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USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 401k Plan overview

Plan NameUSW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND
Plan identification number 501

USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

BOARD OF TRUSTEES USW DISTRICT 10, LOCAL 286 has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES USW DISTRICT 10, LOCAL 286
Employer identification number (EIN):231661924
NAIC Classification:322100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01CARLO SIMONE III
5012023-01-01
5012023-01-01CARLO SIMONE III
5012022-01-01
5012022-01-01CARLO SIMONE III
5012021-01-01
5012021-01-01CARLO SIMONE III
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01CARLO SIMONE III
5012016-01-01CARLO SIMONE III
5012015-01-01CARLO SIMONE III
5012014-01-01CARLO SIMONE III
5012013-01-01CARLO SIMONE III
5012012-01-01CARLO SIMONE III
5012011-01-01CARLO SIMONE III
5012009-01-01CARLO SIMONE,III AND BERNARD NEWMAN

Financial Data on USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND

Measure Date Value
2023 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-12-31$110,560
Total unrealized appreciation/depreciation of assets2023-12-31$110,560
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$1,628,231
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$1,565,989
Total income from all sources (including contributions)2023-12-31$19,765,610
Total loss/gain on sale of assets2023-12-31$-47,325
Total of all expenses incurred2023-12-31$18,606,593
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$17,760,144
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$19,429,937
Value of total assets at end of year2023-12-31$10,102,239
Value of total assets at beginning of year2023-12-31$8,880,980
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$846,449
Total interest from all sources2023-12-31$136,741
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$80,808
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$80,808
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$2,763
Assets. Other investments not covered elsewhere at end of year2023-12-31$409,528
Assets. Other investments not covered elsewhere at beginning of year2023-12-31$473,254
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$338,605
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$719,261
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$123,075
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$59,802
Administrative expenses (other) incurred2023-12-31$245,067
Liabilities. Value of operating payables at end of year2023-12-31$31,736
Liabilities. Value of operating payables at beginning of year2023-12-31$36,932
Total non interest bearing cash at end of year2023-12-31$934,010
Total non interest bearing cash at beginning of year2023-12-31$1,363,771
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$1,159,017
Value of net assets at end of year (total assets less liabilities)2023-12-31$8,474,008
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$7,314,991
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Assets. partnership/joint venture interests at end of year2023-12-31$975,553
Assets. partnership/joint venture interests at beginning of year2023-12-31$1,007,121
Investment advisory and management fees2023-12-31$25,505
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$1,875,906
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$1,740,209
Interest earned on other investments2023-12-31$13,058
Income. Interest from US Government securities2023-12-31$54,840
Income. Interest from corporate debt instruments2023-12-31$27,174
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$2,668,312
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$316,480
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$316,480
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$41,669
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$17,700,610
Asset value of US Government securities at end of year2023-12-31$2,157,263
Asset value of US Government securities at beginning of year2023-12-31$1,835,902
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$54,889
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31Yes
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$19,427,174
Employer contributions (assets) at end of year2023-12-31$22,387
Employer contributions (assets) at beginning of year2023-12-31$617,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$59,534
Asset. Corporate debt instrument debt (other) at end of year2023-12-31$720,675
Asset. Corporate debt instrument debt (other) at beginning of year2023-12-31$807,662
Liabilities. Value of benefit claims payable at end of year2023-12-31$1,473,420
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$1,469,255
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Aggregate proceeds on sale of assets2023-12-31$2,287,238
Aggregate carrying amount (costs) on sale of assets2023-12-31$2,334,563
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2023-12-31611436956
Unrealized appreciation/depreciation of other (non real estate) assets2023-01-01$110,560
Total unrealized appreciation/depreciation of assets2023-01-01$110,560
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$1,628,231
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$1,565,989
Total income from all sources (including contributions)2023-01-01$19,765,610
Total loss/gain on sale of assets2023-01-01$-47,325
Total of all expenses incurred2023-01-01$18,606,593
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$17,760,144
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$19,429,937
Value of total assets at end of year2023-01-01$10,102,239
Value of total assets at beginning of year2023-01-01$8,880,980
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$846,449
Total interest from all sources2023-01-01$136,741
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$80,808
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2023-01-01$80,808
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$1,000,000
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$2,763
Assets. Other investments not covered elsewhere at end of year2023-01-01$409,528
Assets. Other investments not covered elsewhere at beginning of year2023-01-01$473,254
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-01$338,605
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-01-01$719,261
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-01-01$123,075
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-01-01$59,802
Administrative expenses (other) incurred2023-01-01$245,067
Liabilities. Value of operating payables at end of year2023-01-01$31,736
Liabilities. Value of operating payables at beginning of year2023-01-01$36,932
Total non interest bearing cash at end of year2023-01-01$934,010
Total non interest bearing cash at beginning of year2023-01-01$1,363,771
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$1,159,017
Value of net assets at end of year (total assets less liabilities)2023-01-01$8,474,008
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$7,314,991
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Assets. partnership/joint venture interests at end of year2023-01-01$975,553
Assets. partnership/joint venture interests at beginning of year2023-01-01$1,007,121
Investment advisory and management fees2023-01-01$25,505
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$1,875,906
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$1,740,209
Interest earned on other investments2023-01-01$13,058
Income. Interest from US Government securities2023-01-01$54,840
Income. Interest from corporate debt instruments2023-01-01$27,174
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-01-01$2,668,312
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-01$41,669
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$17,700,610
Asset value of US Government securities at end of year2023-01-01$2,157,263
Asset value of US Government securities at beginning of year2023-01-01$1,835,902
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$54,889
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01Yes
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$19,427,174
Employer contributions (assets) at end of year2023-01-01$22,387
Employer contributions (assets) at beginning of year2023-01-01$617,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$59,534
Asset. Corporate debt instrument debt (other) at end of year2023-01-01$720,675
Asset. Corporate debt instrument debt (other) at beginning of year2023-01-01$807,662
Liabilities. Value of benefit claims payable at end of year2023-01-01$1,473,420
Liabilities. Value of benefit claims payable at beginning of year2023-01-01$1,469,255
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Aggregate proceeds on sale of assets2023-01-01$2,287,238
Aggregate carrying amount (costs) on sale of assets2023-01-01$2,334,563
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01NOVAK FRANCELLA, LLC
Accountancy firm EIN2023-01-01611436956
2022 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-248,646
Total unrealized appreciation/depreciation of assets2022-12-31$-248,646
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,565,989
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,843,401
Total income from all sources (including contributions)2022-12-31$19,460,546
Total loss/gain on sale of assets2022-12-31$-177,781
Total of all expenses incurred2022-12-31$18,970,265
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$18,127,298
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$19,728,387
Value of total assets at end of year2022-12-31$8,880,980
Value of total assets at beginning of year2022-12-31$8,668,111
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$842,967
Total interest from all sources2022-12-31$113,104
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$45,482
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$45,482
Administrative expenses professional fees incurred2022-12-31$204,552
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$21,453
Assets. Other investments not covered elsewhere at end of year2022-12-31$473,254
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$614,190
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$719,261
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$1,267,640
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$59,802
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$448,466
Administrative expenses (other) incurred2022-12-31$611,664
Liabilities. Value of operating payables at end of year2022-12-31$36,932
Liabilities. Value of operating payables at beginning of year2022-12-31$22,562
Total non interest bearing cash at end of year2022-12-31$1,363,771
Total non interest bearing cash at beginning of year2022-12-31$1,126,285
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$490,281
Value of net assets at end of year (total assets less liabilities)2022-12-31$7,314,991
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$6,824,710
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
Assets. partnership/joint venture interests at end of year2022-12-31$1,007,121
Assets. partnership/joint venture interests at beginning of year2022-12-31$963,007
Investment advisory and management fees2022-12-31$26,751
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,740,209
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,156,958
Interest earned on other investments2022-12-31$24,561
Income. Interest from US Government securities2022-12-31$50,535
Income. Interest from corporate debt instruments2022-12-31$37,706
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$316,480
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$111,688
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$111,688
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$302
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$18,073,307
Asset value of US Government securities at end of year2022-12-31$1,835,902
Asset value of US Government securities at beginning of year2022-12-31$2,096,244
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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$19,706,934
Employer contributions (assets) at end of year2022-12-31$617,320
Employer contributions (assets) at beginning of year2022-12-31$8,530
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$53,991
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$807,662
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$1,323,569
Liabilities. Value of benefit claims payable at end of year2022-12-31$1,469,255
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$1,372,373
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 appraiser2022-12-31Yes
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$5,524,859
Aggregate carrying amount (costs) on sale of assets2022-12-31$5,702,640
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2022-12-31611436956
Unrealized appreciation/depreciation of other (non real estate) assets2022-01-01$-248,646
Total unrealized appreciation/depreciation of assets2022-01-01$-248,646
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$1,565,989
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$1,843,401
Total income from all sources (including contributions)2022-01-01$19,460,546
Total loss/gain on sale of assets2022-01-01$-177,781
Total of all expenses incurred2022-01-01$18,970,265
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$18,127,298
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$19,728,387
Value of total assets at end of year2022-01-01$8,880,980
Value of total assets at beginning of year2022-01-01$8,668,111
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$842,967
Total interest from all sources2022-01-01$113,104
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$45,482
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$45,482
Administrative expenses professional fees incurred2022-01-01$204,552
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$1,000,000
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$21,453
Assets. Other investments not covered elsewhere at end of year2022-01-01$473,254
Assets. Other investments not covered elsewhere at beginning of year2022-01-01$614,190
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$719,261
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-01$1,267,640
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-01$59,802
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-01$448,466
Administrative expenses (other) incurred2022-01-01$611,664
Liabilities. Value of operating payables at end of year2022-01-01$36,932
Liabilities. Value of operating payables at beginning of year2022-01-01$22,562
Total non interest bearing cash at end of year2022-01-01$1,363,771
Total non interest bearing cash at beginning of year2022-01-01$1,126,285
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$490,281
Value of net assets at end of year (total assets less liabilities)2022-01-01$7,314,991
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$6,824,710
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Assets. partnership/joint venture interests at end of year2022-01-01$1,007,121
Assets. partnership/joint venture interests at beginning of year2022-01-01$963,007
Investment advisory and management fees2022-01-01$26,751
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$1,740,209
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$1,156,958
Interest earned on other investments2022-01-01$24,561
Income. Interest from US Government securities2022-01-01$50,535
Income. Interest from corporate debt instruments2022-01-01$37,706
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-01-01$316,480
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-01-01$302
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-01$18,073,307
Asset value of US Government securities at end of year2022-01-01$1,835,902
Asset value of US Government securities at beginning of year2022-01-01$2,096,244
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01Yes
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$19,706,934
Employer contributions (assets) at end of year2022-01-01$617,320
Employer contributions (assets) at beginning of year2022-01-01$8,530
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$53,991
Asset. Corporate debt instrument debt (other) at end of year2022-01-01$807,662
Asset. Corporate debt instrument debt (other) at beginning of year2022-01-01$1,323,569
Liabilities. Value of benefit claims payable at end of year2022-01-01$1,469,255
Liabilities. Value of benefit claims payable at beginning of year2022-01-01$1,372,373
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Aggregate proceeds on sale of assets2022-01-01$5,524,859
Aggregate carrying amount (costs) on sale of assets2022-01-01$5,702,640
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01NOVAK FRANCELLA, LLC
Accountancy firm EIN2022-01-01611436956
2021 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-123,537
Total unrealized appreciation/depreciation of assets2021-12-31$-123,537
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,843,401
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,911,797
Total income from all sources (including contributions)2021-12-31$17,176,890
Total loss/gain on sale of assets2021-12-31$27,209
Total of all expenses incurred2021-12-31$18,159,499
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$17,374,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$17,061,017
Value of total assets at end of year2021-12-31$8,668,111
Value of total assets at beginning of year2021-12-31$9,719,116
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$784,774
Total interest from all sources2021-12-31$130,707
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$24,557
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$24,557
Administrative expenses professional fees incurred2021-12-31$191,699
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$57,050
Assets. Other investments not covered elsewhere at end of year2021-12-31$614,190
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$1,178,049
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$1,267,640
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,082,534
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$448,466
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$440,607
Other income not declared elsewhere2021-12-31$64,096
Administrative expenses (other) incurred2021-12-31$564,743
Liabilities. Value of operating payables at end of year2021-12-31$22,562
Liabilities. Value of operating payables at beginning of year2021-12-31$27,703
Total non interest bearing cash at end of year2021-12-31$1,126,285
Total non interest bearing cash at beginning of year2021-12-31$1,290,612
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-982,609
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,824,710
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$7,807,319
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
Assets. partnership/joint venture interests at end of year2021-12-31$963,007
Assets. partnership/joint venture interests at beginning of year2021-12-31$891,367
Investment advisory and management fees2021-12-31$28,332
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,156,958
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$539,550
Interest earned on other investments2021-12-31$23,665
Income. Interest from US Government securities2021-12-31$65,757
Income. Interest from corporate debt instruments2021-12-31$39,424
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$111,688
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,168,875
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,168,875
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$1,861
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$17,316,947
Asset value of US Government securities at end of year2021-12-31$2,096,244
Asset value of US Government securities at beginning of year2021-12-31$2,336,598
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-7,159
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
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$17,003,967
Employer contributions (assets) at end of year2021-12-31$8,530
Employer contributions (assets) at beginning of year2021-12-31$79,426
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$57,778
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$1,323,569
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$1,150,512
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,372,373
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$1,443,487
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$1,593
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 appraiser2021-12-31Yes
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$6,819,459
Aggregate carrying amount (costs) on sale of assets2021-12-31$6,792,250
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2021-12-31611436956
2020 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$210,200
Total unrealized appreciation/depreciation of assets2020-12-31$210,200
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,911,797
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,624,373
Total income from all sources (including contributions)2020-12-31$19,889,495
Total loss/gain on sale of assets2020-12-31$42,805
Total of all expenses incurred2020-12-31$18,594,347
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$17,878,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$19,466,929
Value of total assets at end of year2020-12-31$9,719,116
Value of total assets at beginning of year2020-12-31$8,136,544
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$715,400
Total interest from all sources2020-12-31$146,942
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$17,884
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$17,884
Administrative expenses professional fees incurred2020-12-31$198,015
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$27,431
Assets. Other investments not covered elsewhere at end of year2020-12-31$1,178,049
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$1,125,440
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,082,534
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$24,715
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$440,607
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$95,636
Administrative expenses (other) incurred2020-12-31$489,293
Liabilities. Value of operating payables at end of year2020-12-31$27,703
Liabilities. Value of operating payables at beginning of year2020-12-31$18,270
Total non interest bearing cash at end of year2020-12-31$1,290,612
Total non interest bearing cash at beginning of year2020-12-31$1,059,881
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$1,295,148
Value of net assets at end of year (total assets less liabilities)2020-12-31$7,807,319
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,512,171
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 end of year2020-12-31$891,367
Assets. partnership/joint venture interests at beginning of year2020-12-31$841,199
Investment advisory and management fees2020-12-31$28,092
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$539,550
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$516,931
Interest earned on other investments2020-12-31$36,171
Income. Interest from US Government securities2020-12-31$60,764
Income. Interest from corporate debt instruments2020-12-31$45,517
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,168,875
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,161,440
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,161,440
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$4,490
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$17,809,736
Asset value of US Government securities at end of year2020-12-31$2,336,598
Asset value of US Government securities at beginning of year2020-12-31$2,000,728
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$4,735
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$19,439,498
Employer contributions (assets) at end of year2020-12-31$79,426
Employer contributions (assets) at beginning of year2020-12-31$5,925
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$69,211
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$1,150,512
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$1,397,100
Liabilities. Value of benefit claims payable at end of year2020-12-31$1,443,487
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$1,510,467
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$1,593
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$3,185
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 appraiser2020-12-31Yes
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$3,165,953
Aggregate carrying amount (costs) on sale of assets2020-12-31$3,123,148
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2020-12-31611436956
2019 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$217,632
Total unrealized appreciation/depreciation of assets2019-12-31$217,632
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,624,373
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,569,091
Total income from all sources (including contributions)2019-12-31$18,589,650
Total loss/gain on sale of assets2019-12-31$3,918
Total of all expenses incurred2019-12-31$19,157,229
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$18,440,683
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$18,175,675
Value of total assets at end of year2019-12-31$8,136,544
Value of total assets at beginning of year2019-12-31$8,648,841
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$716,546
Total interest from all sources2019-12-31$175,495
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$10,658
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$10,658
Administrative expenses professional fees incurred2019-12-31$185,607
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$91,394
Assets. Other investments not covered elsewhere at end of year2019-12-31$1,125,440
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$893,395
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$24,715
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$26,838
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$95,636
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$7,190
Administrative expenses (other) incurred2019-12-31$505,961
Liabilities. Value of operating payables at end of year2019-12-31$18,270
Liabilities. Value of operating payables at beginning of year2019-12-31$28,036
Total non interest bearing cash at end of year2019-12-31$1,059,881
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-567,579
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,512,171
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$7,079,750
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$841,199
Assets. partnership/joint venture interests at beginning of year2019-12-31$540,967
Investment advisory and management fees2019-12-31$24,978
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$516,931
Interest earned on other investments2019-12-31$26,545
Income. Interest from US Government securities2019-12-31$64,984
Income. Interest from corporate debt instruments2019-12-31$52,738
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,161,440
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$3,276,037
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$3,276,037
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$31,228
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$18,389,914
Asset value of US Government securities at end of year2019-12-31$2,000,728
Asset value of US Government securities at beginning of year2019-12-31$1,963,181
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$6,272
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$18,084,281
Employer contributions (assets) at end of year2019-12-31$5,925
Employer contributions (assets) at beginning of year2019-12-31$131,960
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$50,769
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$1,397,100
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$1,807,737
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,510,467
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,533,865
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$3,185
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$8,726
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$4,561,502
Aggregate carrying amount (costs) on sale of assets2019-12-31$4,557,584
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2019-12-31611436956
2018 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-5,122
Total unrealized appreciation/depreciation of assets2018-12-31$-5,122
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,569,091
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,680,252
Total income from all sources (including contributions)2018-12-31$20,372,998
Total loss/gain on sale of assets2018-12-31$-50,290
Total of all expenses incurred2018-12-31$20,062,345
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$19,389,673
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$20,253,510
Value of total assets at end of year2018-12-31$8,648,841
Value of total assets at beginning of year2018-12-31$8,449,349
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$672,672
Total interest from all sources2018-12-31$174,900
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$177,450
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$43,182
Assets. Other investments not covered elsewhere at end of year2018-12-31$893,395
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$1,465,120
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$26,838
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$36,103
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$7,190
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$4,495
Administrative expenses (other) incurred2018-12-31$472,313
Liabilities. Value of operating payables at end of year2018-12-31$28,036
Liabilities. Value of operating payables at beginning of year2018-12-31$14,049
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$310,653
Value of net assets at end of year (total assets less liabilities)2018-12-31$7,079,750
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$6,769,097
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$540,967
Assets. partnership/joint venture interests at beginning of year2018-12-31$101,935
Investment advisory and management fees2018-12-31$22,909
Interest earned on other investments2018-12-31$38,097
Income. Interest from US Government securities2018-12-31$52,759
Income. Interest from corporate debt instruments2018-12-31$61,127
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$3,276,037
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$3,134,235
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$3,134,235
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$22,917
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$19,306,409
Asset value of US Government securities at end of year2018-12-31$1,963,181
Asset value of US Government securities at beginning of year2018-12-31$1,717,967
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$20,210,328
Employer contributions (assets) at end of year2018-12-31$131,960
Employer contributions (assets) at beginning of year2018-12-31$134,728
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$83,264
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$1,807,737
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$1,844,995
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,533,865
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$1,661,708
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$8,726
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$14,266
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$3,757,699
Aggregate carrying amount (costs) on sale of assets2018-12-31$3,807,989
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 name2018-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2018-12-31611436956
2017 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$1,479
Total unrealized appreciation/depreciation of assets2017-12-31$1,479
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,680,252
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$293,079
Total income from all sources (including contributions)2017-12-31$22,283,324
Total loss/gain on sale of assets2017-12-31$-34,193
Total of all expenses incurred2017-12-31$21,958,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$21,319,448
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$22,119,529
Value of total assets at end of year2017-12-31$8,449,349
Value of total assets at beginning of year2017-12-31$6,737,450
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$639,150
Total interest from all sources2017-12-31$153,125
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$178,566
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$44,158
Assets. Other investments not covered elsewhere at end of year2017-12-31$1,465,120
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$1,266,008
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$36,103
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$27,101
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$4,495
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$228,764
Other income not declared elsewhere2017-12-31$43,384
Administrative expenses (other) incurred2017-12-31$437,105
Liabilities. Value of operating payables at end of year2017-12-31$14,049
Liabilities. Value of operating payables at beginning of year2017-12-31$7,750
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$324,726
Value of net assets at end of year (total assets less liabilities)2017-12-31$6,769,097
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,444,371
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$101,935
Investment advisory and management fees2017-12-31$23,479
Interest earned on other investments2017-12-31$43,457
Income. Interest from US Government securities2017-12-31$43,248
Income. Interest from corporate debt instruments2017-12-31$62,143
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$3,134,235
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,836,537
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,836,537
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$4,277
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$21,188,161
Asset value of US Government securities at end of year2017-12-31$1,717,967
Asset value of US Government securities at beginning of year2017-12-31$1,860,256
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$22,075,371
Employer contributions (assets) at end of year2017-12-31$134,728
Employer contributions (assets) at beginning of year2017-12-31$156,775
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$131,287
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$1,844,995
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$1,570,966
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$1,661,708
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$56,565
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$14,266
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$19,807
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$5,151,453
Aggregate carrying amount (costs) on sale of assets2017-12-31$5,185,646
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2017-12-31611436956
2016 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-81,200
Total unrealized appreciation/depreciation of assets2016-12-31$-81,200
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$293,079
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$309,661
Total income from all sources (including contributions)2016-12-31$21,014,469
Total loss/gain on sale of assets2016-12-31$14,110
Total of all expenses incurred2016-12-31$20,576,061
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$19,943,578
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$20,965,247
Value of total assets at end of year2016-12-31$6,737,450
Value of total assets at beginning of year2016-12-31$6,315,624
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$632,483
Total interest from all sources2016-12-31$116,312
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$167,625
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$42,692
Assets. Other investments not covered elsewhere at end of year2016-12-31$1,266,008
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$460,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$27,101
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$55,181
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$228,764
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$275,989
Administrative expenses (other) incurred2016-12-31$446,309
Liabilities. Value of operating payables at end of year2016-12-31$7,750
Liabilities. Value of operating payables at beginning of year2016-12-31$12,893
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$438,408
Value of net assets at end of year (total assets less liabilities)2016-12-31$6,444,371
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$6,005,963
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$18,549
Interest earned on other investments2016-12-31$12,469
Income. Interest from US Government securities2016-12-31$7,662
Income. Interest from corporate debt instruments2016-12-31$92,828
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,836,537
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,504,862
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,504,862
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$3,353
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$19,822,218
Asset value of US Government securities at end of year2016-12-31$1,860,256
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$20,922,555
Employer contributions (assets) at end of year2016-12-31$156,775
Employer contributions (assets) at beginning of year2016-12-31$117,958
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$121,360
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$1,570,966
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$4,152,276
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$56,565
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$20,779
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$19,807
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$25,347
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$13,896,830
Aggregate carrying amount (costs) on sale of assets2016-12-31$13,882,720
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2016-12-31611436956
2015 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-117,120
Total unrealized appreciation/depreciation of assets2015-12-31$-117,120
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$309,661
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,618,307
Total income from all sources (including contributions)2015-12-31$20,641,275
Total loss/gain on sale of assets2015-12-31$267
Total of all expenses incurred2015-12-31$20,392,854
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$19,750,891
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$20,585,793
Value of total assets at end of year2015-12-31$6,315,624
Value of total assets at beginning of year2015-12-31$7,375,849
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$641,963
Total interest from all sources2015-12-31$172,335
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$188,755
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$60,334
Assets. Other investments not covered elsewhere at end of year2015-12-31$460,000
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$460,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$55,181
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$56,156
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$275,989
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$277,398
Administrative expenses (other) incurred2015-12-31$434,182
Liabilities. Value of operating payables at end of year2015-12-31$12,893
Liabilities. Value of operating payables at beginning of year2015-12-31$13,260
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$248,421
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,005,963
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,757,542
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$19,026
Interest earned on other investments2015-12-31$7,116
Income. Interest from corporate debt instruments2015-12-31$161,720
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,504,862
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$3,491,462
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$3,491,462
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$3,499
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$19,640,140
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
Contributions received in cash from employer2015-12-31$20,525,459
Employer contributions (assets) at end of year2015-12-31$117,958
Employer contributions (assets) at beginning of year2015-12-31$193,222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$110,751
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$4,152,276
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$3,144,121
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$20,779
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$1,327,649
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$25,347
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$30,888
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$849,130
Aggregate carrying amount (costs) on sale of assets2015-12-31$848,863
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2015-12-31611436956
2014 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-70,250
Total unrealized appreciation/depreciation of assets2014-12-31$-70,250
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,618,307
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$3,746,262
Total income from all sources (including contributions)2014-12-31$19,669,424
Total loss/gain on sale of assets2014-12-31$-15,244
Total of all expenses incurred2014-12-31$19,747,497
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$19,022,238
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$19,631,061
Value of total assets at end of year2014-12-31$7,375,849
Value of total assets at beginning of year2014-12-31$9,581,877
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$725,259
Total interest from all sources2014-12-31$120,357
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$208,581
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$75,277
Assets. Other investments not covered elsewhere at end of year2014-12-31$460,000
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$460,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$56,156
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$28,352
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$277,398
Other income not declared elsewhere2014-12-31$3,500
Administrative expenses (other) incurred2014-12-31$498,162
Liabilities. Value of operating payables at end of year2014-12-31$13,260
Liabilities. Value of operating payables at beginning of year2014-12-31$11,919
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-78,073
Value of net assets at end of year (total assets less liabilities)2014-12-31$5,757,542
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,835,615
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$18,516
Interest earned on other investments2014-12-31$5,791
Income. Interest from corporate debt instruments2014-12-31$109,222
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$3,491,462
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$6,223,654
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$6,223,654
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$5,344
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$18,745,737
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
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$19,555,784
Employer contributions (assets) at end of year2014-12-31$193,222
Employer contributions (assets) at beginning of year2014-12-31$1,303,438
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$276,501
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$3,144,121
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$1,566,433
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$1,327,649
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$3,734,343
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$30,888
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$4,105,815
Aggregate carrying amount (costs) on sale of assets2014-12-31$4,121,059
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2014-12-31611436956
2013 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-8,608
Total unrealized appreciation/depreciation of assets2013-12-31$-8,608
Total transfer of assets to this plan2013-12-31$77,106
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$3,746,262
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$3,770,700
Total income from all sources (including contributions)2013-12-31$16,093,638
Total of all expenses incurred2013-12-31$15,855,428
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$15,240,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$16,073,859
Value of total assets at end of year2013-12-31$9,581,877
Value of total assets at beginning of year2013-12-31$9,290,999
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$615,157
Total interest from all sources2013-12-31$27,621
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$163,707
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$65,129
Assets. Other investments not covered elsewhere at end of year2013-12-31$460,000
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$360,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$28,352
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$798
Other income not declared elsewhere2013-12-31$766
Administrative expenses (other) incurred2013-12-31$450,199
Liabilities. Value of operating payables at end of year2013-12-31$11,919
Liabilities. Value of operating payables at beginning of year2013-12-31$16,759
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$238,210
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,835,615
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,520,299
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$1,251
Interest earned on other investments2013-12-31$4,937
Income. Interest from corporate debt instruments2013-12-31$1,797
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$6,223,654
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$7,527,645
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$7,527,645
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$20,887
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$14,810,952
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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$16,008,730
Employer contributions (assets) at end of year2013-12-31$1,303,438
Employer contributions (assets) at beginning of year2013-12-31$1,402,556
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$429,319
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$1,566,433
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$3,734,343
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$3,753,941
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2013-12-31611436956
2012 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$3,770,700
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,411,050
Total income from all sources (including contributions)2012-12-31$16,602,296
Total of all expenses incurred2012-12-31$16,285,466
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$15,663,514
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$16,404,475
Value of total assets at end of year2012-12-31$9,290,999
Value of total assets at beginning of year2012-12-31$7,614,519
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$621,952
Total interest from all sources2012-12-31$43,875
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$166,875
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$143,074
Assets. Other investments not covered elsewhere at end of year2012-12-31$360,000
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$360,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$798
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$1,438
Other income not declared elsewhere2012-12-31$153,946
Administrative expenses (other) incurred2012-12-31$455,077
Liabilities. Value of operating payables at end of year2012-12-31$16,759
Liabilities. Value of operating payables at beginning of year2012-12-31$10,517
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$316,830
Value of net assets at end of year (total assets less liabilities)2012-12-31$5,520,299
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$5,203,469
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
Interest earned on other investments2012-12-31$6,237
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$7,527,645
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$5,839,529
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$5,839,529
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$37,638
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$15,276,972
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
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$16,261,401
Employer contributions (assets) at end of year2012-12-31$1,402,556
Employer contributions (assets) at beginning of year2012-12-31$1,412,506
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$386,542
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$3,753,941
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$2,400,533
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$1,046
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2012-12-31611436956
2011 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,411,050
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$3,099,072
Total income from all sources (including contributions)2011-12-31$16,803,324
Total of all expenses incurred2011-12-31$16,696,238
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$16,076,470
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$16,717,469
Value of total assets at end of year2011-12-31$7,614,519
Value of total assets at beginning of year2011-12-31$8,195,455
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$619,768
Total interest from all sources2011-12-31$71,426
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$154,308
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$197,473
Assets. Other investments not covered elsewhere at end of year2011-12-31$360,000
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$360,000
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$52,007
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$1,438
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$115,009
Other income not declared elsewhere2011-12-31$14,429
Administrative expenses (other) incurred2011-12-31$465,460
Liabilities. Value of operating payables at end of year2011-12-31$10,517
Liabilities. Value of operating payables at beginning of year2011-12-31$17,451
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$107,086
Value of net assets at end of year (total assets less liabilities)2011-12-31$5,203,469
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$5,096,383
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
Interest earned on other investments2011-12-31$10,386
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$5,839,529
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$6,040,482
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$6,040,482
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$61,040
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$15,947,646
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
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$16,467,989
Employer contributions (assets) at end of year2011-12-31$1,412,506
Employer contributions (assets) at beginning of year2011-12-31$1,677,749
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$128,824
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$2,400,533
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$3,081,621
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$1,046
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$2,215
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2011-12-31611436956
2010 : USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$3,099,072
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,568,670
Total income from all sources (including contributions)2010-12-31$19,789,371
Total of all expenses incurred2010-12-31$19,610,217
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$18,993,951
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$19,688,590
Value of total assets at end of year2010-12-31$8,195,455
Value of total assets at beginning of year2010-12-31$7,485,899
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$616,266
Total interest from all sources2010-12-31$94,391
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$178,065
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$268,895
Assets. Other investments not covered elsewhere at end of year2010-12-31$360,000
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$360,000
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$237,252
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$115,009
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$49,912
Other income not declared elsewhere2010-12-31$6,390
Administrative expenses (other) incurred2010-12-31$438,201
Liabilities. Value of operating payables at end of year2010-12-31$17,451
Liabilities. Value of operating payables at beginning of year2010-12-31$13,767
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$179,154
Value of net assets at end of year (total assets less liabilities)2010-12-31$5,096,383
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,917,229
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
Interest earned on other investments2010-12-31$11,305
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$6,040,482
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$5,669,342
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$5,669,342
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$83,086
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$18,862,720
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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$19,182,443
Employer contributions (assets) at end of year2010-12-31$1,677,749
Employer contributions (assets) at beginning of year2010-12-31$1,403,262
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$131,231
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$3,081,621
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$2,554,903
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$2,215
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$3,383
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2010-12-31611436956

Form 5500 Responses for USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND

2023: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2023 form 5500 responses
2023-01-01Type of plan entityMulti-employer plan
2023-01-01Plan is a collectively bargained planYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 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: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 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: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 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: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 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: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 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: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 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: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
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: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
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: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
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: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
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: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
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: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
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
2009: USW DISTRICT 10,LOCAL 286 WELFARE TRUST FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
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

UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number921948/921949
Policy instance 5
Insurance contract or identification number921948/921949
Number of Individuals Covered2287
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245/357562
Policy instance 4
Insurance contract or identification number34245/357562
Number of Individuals Covered15
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number150503/162495
Policy instance 3
Insurance contract or identification number150503/162495
Number of Individuals Covered1359
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $37,835
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $495,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number34245/357562
Policy instance 2
Insurance contract or identification number34245/357562
Number of Individuals Covered2280
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number34245
Policy instance 1
Insurance contract or identification number34245
Number of Individuals Covered2265
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number34245
Policy instance 1
Insurance contract or identification number34245
Number of Individuals Covered2137
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
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number34245/357562
Policy instance 2
Insurance contract or identification number34245/357562
Number of Individuals Covered2166
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number150503/162495
Policy instance 3
Insurance contract or identification number150503/162495
Number of Individuals Covered1361
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $36,292
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $476,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245
Policy instance 4
Insurance contract or identification number34245
Number of Individuals Covered21
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number921948/921949
Policy instance 5
Insurance contract or identification number921948/921949
Number of Individuals Covered2153
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
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number921948/921949
Policy instance 5
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245
Policy instance 4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number150503/162495
Policy instance 3
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number34245/357562
Policy instance 2
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number34245
Policy instance 1
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number34245
Policy instance 1
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number34245/357562
Policy instance 2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number150503/162495
Policy instance 3
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245
Policy instance 4
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number921948/921949
Policy instance 5
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number34245
Policy instance 1
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number34245/357562
Policy instance 2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number150503/162495
Policy instance 3
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245
Policy instance 4
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number921948/921949
Policy instance 5
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number34245
Policy instance 1
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number03223/75763
Policy instance 3
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number34245/357562
Policy instance 2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number150503/162495
Policy instance 4
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245
Policy instance 5
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245
Policy instance 5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number150503/162495
Policy instance 4
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number03223/75763
Policy instance 3
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number34245/357562
Policy instance 2
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number34245
Policy instance 1
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number34245
Policy instance 1
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number34245/357562
Policy instance 2
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number03223/75763
Policy instance 3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number150503/162495
Policy instance 4
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245
Policy instance 5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number150503/162495
Policy instance 4
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245
Policy instance 5
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number03223
Policy instance 3
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number2086
Policy instance 1
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number357562
Policy instance 2
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number2086
Policy instance 1
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number390084
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number145596
Policy instance 4
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number2667
Policy instance 5
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number145596
Policy instance 5
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245
Policy instance 4
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number3223
Policy instance 3
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number390084
Policy instance 2
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number2086
Policy instance 1
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number2086
Policy instance 1
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number390084
Policy instance 2
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number024503-000
Policy instance 3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number3223
Policy instance 4
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245
Policy instance 5
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number145596
Policy instance 6
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number390084
Policy instance 2
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number024503-000
Policy instance 3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number3223
Policy instance 4
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number34245
Policy instance 5
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number145596
Policy instance 6
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number2086
Policy instance 1

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