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NORTHEAST CARPENTERS HEALTH FUND - NY 401k Plan overview

Plan NameNORTHEAST CARPENTERS HEALTH FUND - NY
Plan identification number 504

NORTHEAST CARPENTERS HEALTH FUND - NY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Supplemental unemployment
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

BOARD OF TRUSTEES EASTERN ATLANTIC STATES CARPENTERS HEALTH FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES EASTERN ATLANTIC STATES CARPENTERS HEALTH FUND
Employer identification number (EIN):226032181
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHEAST CARPENTERS HEALTH FUND - NY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042020-01-01WILLIAM SPROULE2021-09-29 JACK KOCSIS2021-09-29
5042019-01-01WILLIAM SPROULE2020-09-21 JACK KOCSIS2020-09-21
5042018-01-01WILLIAM SPROULE2019-10-10 JOHN DELOLLIS2019-10-13
5042017-01-01
5042016-01-01
5042015-12-31CAROL WESTFALL

Plan Statistics for NORTHEAST CARPENTERS HEALTH FUND - NY

401k plan membership statisitcs for NORTHEAST CARPENTERS HEALTH FUND - NY

Measure Date Value
2020: NORTHEAST CARPENTERS HEALTH FUND - NY 2020 401k membership
Total participants, beginning-of-year2020-01-019,535
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of employers contributing to the scheme2020-01-01672
2019: NORTHEAST CARPENTERS HEALTH FUND - NY 2019 401k membership
Total participants, beginning-of-year2019-01-019,557
Total number of active participants reported on line 7a of the Form 55002019-01-017,367
Number of retired or separated participants receiving benefits2019-01-012,168
Total of all active and inactive participants2019-01-019,535
Number of employers contributing to the scheme2019-01-01680
2018: NORTHEAST CARPENTERS HEALTH FUND - NY 2018 401k membership
Total participants, beginning-of-year2018-01-0110,015
Total number of active participants reported on line 7a of the Form 55002018-01-017,337
Number of retired or separated participants receiving benefits2018-01-012,220
Total of all active and inactive participants2018-01-019,557
Number of employers contributing to the scheme2018-01-01696
2017: NORTHEAST CARPENTERS HEALTH FUND - NY 2017 401k membership
Total participants, beginning-of-year2017-01-019,975
Total number of active participants reported on line 7a of the Form 55002017-01-017,425
Number of retired or separated participants receiving benefits2017-01-012,590
Total of all active and inactive participants2017-01-0110,015
Number of employers contributing to the scheme2017-01-01758
2016: NORTHEAST CARPENTERS HEALTH FUND - NY 2016 401k membership
Total participants, beginning-of-year2016-01-019,421
Total number of active participants reported on line 7a of the Form 55002016-01-017,311
Number of retired or separated participants receiving benefits2016-01-012,664
Total of all active and inactive participants2016-01-019,975
Number of employers contributing to the scheme2016-01-01746
2015: NORTHEAST CARPENTERS HEALTH FUND - NY 2015 401k membership
Total participants, beginning-of-year2015-12-319,421
Total number of active participants reported on line 7a of the Form 55002015-12-316,787
Number of retired or separated participants receiving benefits2015-12-312,634
Number of other retired or separated participants entitled to future benefits2015-12-310
Total of all active and inactive participants2015-12-319,421
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-12-310

Financial Data on NORTHEAST CARPENTERS HEALTH FUND - NY

Measure Date Value
2020 : NORTHEAST CARPENTERS HEALTH FUND - NY 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$17,886,177
Total unrealized appreciation/depreciation of assets2020-12-31$17,886,177
Total transfer of assets from this plan2020-12-31$443,868,974
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$110,246,960
Total income from all sources (including contributions)2020-12-31$135,438,299
Total loss/gain on sale of assets2020-12-31$-4,625,813
Total of all expenses incurred2020-12-31$109,317,185
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$105,449,904
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$109,733,374
Value of total assets at end of year2020-12-31$0
Value of total assets at beginning of year2020-12-31$527,994,820
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$3,867,281
Total interest from all sources2020-12-31$7,409,620
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,952,064
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Assets. Real estate other than employer real property at beginning of year2020-12-31$116,381,885
Administrative expenses professional fees incurred2020-12-31$832,026
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$20,173,288
Participant contributions at beginning of year2020-12-31$1,240,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$2,665,193
Assets. Loans (other than to participants) at beginning of year2020-12-31$20,715,217
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$48,849,004
Other income not declared elsewhere2020-12-31$448,871
Administrative expenses (other) incurred2020-12-31$2,251,438
Liabilities. Value of operating payables at beginning of year2020-12-31$29,782,893
Total non interest bearing cash at beginning of year2020-12-31$700
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$26,121,114
Value of net assets at end of year (total assets less liabilities)2020-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$417,747,860
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Assets. partnership/joint venture interests at beginning of year2020-12-31$2,123,659
Investment advisory and management fees2020-12-31$783,817
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$10,102,471
Interest earned on other investments2020-12-31$1,507,588
Income. Interest from US Government securities2020-12-31$928,868
Income. Interest from corporate debt instruments2020-12-31$4,889,956
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$39,074,691
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$39,074,691
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$83,208
Assets. Value of investments in 103.12 investment entities at beginning of year2020-12-31$28,944,876
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$6,449,861
Asset value of US Government securities at beginning of year2020-12-31$42,539,009
Net gain/loss from 103.12 investment entities2020-12-31$2,634,006
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$89,560,086
Employer contributions (assets) at beginning of year2020-12-31$11,700,000
Income. Dividends from common stock2020-12-31$1,952,064
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$99,000,043
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$21,883,810
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$93,793,362
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$110,668,742
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$12,178,000
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$26,161,205
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31Yes
Aggregate proceeds on sale of assets2020-12-31$497,644,898
Aggregate carrying amount (costs) on sale of assets2020-12-31$502,270,711
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$19,437,063
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2020-12-31131577780
2019 : NORTHEAST CARPENTERS HEALTH FUND - NY 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$12,626,896
Total unrealized appreciation/depreciation of assets2019-12-31$12,626,896
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$110,246,960
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$102,306,264
Total income from all sources (including contributions)2019-12-31$161,960,581
Total loss/gain on sale of assets2019-12-31$7,045,441
Total of all expenses incurred2019-12-31$112,667,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$108,077,306
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$129,241,488
Value of total assets at end of year2019-12-31$527,994,820
Value of total assets at beginning of year2019-12-31$470,761,157
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$4,590,308
Total interest from all sources2019-12-31$8,249,485
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$2,325,818
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$357,563
Assets. Real estate other than employer real property at end of year2019-12-31$116,381,885
Assets. Real estate other than employer real property at beginning of year2019-12-31$101,738,899
Administrative expenses professional fees incurred2019-12-31$738,907
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$22,174,509
Participant contributions at end of year2019-12-31$1,240,000
Participant contributions at beginning of year2019-12-31$1,485,000
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$3,951
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$2,665,193
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$2,871,061
Assets. Loans (other than to participants) at end of year2019-12-31$20,715,217
Assets. Loans (other than to participants) at beginning of year2019-12-31$11,625,140
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$48,849,004
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$22,798,742
Other income not declared elsewhere2019-12-31$493,812
Administrative expenses (other) incurred2019-12-31$3,061,442
Liabilities. Value of operating payables at end of year2019-12-31$29,782,893
Liabilities. Value of operating payables at beginning of year2019-12-31$43,465,485
Total non interest bearing cash at end of year2019-12-31$700
Total non interest bearing cash at beginning of year2019-12-31$700
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$49,292,967
Value of net assets at end of year (total assets less liabilities)2019-12-31$417,747,860
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$368,454,893
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Assets. partnership/joint venture interests at end of year2019-12-31$2,123,659
Assets. partnership/joint venture interests at beginning of year2019-12-31$3,839,621
Investment advisory and management fees2019-12-31$789,959
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$10,102,471
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$12,482,875
Interest earned on other investments2019-12-31$1,892,718
Income. Interest from US Government securities2019-12-31$1,346,531
Income. Interest from corporate debt instruments2019-12-31$4,771,390
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$39,074,691
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$53,205,296
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$53,205,296
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$238,846
Assets. Value of investments in 103.12 investment entities at end of year2019-12-31$28,944,876
Assets. Value of investments in 103.12 investment entities at beginning of year2019-12-31$21,967,235
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,346,360
Asset value of US Government securities at end of year2019-12-31$42,539,009
Asset value of US Government securities at beginning of year2019-12-31$31,549,304
Net gain/loss from 103.12 investment entities2019-12-31$1,977,641
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$107,066,979
Employer contributions (assets) at end of year2019-12-31$11,700,000
Employer contributions (assets) at beginning of year2019-12-31$12,600,000
Income. Dividends from common stock2019-12-31$1,968,255
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$105,730,946
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$21,883,810
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$20,397,339
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$93,793,362
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$89,682,083
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$110,668,742
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$92,123,829
Liabilities. Value of benefit claims payable at end of year2019-12-31$12,178,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$12,384,000
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$26,161,205
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$15,188,824
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 appraiser2019-12-31Yes
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$375,945,922
Aggregate carrying amount (costs) on sale of assets2019-12-31$368,900,481
Liabilities. Value of acquisition indebtedness at end of year2019-12-31$19,437,063
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$23,658,037
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2019-12-31131577780
2018 : NORTHEAST CARPENTERS HEALTH FUND - NY 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$870,485
Total unrealized appreciation/depreciation of assets2018-12-31$870,485
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$102,306,264
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$77,048,314
Total income from all sources (including contributions)2018-12-31$132,309,130
Total loss/gain on sale of assets2018-12-31$422,742
Total of all expenses incurred2018-12-31$122,147,375
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$117,350,567
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$127,894,834
Value of total assets at end of year2018-12-31$470,761,157
Value of total assets at beginning of year2018-12-31$435,341,452
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$4,796,808
Total interest from all sources2018-12-31$7,559,974
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,230,012
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$226,918
Assets. Real estate other than employer real property at end of year2018-12-31$101,738,899
Assets. Real estate other than employer real property at beginning of year2018-12-31$83,930,786
Administrative expenses professional fees incurred2018-12-31$1,010,423
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$21,878,429
Participant contributions at end of year2018-12-31$1,485,000
Participant contributions at beginning of year2018-12-31$1,360,000
Assets. Other investments not covered elsewhere at end of year2018-12-31$3,951
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$54,235
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$2,871,061
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$8,529,584
Assets. Loans (other than to participants) at end of year2018-12-31$11,625,140
Assets. Loans (other than to participants) at beginning of year2018-12-31$22,541,214
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$22,798,742
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$34,505,990
Other income not declared elsewhere2018-12-31$736,901
Administrative expenses (other) incurred2018-12-31$3,007,983
Liabilities. Value of operating payables at end of year2018-12-31$43,465,485
Liabilities. Value of operating payables at beginning of year2018-12-31$11,204,936
Total non interest bearing cash at end of year2018-12-31$700
Total non interest bearing cash at beginning of year2018-12-31$700
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$10,161,755
Value of net assets at end of year (total assets less liabilities)2018-12-31$368,454,893
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$358,293,138
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Assets. partnership/joint venture interests at end of year2018-12-31$3,839,621
Assets. partnership/joint venture interests at beginning of year2018-12-31$7,843,951
Investment advisory and management fees2018-12-31$778,402
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$12,482,875
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$13,890,872
Interest earned on other investments2018-12-31$1,738,919
Income. Interest from US Government securities2018-12-31$1,160,203
Income. Interest from corporate debt instruments2018-12-31$4,525,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$53,205,296
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$40,016,886
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$40,016,886
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$135,248
Assets. Value of investments in 103.12 investment entities at end of year2018-12-31$21,967,235
Assets. Value of investments in 103.12 investment entities at beginning of year2018-12-31$22,007,726
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$2,301,266
Asset value of US Government securities at end of year2018-12-31$31,549,304
Asset value of US Government securities at beginning of year2018-12-31$19,189,982
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-6,204,614
Net investment gain or loss from common/collective trusts2018-12-31$-201,204
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$106,016,405
Employer contributions (assets) at end of year2018-12-31$12,600,000
Employer contributions (assets) at beginning of year2018-12-31$12,900,000
Income. Dividends from common stock2018-12-31$1,003,094
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$115,049,301
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$20,397,339
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$11,738,772
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$89,682,083
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$83,005,763
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$92,123,829
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$81,626,004
Liabilities. Value of benefit claims payable at end of year2018-12-31$12,384,000
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$11,007,000
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$15,188,824
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$26,704,977
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 appraiser2018-12-31Yes
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$351,587,287
Aggregate carrying amount (costs) on sale of assets2018-12-31$351,164,545
Liabilities. Value of acquisition indebtedness at end of year2018-12-31$23,658,037
Liabilities. Value of acquisition indebtedness at beginning of year2018-12-31$20,330,388
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31SCHULTHEIS & PANETTIERI LLP
Accountancy firm EIN2018-12-31131577780
2017 : NORTHEAST CARPENTERS HEALTH FUND - NY 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$1,717,189
Total unrealized appreciation/depreciation of assets2017-12-31$1,717,189
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$77,048,314
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$43,130,682
Total income from all sources (including contributions)2017-12-31$153,074,968
Total loss/gain on sale of assets2017-12-31$1,701,061
Total of all expenses incurred2017-12-31$111,047,711
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$105,858,794
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$130,098,549
Value of total assets at end of year2017-12-31$435,341,452
Value of total assets at beginning of year2017-12-31$359,396,563
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,188,917
Total interest from all sources2017-12-31$6,140,482
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$689,687
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$166,044
Assets. Real estate other than employer real property at end of year2017-12-31$83,930,786
Assets. Real estate other than employer real property at beginning of year2017-12-31$60,740,680
Administrative expenses professional fees incurred2017-12-31$1,462,463
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$22,932,126
Participant contributions at end of year2017-12-31$1,360,000
Participant contributions at beginning of year2017-12-31$1,325,000
Assets. Other investments not covered elsewhere at end of year2017-12-31$54,235
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$306,973
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$8,529,584
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$6,837,137
Assets. Loans (other than to participants) at end of year2017-12-31$22,541,214
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$34,505,990
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$8,295,309
Other income not declared elsewhere2017-12-31$577,445
Administrative expenses (other) incurred2017-12-31$3,037,668
Liabilities. Value of operating payables at end of year2017-12-31$11,204,936
Liabilities. Value of operating payables at beginning of year2017-12-31$7,702,382
Total non interest bearing cash at end of year2017-12-31$700
Total non interest bearing cash at beginning of year2017-12-31$9,870
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$42,027,257
Value of net assets at end of year (total assets less liabilities)2017-12-31$358,293,138
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$316,265,881
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Assets. partnership/joint venture interests at end of year2017-12-31$7,843,951
Assets. partnership/joint venture interests at beginning of year2017-12-31$5,910,151
Investment advisory and management fees2017-12-31$688,786
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$13,890,872
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$27,734,513
Interest earned on other investments2017-12-31$1,155,825
Income. Interest from US Government securities2017-12-31$777,871
Income. Interest from corporate debt instruments2017-12-31$4,167,471
Value of interest in common/collective trusts at beginning of year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$40,016,886
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$39,789,760
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$39,789,760
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$39,315
Assets. Value of investments in 103.12 investment entities at end of year2017-12-31$22,007,726
Assets. Value of investments in 103.12 investment entities at beginning of year2017-12-31$19,304,375
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$2,444,765
Asset value of US Government securities at end of year2017-12-31$19,189,982
Asset value of US Government securities at beginning of year2017-12-31$31,248,826
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$11,189,116
Net investment gain or loss from common/collective trusts2017-12-31$845,232
Net gain/loss from 103.12 investment entities2017-12-31$116,207
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$107,166,423
Employer contributions (assets) at end of year2017-12-31$12,900,000
Employer contributions (assets) at beginning of year2017-12-31$12,300,000
Income. Dividends from common stock2017-12-31$523,643
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$103,414,029
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$11,738,772
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$11,670,979
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$83,005,763
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$69,268,952
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$81,626,004
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$71,108,844
Liabilities. Value of benefit claims payable at end of year2017-12-31$11,007,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$11,900,000
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$26,704,977
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$1,840,503
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 appraiser2017-12-31Yes
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$285,014,361
Aggregate carrying amount (costs) on sale of assets2017-12-31$283,313,300
Liabilities. Value of acquisition indebtedness at end of year2017-12-31$20,330,388
Liabilities. Value of acquisition indebtedness at beginning of year2017-12-31$15,232,991
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2017-12-31131577780
2016 : NORTHEAST CARPENTERS HEALTH FUND - NY 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$5,399,910
Total unrealized appreciation/depreciation of assets2016-12-31$5,399,910
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$43,130,682
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$34,089,858
Total income from all sources (including contributions)2016-12-31$140,992,184
Total loss/gain on sale of assets2016-12-31$1,245,221
Total of all expenses incurred2016-12-31$110,378,447
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$105,255,782
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$127,623,022
Value of total assets at end of year2016-12-31$359,396,563
Value of total assets at beginning of year2016-12-31$319,742,002
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$5,122,665
Total interest from all sources2016-12-31$4,149,276
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,225,866
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$352,967
Assets. Real estate other than employer real property at end of year2016-12-31$60,740,680
Assets. Real estate other than employer real property at beginning of year2016-12-31$15,214,814
Administrative expenses professional fees incurred2016-12-31$1,325,367
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$21,960,470
Participant contributions at end of year2016-12-31$1,325,000
Participant contributions at beginning of year2016-12-31$1,300,000
Assets. Other investments not covered elsewhere at end of year2016-12-31$306,973
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$278,504
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$401,386
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$6,837,137
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$3,671,609
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$8,295,309
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$11,127,336
Administrative expenses (other) incurred2016-12-31$2,826,083
Liabilities. Value of operating payables at end of year2016-12-31$7,702,382
Liabilities. Value of operating payables at beginning of year2016-12-31$7,077,132
Total non interest bearing cash at end of year2016-12-31$9,870
Total non interest bearing cash at beginning of year2016-12-31$36,811
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$30,613,737
Value of net assets at end of year (total assets less liabilities)2016-12-31$316,265,881
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$285,652,144
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Assets. partnership/joint venture interests at end of year2016-12-31$5,910,151
Assets. partnership/joint venture interests at beginning of year2016-12-31$3,515,835
Investment advisory and management fees2016-12-31$971,215
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$27,734,513
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$68,379,709
Interest earned on other investments2016-12-31$971,958
Income. Interest from US Government securities2016-12-31$779,752
Income. Interest from corporate debt instruments2016-12-31$2,358,220
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of interest in common/collective trusts at beginning of year2016-12-31$15,372,449
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$39,789,760
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$46,983,447
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$46,983,447
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$39,346
Assets. Value of investments in 103.12 investment entities at end of year2016-12-31$19,304,375
Assets. Value of investments in 103.12 investment entities at beginning of year2016-12-31$18,496,703
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$2,041,099
Asset value of US Government securities at end of year2016-12-31$31,248,826
Asset value of US Government securities at beginning of year2016-12-31$80,074,412
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$269,295
Net investment gain or loss from common/collective trusts2016-12-31$271,922
Net gain/loss from 103.12 investment entities2016-12-31$807,672
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$105,261,166
Employer contributions (assets) at end of year2016-12-31$12,300,000
Employer contributions (assets) at beginning of year2016-12-31$12,400,000
Income. Dividends from common stock2016-12-31$872,899
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$103,214,683
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$11,670,979
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$9,691,982
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$69,268,952
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$6,097,446
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$71,108,844
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$37,296,034
Liabilities. Value of benefit claims payable at end of year2016-12-31$11,900,000
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$12,837,000
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$1,840,503
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$932,247
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 appraiser2016-12-31Yes
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$250,577,408
Aggregate carrying amount (costs) on sale of assets2016-12-31$249,332,187
Liabilities. Value of acquisition indebtedness at end of year2016-12-31$15,232,991
Liabilities. Value of acquisition indebtedness at beginning of year2016-12-31$3,048,390
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2016-12-31131577780
2015 : NORTHEAST CARPENTERS HEALTH FUND - NY 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$285,652,044
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$34,089,958
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$0
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$0
Value of total assets at end of year2015-12-31$319,742,002
Value of total assets at beginning of year2015-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$0
Total interest from all sources2015-12-31$0
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
Assets. Real estate other than employer real property at end of year2015-12-31$15,214,814
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Participant contributions at end of year2015-12-31$1,300,000
Assets. Other investments not covered elsewhere at end of year2015-12-31$278,504
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$3,671,609
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$11,127,336
Liabilities. Value of operating payables at end of year2015-12-31$7,077,132
Total non interest bearing cash at end of year2015-12-31$36,811
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$0
Value of net assets at end of year (total assets less liabilities)2015-12-31$285,652,044
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Assets. partnership/joint venture interests at end of year2015-12-31$3,515,835
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$68,379,709
Value of interest in common/collective trusts at end of year2015-12-31$15,372,449
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$46,983,447
Assets. Value of investments in 103.12 investment entities at end of year2015-12-31$18,496,703
Asset value of US Government securities at end of year2015-12-31$80,074,412
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
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
Employer contributions (assets) at end of year2015-12-31$12,400,000
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$9,691,982
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$6,097,446
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$37,296,034
Liabilities. Value of benefit claims payable at end of year2015-12-31$12,837,100
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$932,247
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 appraiser2015-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Liabilities. Value of acquisition indebtedness at end of year2015-12-31$3,048,390

Form 5500 Responses for NORTHEAST CARPENTERS HEALTH FUND - NY

2020: NORTHEAST CARPENTERS HEALTH FUND - NY 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: NORTHEAST CARPENTERS HEALTH FUND - NY 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: NORTHEAST CARPENTERS HEALTH FUND - NY 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: NORTHEAST CARPENTERS HEALTH FUND - NY 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: NORTHEAST CARPENTERS HEALTH FUND - NY 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: NORTHEAST CARPENTERS HEALTH FUND - NY 2015 form 5500 responses
2015-12-31Type of plan entityMulti-employer plan
2015-12-31First time form 5500 has been submittedYes
2015-12-31Submission has been amendedNo
2015-12-31This submission is the final filingNo
2015-12-31This return/report is a short plan year return/report (less than 12 months)Yes
2015-12-31Plan is a collectively bargained planYes
2015-12-31Plan funding arrangement – InsuranceYes
2015-12-31Plan funding arrangement – TrustYes
2015-12-31Plan benefit arrangement – InsuranceYes
2015-12-31Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3337863
Policy instance 2
Insurance contract or identification number3337863
Number of Individuals Covered1651
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $32,421
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
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 $1,303,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,315
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE467548
Policy instance 1
Insurance contract or identification numberAE467548
Number of Individuals Covered2114
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $6,184,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3337863
Policy instance 1
Insurance contract or identification number3337863
Number of Individuals Covered1647
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $31,182
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
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 $1,253,049
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,386
Insurance broker organization code?3
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: )
Policy contract number00990210
Policy instance 1
Insurance contract or identification number00990210
Number of Individuals Covered17
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $62,140
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00044201
Policy instance 4
Insurance contract or identification number00044201
Number of Individuals Covered2829
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $7,388
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $147,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,388
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number0500912/1-4
Policy instance 3
Insurance contract or identification number0500912/1-4
Number of Individuals Covered235
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
Other welfare benefits providedMEDICARE
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 $923,309
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3337863
Policy instance 2
Insurance contract or identification number3337863
Number of Individuals Covered1550
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $27,620
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
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 $1,109,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,715
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3337863
Policy instance 2
Insurance contract or identification number3337863
Number of Individuals Covered1469
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $23,477
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
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 $943,123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,477
Insurance broker organization code?3
Insurance broker nameNEWMAN COMPANY
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: )
Policy contract number00990210
Policy instance 1
Insurance contract or identification number00990210
Number of Individuals Covered19
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $63,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00044201
Policy instance 5
Insurance contract or identification number00044201
Number of Individuals Covered2807
Insurance policy start date2016-04-01
Insurance policy end date2017-03-31
Total amount of commissions paid to insurance brokerUSD $7,197
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $143,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,197
Insurance broker organization code?3
Insurance broker nameEMS FINANCIAL SERVICES
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number0500912/1-4
Policy instance 4
Insurance contract or identification number0500912/1-4
Number of Individuals Covered230
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
Other welfare benefits providedMEDICARE
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 $863,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFNYNA00002
Policy instance 3
Insurance contract or identification numberFNYNA00002
Number of Individuals Covered5937
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $16,931
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
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 $338,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,931
Insurance broker organization code?3
Insurance broker nameROBERT J CANARICK
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: )
Policy contract number403183-990210
Policy instance 2
Insurance contract or identification number403183-990210
Number of Individuals Covered17
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number0500912/1-4
Policy instance 1
Insurance contract or identification number0500912/1-4
Number of Individuals Covered248
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 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
Other welfare benefits providedMEDICARE
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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