$91,539
Income. Interest from US Government securities2019-12-31$33,384
Income. Interest from US Government securities2019-12-31$33,384
Income. Interest from corporate debt instruments2019-12-31$268,186
Income. Interest from corporate debt instruments2019-12-31$268,186
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,015,043
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,015,043
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$563,700
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$563,700
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$563,700
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$563,700
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$10,819
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$10,819
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$860,422
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$860,422
Asset value of US Government securities at end of year2019-12-31$2,384,078
Asset value of US Government securities at end of year2019-12-31$2,384,078
Asset value of US Government securities at beginning of year2019-12-31$1,649,497
Asset value of US Government securities at beginning of year2019-12-31$1,649,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$12,925,477
Contributions received in cash from employer2019-12-31$12,925,477
Employer contributions (assets) at end of year2019-12-31$710,453
Employer contributions (assets) at end of year2019-12-31$710,453
Employer contributions (assets) at beginning of year2019-12-31$825,925
Employer contributions (assets) at beginning of year2019-12-31$825,925
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$12,220,802
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$12,220,802
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$7,315,819
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$7,315,819
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$6,766,562
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$6,766,562
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,036,386
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,036,386
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,178,010
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,178,010
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$13,146
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$13,146
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$14,423
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$14,423
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$3,650,341
Aggregate proceeds on sale of assets2019-12-31$3,650,341
Aggregate carrying amount (costs) on sale of assets2019-12-31$3,625,845
Aggregate carrying amount (costs) on sale of assets2019-12-31$3,625,845
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MSPC, CPA'S & ADVISORS, PC
Accountancy firm name2019-12-31MSPC, CPA'S & ADVISORS, PC
Accountancy firm EIN2019-12-31222951202
Accountancy firm EIN2019-12-31222951202
2018 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$62,669
Total unrealized appreciation/depreciation of assets2018-12-31$62,669
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,266,499
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,417,238
Total income from all sources (including contributions)2018-12-31$14,439,656
Total loss/gain on sale of assets2018-12-31$-81,768
Total of all expenses incurred2018-12-31$12,979,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$12,175,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$12,904,854
Value of total assets at end of year2018-12-31$13,986,796
Value of total assets at beginning of year2018-12-31$12,676,942
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$803,410
Total interest from all sources2018-12-31$291,551
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$163,957
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$193,375
Assets. Other investments not covered elsewhere at end of year2018-12-31$1,598,690
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$1,815,718
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,325,507
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$1,062,658
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$51,439
Other income not declared elsewhere2018-12-31$1,262,350
Administrative expenses (other) incurred2018-12-31$607,790
Liabilities. Value of operating payables at end of year2018-12-31$88,489
Liabilities. Value of operating payables at beginning of year2018-12-31$96,646
Total non interest bearing cash at end of year2018-12-31$1,242,492
Total non interest bearing cash at beginning of year2018-12-31$522,628
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,460,593
Value of net assets at end of year (total assets less liabilities)2018-12-31$12,720,297
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$11,259,704
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$31,663
Income. Interest from US Government securities2018-12-31$24,366
Income. Interest from corporate debt instruments2018-12-31$261,784
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$563,700
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$333,559
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$333,559
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$5,401
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$729,965
Asset value of US Government securities at end of year2018-12-31$1,649,497
Asset value of US Government securities at beginning of year2018-12-31$1,436,621
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$12,711,479
Employer contributions (assets) at end of year2018-12-31$825,925
Employer contributions (assets) at beginning of year2018-12-31$926,607
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$11,445,688
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$6,766,562
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$6,574,360
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,178,010
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$1,269,153
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$14,423
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$4,791
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$4,501,912
Aggregate carrying amount (costs) on sale of assets2018-12-31$4,583,680
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MSPC, CPA'S & ADVISORS, PC
Accountancy firm EIN2018-12-31222951202
2017 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$138,442
Total unrealized appreciation/depreciation of assets2017-12-31$138,442
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,417,238
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$759,521
Total income from all sources (including contributions)2017-12-31$13,915,908
Total loss/gain on sale of assets2017-12-31$-100,581
Total of all expenses incurred2017-12-31$14,011,082
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$13,064,687
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$12,577,373
Value of total assets at end of year2017-12-31$12,676,942
Value of total assets at beginning of year2017-12-31$12,114,399
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$946,395
Total interest from all sources2017-12-31$280,601
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$191,025
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$128,375
Assets. Other investments not covered elsewhere at end of year2017-12-31$1,815,718
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$1,749,645
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$1,062,658
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$721,002
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$51,439
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$49,078
Other income not declared elsewhere2017-12-31$1,020,073
Administrative expenses (other) incurred2017-12-31$724,226
Liabilities. Value of operating payables at end of year2017-12-31$96,646
Liabilities. Value of operating payables at beginning of year2017-12-31$102,844
Total non interest bearing cash at end of year2017-12-31$522,628
Total non interest bearing cash at beginning of year2017-12-31$667,068
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-95,174
Value of net assets at end of year (total assets less liabilities)2017-12-31$11,259,704
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$11,354,878
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$31,144
Income. Interest from US Government securities2017-12-31$16,622
Income. Interest from corporate debt instruments2017-12-31$260,956
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$333,559
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$305,917
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$305,917
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$3,023
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$677,687
Asset value of US Government securities at end of year2017-12-31$1,436,621
Asset value of US Government securities at beginning of year2017-12-31$1,177,413
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$12,448,998
Employer contributions (assets) at end of year2017-12-31$926,607
Employer contributions (assets) at beginning of year2017-12-31$815,415
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$12,387,000
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$6,574,360
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$6,675,392
Liabilities. Value of benefit claims payable at end of year2017-12-31$1,269,153
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$607,599
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$4,791
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$2,547
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$9,470,717
Aggregate carrying amount (costs) on sale of assets2017-12-31$9,571,298
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31MSPC, CPA'S & ADVISORS, PC
Accountancy firm EIN2017-12-31222951202
2016 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$143,165
Total unrealized appreciation/depreciation of assets2016-12-31$143,165
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$759,521
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,627,033
Total income from all sources (including contributions)2016-12-31$13,085,929
Total loss/gain on sale of assets2016-12-31$27,167
Total of all expenses incurred2016-12-31$12,837,782
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$11,886,835
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$12,007,020
Value of total assets at end of year2016-12-31$12,114,399
Value of total assets at beginning of year2016-12-31$12,733,764
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$950,947
Total interest from all sources2016-12-31$292,024
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$166,150
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$79,467
Assets. Other investments not covered elsewhere at end of year2016-12-31$1,749,645
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$1,605,057
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$721,002
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$618,741
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$49,078
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$80,279
Other income not declared elsewhere2016-12-31$616,553
Administrative expenses (other) incurred2016-12-31$752,985
Liabilities. Value of operating payables at end of year2016-12-31$102,844
Liabilities. Value of operating payables at beginning of year2016-12-31$110,777
Total non interest bearing cash at end of year2016-12-31$667,068
Total non interest bearing cash at beginning of year2016-12-31$1,016,580
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$248,147
Value of net assets at end of year (total assets less liabilities)2016-12-31$11,354,878
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$11,106,731
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$31,812
Income. Interest from US Government securities2016-12-31$15,435
Income. Interest from corporate debt instruments2016-12-31$275,504
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$305,917
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$263,038
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$263,038
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,085
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$791,061
Asset value of US Government securities at end of year2016-12-31$1,177,413
Asset value of US Government securities at beginning of year2016-12-31$2,029,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$11,927,553
Employer contributions (assets) at end of year2016-12-31$815,415
Employer contributions (assets) at beginning of year2016-12-31$834,457
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$11,095,774
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$6,675,392
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$6,361,933
Liabilities. Value of benefit claims payable at end of year2016-12-31$607,599
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$1,435,977
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$2,547
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$4,461
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$12,058,058
Aggregate carrying amount (costs) on sale of assets2016-12-31$12,030,891
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ENNIS HARGADON, LLC
Accountancy firm EIN2016-12-31471121653
2015 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-85,736
Total unrealized appreciation/depreciation of assets2015-12-31$-85,736
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,627,033
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,101,423
Total income from all sources (including contributions)2015-12-31$13,537,335
Total loss/gain on sale of assets2015-12-31$-26,853
Total of all expenses incurred2015-12-31$11,930,290
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$10,907,519
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$12,677,662
Value of total assets at end of year2015-12-31$12,733,764
Value of total assets at beginning of year2015-12-31$11,601,109
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,022,771
Total interest from all sources2015-12-31$277,223
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$182,910
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$117,174
Assets. Other investments not covered elsewhere at end of year2015-12-31$1,605,057
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$618,741
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$1,341,174
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$80,279
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$160,000
Other income not declared elsewhere2015-12-31$695,039
Administrative expenses (other) incurred2015-12-31$809,276
Liabilities. Value of operating payables at end of year2015-12-31$110,777
Liabilities. Value of operating payables at beginning of year2015-12-31$138,233
Total non interest bearing cash at end of year2015-12-31$1,016,580
Total non interest bearing cash at beginning of year2015-12-31$220,096
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,607,045
Value of net assets at end of year (total assets less liabilities)2015-12-31$11,106,731
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$9,499,686
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$30,585
Income. Interest from US Government securities2015-12-31$15,297
Income. Interest from corporate debt instruments2015-12-31$260,302
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$263,038
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$456,916
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$456,916
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$1,624
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$564,405
Asset value of US Government securities at end of year2015-12-31$2,029,497
Asset value of US Government securities at beginning of year2015-12-31$2,082,724
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$12,560,488
Employer contributions (assets) at end of year2015-12-31$834,457
Employer contributions (assets) at beginning of year2015-12-31$1,094,313
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$10,343,114
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$6,361,933
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$6,399,030
Liabilities. Value of benefit claims payable at end of year2015-12-31$1,435,977
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$1,803,190
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$4,461
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$6,856
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$14,363,750
Aggregate carrying amount (costs) on sale of assets2015-12-31$14,390,603
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ENNIS HARGADON, LLC
Accountancy firm EIN2015-12-31471121653
2014 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-128,119
Total unrealized appreciation/depreciation of assets2014-12-31$-128,119
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,101,423
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,694,922
Total income from all sources (including contributions)2014-12-31$14,873,205
Total loss/gain on sale of assets2014-12-31$-18,142
Total of all expenses incurred2014-12-31$14,511,532
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$13,446,921
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$12,561,522
Value of total assets at end of year2014-12-31$11,601,109
Value of total assets at beginning of year2014-12-31$10,832,935
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,064,611
Total interest from all sources2014-12-31$258,896
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$224,286
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$225,028
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$1,341,174
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$1,124,865
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$160,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$0
Other income not declared elsewhere2014-12-31$2,199,048
Administrative expenses (other) incurred2014-12-31$810,915
Liabilities. Value of operating payables at end of year2014-12-31$138,233
Liabilities. Value of operating payables at beginning of year2014-12-31$112,841
Total non interest bearing cash at end of year2014-12-31$220,096
Total non interest bearing cash at beginning of year2014-12-31$363,741
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$361,673
Value of net assets at end of year (total assets less liabilities)2014-12-31$9,499,686
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$9,138,013
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$29,410
Income. Interest from US Government securities2014-12-31$10,717
Income. Interest from corporate debt instruments2014-12-31$246,621
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$456,916
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$155,582
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$155,582
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$1,558
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$470,702
Asset value of US Government securities at end of year2014-12-31$2,082,724
Asset value of US Government securities at beginning of year2014-12-31$1,901,408
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$12,336,494
Employer contributions (assets) at end of year2014-12-31$1,094,313
Employer contributions (assets) at beginning of year2014-12-31$1,090,610
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$12,976,219
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$6,399,030
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$6,192,164
Liabilities. Value of benefit claims payable at end of year2014-12-31$1,803,190
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,582,081
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$6,856
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$4,565
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$11,341,460
Aggregate carrying amount (costs) on sale of assets2014-12-31$11,359,602
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ENNIS HARGADON, LLC
Accountancy firm EIN2014-12-31471121653
2013 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-161,725
Total unrealized appreciation/depreciation of assets2013-12-31$-161,725
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,694,922
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,152,719
Total income from all sources (including contributions)2013-12-31$13,093,662
Total loss/gain on sale of assets2013-12-31$63,461
Total of all expenses incurred2013-12-31$14,264,108
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$13,263,388
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$12,131,412
Value of total assets at end of year2013-12-31$10,832,935
Value of total assets at beginning of year2013-12-31$11,461,178
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,000,720
Total interest from all sources2013-12-31$268,890
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$237,329
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$246,051
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$1,124,865
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$775,934
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$143,015
Other income not declared elsewhere2013-12-31$791,624
Administrative expenses (other) incurred2013-12-31$733,147
Liabilities. Value of operating payables at end of year2013-12-31$112,841
Liabilities. Value of operating payables at beginning of year2013-12-31$108,238
Total non interest bearing cash at end of year2013-12-31$363,741
Total non interest bearing cash at beginning of year2013-12-31$466,538
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-1,170,446
Value of net assets at end of year (total assets less liabilities)2013-12-31$9,138,013
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$10,308,459
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$30,244
Income. Interest from US Government securities2013-12-31$13,560
Income. Interest from corporate debt instruments2013-12-31$253,770
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$155,582
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$501,543
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$501,543
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$1,560
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$468,870
Asset value of US Government securities at end of year2013-12-31$1,901,408
Asset value of US Government securities at beginning of year2013-12-31$2,263,001
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$11,885,361
Employer contributions (assets) at end of year2013-12-31$1,090,610
Employer contributions (assets) at beginning of year2013-12-31$1,426,207
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$12,794,518
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$6,192,164
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$6,021,811
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,582,081
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$901,466
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$4,565
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$6,144
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$9,848,746
Aggregate carrying amount (costs) on sale of assets2013-12-31$9,785,285
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31ENNIS HARGADON, LLC
Accountancy firm EIN2013-12-31471121653
2012 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$22,178
Total unrealized appreciation/depreciation of assets2012-12-31$22,178
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,152,719
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,478,809
Total income from all sources (including contributions)2012-12-31$12,765,141
Total loss/gain on sale of assets2012-12-31$16,369
Total of all expenses incurred2012-12-31$10,942,957
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$9,895,397
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$11,847,146
Value of total assets at end of year2012-12-31$11,461,178
Value of total assets at beginning of year2012-12-31$10,965,084
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,047,560
Total interest from all sources2012-12-31$242,403
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$251,350
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$179,705
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$775,934
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$204,175
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$143,015
Other income not declared elsewhere2012-12-31$637,045
Administrative expenses (other) incurred2012-12-31$770,479
Liabilities. Value of operating payables at end of year2012-12-31$108,238
Liabilities. Value of operating payables at beginning of year2012-12-31$130,869
Total non interest bearing cash at end of year2012-12-31$466,538
Total non interest bearing cash at beginning of year2012-12-31$484,579
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,822,184
Value of net assets at end of year (total assets less liabilities)2012-12-31$10,308,459
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$8,486,275
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$25,731
Income. Interest from US Government securities2012-12-31$30,775
Income. Interest from corporate debt instruments2012-12-31$211,565
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$501,543
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$257,247
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$257,247
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$63
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$444,870
Asset value of US Government securities at end of year2012-12-31$2,263,001
Asset value of US Government securities at beginning of year2012-12-31$2,754,656
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$11,667,441
Employer contributions (assets) at end of year2012-12-31$1,426,207
Employer contributions (assets) at beginning of year2012-12-31$1,810,440
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$9,450,527
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$6,021,811
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$5,148,644
Liabilities. Value of benefit claims payable at end of year2012-12-31$901,466
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$2,347,940
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$6,144
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$305,343
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$9,543,947
Aggregate carrying amount (costs) on sale of assets2012-12-31$9,527,578
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31ENNIS, PREZIOSO & COMPANY, LLC
Accountancy firm EIN2012-12-31113689999
2011 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-114,790
Total unrealized appreciation/depreciation of assets2011-12-31$-114,790
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,478,809
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,702,326
Total income from all sources (including contributions)2011-12-31$11,787,000
Total loss/gain on sale of assets2011-12-31$-20,940
Total of all expenses incurred2011-12-31$11,929,907
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$10,800,143
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$11,370,806
Value of total assets at end of year2011-12-31$10,965,084
Value of total assets at beginning of year2011-12-31$10,331,508
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,129,764
Total interest from all sources2011-12-31$275,099
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$390,155
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$168,576
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$204,175
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$206,090
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$18,413
Other income not declared elsewhere2011-12-31$276,825
Administrative expenses (other) incurred2011-12-31$715,868
Liabilities. Value of operating payables at end of year2011-12-31$130,869
Liabilities. Value of operating payables at beginning of year2011-12-31$175,372
Total non interest bearing cash at end of year2011-12-31$484,579
Total non interest bearing cash at beginning of year2011-12-31$397,711
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-142,907
Value of net assets at end of year (total assets less liabilities)2011-12-31$8,486,275
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$8,629,182
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$23,741
Income. Interest from US Government securities2011-12-31$71,408
Income. Interest from corporate debt instruments2011-12-31$203,617
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$257,247
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$259,086
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$259,086
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$74
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$392,925
Asset value of US Government securities at end of year2011-12-31$2,754,656
Asset value of US Government securities at beginning of year2011-12-31$3,529,113
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$11,202,230
Employer contributions (assets) at end of year2011-12-31$1,810,440
Employer contributions (assets) at beginning of year2011-12-31$1,043,551
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$10,407,218
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$5,148,644
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$4,521,666
Liabilities. Value of benefit claims payable at end of year2011-12-31$2,347,940
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,508,541
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$305,343
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$374,291
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$4,680,977
Aggregate carrying amount (costs) on sale of assets2011-12-31$4,701,917
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31ENNIS, PREZIOSO & COMPANY, LLC
Accountancy firm EIN2011-12-31113689999
2010 : TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-59,983
Total unrealized appreciation/depreciation of assets2010-12-31$-59,983
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,702,326
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,255,682
Total income from all sources (including contributions)2010-12-31$12,061,196
Total loss/gain on sale of assets2010-12-31$-65,597
Total of all expenses incurred2010-12-31$11,883,089
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$10,629,450
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$11,550,083
Value of total assets at end of year2010-12-31$10,331,508
Value of total assets at beginning of year2010-12-31$10,706,757
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,253,639
Total interest from all sources2010-12-31$322,791
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$285,775
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$353,744
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$206,090
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$266,594
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$18,413
Other income not declared elsewhere2010-12-31$313,902
Administrative expenses (other) incurred2010-12-31$943,892
Liabilities. Value of operating payables at end of year2010-12-31$175,372
Liabilities. Value of operating payables at beginning of year2010-12-31$107,912
Total non interest bearing cash at end of year2010-12-31$397,711
Total non interest bearing cash at beginning of year2010-12-31$529,006
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$178,107
Value of net assets at end of year (total assets less liabilities)2010-12-31$8,629,182
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$8,451,075
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$23,972
Income. Interest from US Government securities2010-12-31$149,607
Income. Interest from corporate debt instruments2010-12-31$172,896
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$259,086
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$191,992
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$191,992
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$288
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$510,002
Asset value of US Government securities at end of year2010-12-31$3,529,113
Asset value of US Government securities at beginning of year2010-12-31$4,260,663
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$11,196,339
Employer contributions (assets) at end of year2010-12-31$1,043,551
Employer contributions (assets) at beginning of year2010-12-31$1,151,201
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$10,119,448
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$4,521,666
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$3,930,879
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,508,541
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$2,147,770
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$374,291
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$376,422
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$8,406,214
Aggregate carrying amount (costs) on sale of assets2010-12-31$8,471,811
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31ENNIS. PREZIOSO & COMPANY, LLC
Accountancy firm EIN2010-12-31113689999

Form 5500 Responses for TEAMSTERS LOCAL NO. 469 WELFARE PLAN

2022: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: TEAMSTERS LOCAL NO. 469 WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number85737
Policy instance 2
Insurance contract or identification number85737
Number of Individuals Covered516
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,266,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207522G
Policy instance 1
Insurance contract or identification number207522G
Number of Individuals Covered430
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $22,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207522G
Policy instance 1
Insurance contract or identification number207522G
Number of Individuals Covered441
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $23,268
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number85737
Policy instance 2
Insurance contract or identification number85737
Number of Individuals Covered530
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,289,873
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207522G
Policy instance 1
Insurance contract or identification number207522G
Number of Individuals Covered444
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $26,058
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-014966-000
Policy instance 2
Insurance contract or identification number16-014966-000
Number of Individuals Covered686
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $11,509
Welfare Benefit Premiums Paid to CarrierUSD $897,379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees11509
Additional information about fees paid to insurance brokerGROUP ADMINISTRATIVE SUPPORT FEE
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207522G
Policy instance 1
Insurance contract or identification number207522G
Number of Individuals Covered476
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $24,307
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 63657 )
Policy contract numberGSLIC-GRM3091
Policy instance 2
Insurance contract or identification numberGSLIC-GRM3091
Number of Individuals Covered580
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $751,710
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207522G
Policy instance 1
Insurance contract or identification number207522G
Number of Individuals Covered462
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $20,514
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 63657 )
Policy contract numberGSLIC-GRM3039
Policy instance 2
Insurance contract or identification numberGSLIC-GRM3039
Number of Individuals Covered591
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $709,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberTPLIC-GRM2015
Policy instance 2
Insurance contract or identification numberTPLIC-GRM2015
Number of Individuals Covered596
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $714,273
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207522G
Policy instance 1
Insurance contract or identification number207522G
Number of Individuals Covered489
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $25,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207522G
Policy instance 2
Insurance contract or identification number207522G
Number of Individuals Covered561
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 CarrierUSD $25,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberELSL-1170
Policy instance 1
Insurance contract or identification numberELSL-1170
Number of Individuals Covered645
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $591,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number4049950010SSLS
Policy instance 2
Insurance contract or identification number4049950010SSLS
Number of Individuals Covered682
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $428,933
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207522G
Policy instance 1
Insurance contract or identification number207522G
Number of Individuals Covered561
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 CarrierUSD $29,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207522G
Policy instance 1
Insurance contract or identification number207522G
Number of Individuals Covered778
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 CarrierUSD $26,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberELSL-954
Policy instance 2
Insurance contract or identification numberELSL-954
Number of Individuals Covered714
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $404,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207522G
Policy instance 2
Insurance contract or identification number207522G
Number of Individuals Covered566
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 CarrierUSD $27,325
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberELSL-954
Policy instance 1
Insurance contract or identification numberELSL-954
Number of Individuals Covered720
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $49,014
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $408,446
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,014
Insurance broker organization code?3
Insurance broker nameRELIANCE INSURANCE GROUP, LLC
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberELSL-956
Policy instance 4
Insurance contract or identification numberELSL-956
Number of Individuals Covered369
Insurance policy start date2011-03-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $19,730
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $151,771
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207522G
Policy instance 2
Insurance contract or identification number207522G
Number of Individuals Covered599
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 CarrierUSD $25,514
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract number10/565
Policy instance 1
Insurance contract or identification number10/565
Number of Individuals Covered333
Insurance policy start date2011-01-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $3,986
Total amount of fees paid to insurance companyUSD $3,220
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $30,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberELSL-954
Policy instance 3
Insurance contract or identification numberELSL-954
Number of Individuals Covered380
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $25,516
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $196,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number85844
Policy instance 5
Insurance contract or identification number85844
Number of Individuals Covered376
Insurance policy start date2010-01-01
Insurance policy end date2010-02-28
Total amount of commissions paid to insurance brokerUSD $3,605
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $30,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract number10/565
Policy instance 3
Insurance contract or identification number10/565
Number of Individuals Covered333
Insurance policy start date2010-03-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $22,673
Total amount of fees paid to insurance companyUSD $18,313
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $170,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract number10/547
Policy instance 2
Insurance contract or identification number10/547
Number of Individuals Covered443
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $27,121
Total amount of fees paid to insurance companyUSD $25,991
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $226,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number207522G
Policy instance 1
Insurance contract or identification number207522G
Number of Individuals Covered713
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 CarrierUSD $35,597
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 95529 )
Policy contract number85198-63-64-67
Policy instance 4
Insurance contract or identification number85198-63-64-67
Number of Individuals Covered72
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $92,725
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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