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SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 401k Plan overview

Plan NameSEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND
Plan identification number 501

SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

SEIU 668 PSSU LOCAL UNIT HEALTH & HEALTH AND WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:SEIU 668 PSSU LOCAL UNIT HEALTH & HEALTH AND WELFARE FUND
Employer identification number (EIN):232029140
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-05-01
5012021-05-01STEVE CATANESE2024-01-03
5012020-05-01
5012019-05-01
5012018-05-01
5012017-05-01LINDA WHITTINGTON STEVE CATANESE2019-02-05
5012016-05-01LINDA WHITTINGTON TOM HERMAN2017-12-21
5012015-05-01LINDA WHITTINGTON TOM HERMAN2016-11-30
5012014-05-01CANDICE V. CROUTHAMEL TOM HERMAN2015-12-15
5012013-05-01CANDICE V. CROUTHAMEL KATHY J. JELLISON2014-11-21
5012012-05-01CANDICE V. CROUTHAMEL KATHY J. JELLISON2013-11-19
5012011-05-01CANDICE V. CROUTHAMEL KATHY J. JELLISON2012-10-25
5012009-05-01CANDICE V. CROUTHAMEL KATHY J. JELLISON2010-11-18

Plan Statistics for SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND

401k plan membership statisitcs for SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND

Measure Date Value
2021: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-05-011,121
Total number of active participants reported on line 7a of the Form 55002021-05-011,074
Number of retired or separated participants receiving benefits2021-05-01121
Number of other retired or separated participants entitled to future benefits2021-05-0129
Total of all active and inactive participants2021-05-011,224
Number of employers contributing to the scheme2021-05-016
2020: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-05-011,152
Total number of active participants reported on line 7a of the Form 55002020-05-011,121
Number of retired or separated participants receiving benefits2020-05-01111
Number of other retired or separated participants entitled to future benefits2020-05-0126
Total of all active and inactive participants2020-05-011,258
2019: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-05-011,147
Total number of active participants reported on line 7a of the Form 55002019-05-011,152
Number of retired or separated participants receiving benefits2019-05-01103
Number of other retired or separated participants entitled to future benefits2019-05-0124
Total of all active and inactive participants2019-05-011,279
2018: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-05-011,160
Total number of active participants reported on line 7a of the Form 55002018-05-011,147
Number of retired or separated participants receiving benefits2018-05-0195
Number of other retired or separated participants entitled to future benefits2018-05-0120
Total of all active and inactive participants2018-05-011,262
Total participants2018-05-011,262
2017: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-05-011,143
Total number of active participants reported on line 7a of the Form 55002017-05-011,160
Number of retired or separated participants receiving benefits2017-05-0181
Number of other retired or separated participants entitled to future benefits2017-05-0118
Total of all active and inactive participants2017-05-011,259
2016: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-05-011,137
Total number of active participants reported on line 7a of the Form 55002016-05-011,143
Number of retired or separated participants receiving benefits2016-05-0168
Number of other retired or separated participants entitled to future benefits2016-05-0119
Total of all active and inactive participants2016-05-011,230
2015: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-05-011,183
Total number of active participants reported on line 7a of the Form 55002015-05-011,137
Number of retired or separated participants receiving benefits2015-05-0161
Number of other retired or separated participants entitled to future benefits2015-05-0119
Total of all active and inactive participants2015-05-011,217
2014: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-05-011,192
Total number of active participants reported on line 7a of the Form 55002014-05-011,115
Number of retired or separated participants receiving benefits2014-05-0147
Number of other retired or separated participants entitled to future benefits2014-05-0121
Total of all active and inactive participants2014-05-011,183
2013: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-05-011,191
Total number of active participants reported on line 7a of the Form 55002013-05-011,136
Number of retired or separated participants receiving benefits2013-05-0136
Number of other retired or separated participants entitled to future benefits2013-05-0120
Total of all active and inactive participants2013-05-011,192
2012: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-05-011,295
Total number of active participants reported on line 7a of the Form 55002012-05-011,147
Number of retired or separated participants receiving benefits2012-05-0129
Number of other retired or separated participants entitled to future benefits2012-05-0115
Total of all active and inactive participants2012-05-011,191
Total participants2012-05-011,191
2011: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-05-011,299
Total number of active participants reported on line 7a of the Form 55002011-05-011,265
Number of retired or separated participants receiving benefits2011-05-0116
Number of other retired or separated participants entitled to future benefits2011-05-0114
Total of all active and inactive participants2011-05-011,295
Total participants2011-05-011,295
2009: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-05-011,268
Total number of active participants reported on line 7a of the Form 55002009-05-011,662
Number of retired or separated participants receiving benefits2009-05-015
Number of other retired or separated participants entitled to future benefits2009-05-016
Total of all active and inactive participants2009-05-011,673
Total participants2009-05-011,673

Financial Data on SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND

Measure Date Value
2022 : SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$170,207
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$210,714
Total income from all sources (including contributions)2022-04-30$5,092,822
Total of all expenses incurred2022-04-30$5,940,976
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-04-30$5,409,107
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-04-30$4,895,444
Value of total assets at end of year2022-04-30$12,454,096
Value of total assets at beginning of year2022-04-30$13,342,757
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-04-30$531,869
Total interest from all sources2022-04-30$793
Total dividends received (eg from common stock, registered investment company shares)2022-04-30$416,249
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-04-30$416,249
Administrative expenses professional fees incurred2022-04-30$60,651
Was this plan covered by a fidelity bond2022-04-30Yes
Value of fidelity bond cover2022-04-30$500,000
If this is an individual account plan, was there a blackout period2022-04-30No
Were there any nonexempt tranactions with any party-in-interest2022-04-30No
Assets. Other investments not covered elsewhere at end of year2022-04-30$340,029
Assets. Other investments not covered elsewhere at beginning of year2022-04-30$327,268
Income. Received or receivable in cash from other sources (including rollovers)2022-04-30$22,446
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-04-30$192,378
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-04-30$256,056
Other income not declared elsewhere2022-04-30$879,534
Administrative expenses (other) incurred2022-04-30$280,669
Liabilities. Value of operating payables at end of year2022-04-30$4,520
Liabilities. Value of operating payables at beginning of year2022-04-30$7,701
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-30No
Value of net income/loss2022-04-30$-848,154
Value of net assets at end of year (total assets less liabilities)2022-04-30$12,283,889
Value of net assets at beginning of year (total assets less liabilities)2022-04-30$13,132,043
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-04-30No
Were any leases to which the plan was party in default or uncollectible2022-04-30No
Investment advisory and management fees2022-04-30$89,309
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-04-30$10,294,337
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-04-30$11,070,562
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-04-30$1,003,434
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-04-30$1,049,725
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-04-30$1,049,725
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-04-30$793
Expenses. Payments to insurance carriers foe the provision of benefits2022-04-30$189,940
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-04-30$-1,099,198
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-04-30No
Was there a failure to transmit to the plan any participant contributions2022-04-30No
Has the plan failed to provide any benefit when due under the plan2022-04-30No
Contributions received in cash from employer2022-04-30$4,872,998
Employer contributions (assets) at end of year2022-04-30$623,918
Employer contributions (assets) at beginning of year2022-04-30$639,146
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-04-30$5,219,167
Contract administrator fees2022-04-30$101,240
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-04-30No
Liabilities. Value of benefit claims payable at end of year2022-04-30$165,687
Liabilities. Value of benefit claims payable at beginning of year2022-04-30$203,013
Did the plan have assets held for investment2022-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-04-30No
Opinion of an independent qualified public accountant for this plan2022-04-30Unqualified
Accountancy firm name2022-04-30BROWN SCHULTZ SHERIDAN & FRITZ
Accountancy firm EIN2022-04-30251644159
2021 : SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$210,714
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$236,652
Total income from all sources (including contributions)2021-04-30$7,803,019
Total of all expenses incurred2021-04-30$5,508,422
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-04-30$5,003,133
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-04-30$5,013,935
Value of total assets at end of year2021-04-30$13,342,757
Value of total assets at beginning of year2021-04-30$11,074,098
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-04-30$505,289
Total interest from all sources2021-04-30$802
Total dividends received (eg from common stock, registered investment company shares)2021-04-30$321,974
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-04-30$321,974
Administrative expenses professional fees incurred2021-04-30$59,593
Was this plan covered by a fidelity bond2021-04-30Yes
Value of fidelity bond cover2021-04-30$500,000
If this is an individual account plan, was there a blackout period2021-04-30No
Were there any nonexempt tranactions with any party-in-interest2021-04-30No
Assets. Other investments not covered elsewhere at end of year2021-04-30$327,268
Assets. Other investments not covered elsewhere at beginning of year2021-04-30$245,798
Income. Received or receivable in cash from other sources (including rollovers)2021-04-30$20,260
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-04-30$256,056
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-04-30$166,118
Other income not declared elsewhere2021-04-30$828,177
Administrative expenses (other) incurred2021-04-30$265,018
Liabilities. Value of operating payables at end of year2021-04-30$7,701
Liabilities. Value of operating payables at beginning of year2021-04-30$10,885
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-04-30No
Value of net income/loss2021-04-30$2,294,597
Value of net assets at end of year (total assets less liabilities)2021-04-30$13,132,043
Value of net assets at beginning of year (total assets less liabilities)2021-04-30$10,837,446
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-04-30No
Were any leases to which the plan was party in default or uncollectible2021-04-30No
Investment advisory and management fees2021-04-30$83,867
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-04-30$11,070,562
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-04-30$9,278,212
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-04-30$1,049,725
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-04-30$1,019,485
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-04-30$1,019,485
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-04-30$802
Expenses. Payments to insurance carriers foe the provision of benefits2021-04-30$189,906
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-04-30$1,638,131
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-04-30No
Was there a failure to transmit to the plan any participant contributions2021-04-30No
Has the plan failed to provide any benefit when due under the plan2021-04-30No
Contributions received in cash from employer2021-04-30$4,993,675
Employer contributions (assets) at end of year2021-04-30$639,146
Employer contributions (assets) at beginning of year2021-04-30$364,257
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-04-30$4,813,227
Contract administrator fees2021-04-30$96,811
Liabilities. Value of benefit claims payable at end of year2021-04-30$203,013
Liabilities. Value of benefit claims payable at beginning of year2021-04-30$225,767
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-04-30$228
Did the plan have assets held for investment2021-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-04-30No
Opinion of an independent qualified public accountant for this plan2021-04-30Unqualified
Accountancy firm name2021-04-30BROWN SCHULTZ SHERIDAN & FRITZ
Accountancy firm EIN2021-04-30251644159
2020 : SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$236,652
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$195,528
Total income from all sources (including contributions)2020-04-30$5,395,206
Total of all expenses incurred2020-04-30$5,602,090
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-04-30$5,110,729
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-04-30$4,964,729
Value of total assets at end of year2020-04-30$11,074,098
Value of total assets at beginning of year2020-04-30$11,239,858
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-04-30$491,361
Total interest from all sources2020-04-30$1,493
Total dividends received (eg from common stock, registered investment company shares)2020-04-30$342,469
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-04-30$342,469
Administrative expenses professional fees incurred2020-04-30$55,946
Was this plan covered by a fidelity bond2020-04-30Yes
Value of fidelity bond cover2020-04-30$500,000
If this is an individual account plan, was there a blackout period2020-04-30No
Were there any nonexempt tranactions with any party-in-interest2020-04-30No
Assets. Other investments not covered elsewhere at end of year2020-04-30$245,798
Income. Received or receivable in cash from other sources (including rollovers)2020-04-30$28,150
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-04-30$166,118
Other income not declared elsewhere2020-04-30$706,121
Administrative expenses (other) incurred2020-04-30$257,796
Liabilities. Value of operating payables at end of year2020-04-30$10,885
Liabilities. Value of operating payables at beginning of year2020-04-30$12,074
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-30No
Value of net income/loss2020-04-30$-206,884
Value of net assets at end of year (total assets less liabilities)2020-04-30$10,837,446
Value of net assets at beginning of year (total assets less liabilities)2020-04-30$11,044,330
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-04-30No
Were any leases to which the plan was party in default or uncollectible2020-04-30No
Investment advisory and management fees2020-04-30$80,990
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-04-30$9,278,212
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-04-30$9,839,740
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-04-30$1,019,485
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-04-30$514,285
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-04-30$514,285
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-04-30$1,493
Expenses. Payments to insurance carriers foe the provision of benefits2020-04-30$185,370
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-04-30$-619,606
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-04-30No
Was there a failure to transmit to the plan any participant contributions2020-04-30No
Has the plan failed to provide any benefit when due under the plan2020-04-30No
Contributions received in cash from employer2020-04-30$4,936,579
Employer contributions (assets) at end of year2020-04-30$364,257
Employer contributions (assets) at beginning of year2020-04-30$832,859
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-04-30$4,925,359
Contract administrator fees2020-04-30$96,629
Liabilities. Value of benefit claims payable at end of year2020-04-30$225,767
Liabilities. Value of benefit claims payable at beginning of year2020-04-30$183,454
Assets. Value of buildings and other operty used in plan operation at end of year2020-04-30$228
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-04-30$52,974
Did the plan have assets held for investment2020-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-04-30No
Opinion of an independent qualified public accountant for this plan2020-04-30Unqualified
Accountancy firm name2020-04-30BROWN SCHULTZ SHERIDAN & FRITZ
Accountancy firm EIN2020-04-30251644159
2019 : SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$195,528
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$165,091
Total income from all sources (including contributions)2019-04-30$5,950,450
Total of all expenses incurred2019-04-30$5,438,066
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-04-30$4,947,661
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-04-30$4,910,454
Value of total assets at end of year2019-04-30$11,239,858
Value of total assets at beginning of year2019-04-30$10,697,037
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-04-30$490,405
Total interest from all sources2019-04-30$1,998
Total dividends received (eg from common stock, registered investment company shares)2019-04-30$399,070
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-04-30$399,070
Administrative expenses professional fees incurred2019-04-30$57,583
Was this plan covered by a fidelity bond2019-04-30Yes
Value of fidelity bond cover2019-04-30$500,000
If this is an individual account plan, was there a blackout period2019-04-30No
Were there any nonexempt tranactions with any party-in-interest2019-04-30No
Income. Received or receivable in cash from other sources (including rollovers)2019-04-30$33,136
Other income not declared elsewhere2019-04-30$677,751
Administrative expenses (other) incurred2019-04-30$255,909
Liabilities. Value of operating payables at end of year2019-04-30$12,074
Liabilities. Value of operating payables at beginning of year2019-04-30$6,883
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Value of net income/loss2019-04-30$512,384
Value of net assets at end of year (total assets less liabilities)2019-04-30$11,044,330
Value of net assets at beginning of year (total assets less liabilities)2019-04-30$10,531,946
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-04-30No
Were any leases to which the plan was party in default or uncollectible2019-04-30No
Investment advisory and management fees2019-04-30$80,741
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-04-30$9,839,740
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-04-30$9,280,408
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-04-30$514,285
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-04-30$869,179
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-04-30$869,179
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-04-30$1,998
Expenses. Payments to insurance carriers foe the provision of benefits2019-04-30$182,900
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-04-30$-38,823
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-04-30No
Was there a failure to transmit to the plan any participant contributions2019-04-30No
Has the plan failed to provide any benefit when due under the plan2019-04-30No
Contributions received in cash from employer2019-04-30$4,877,318
Employer contributions (assets) at end of year2019-04-30$832,859
Employer contributions (assets) at beginning of year2019-04-30$500,445
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-04-30$4,764,761
Contract administrator fees2019-04-30$96,172
Liabilities. Value of benefit claims payable at end of year2019-04-30$183,454
Liabilities. Value of benefit claims payable at beginning of year2019-04-30$158,208
Assets. Value of buildings and other operty used in plan operation at end of year2019-04-30$52,974
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-04-30$47,005
Did the plan have assets held for investment2019-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-04-30No
Opinion of an independent qualified public accountant for this plan2019-04-30Unqualified
Accountancy firm name2019-04-30BROWN SCHULTZ SHERIDAN & FRITZ
Accountancy firm EIN2019-04-30251644159
2018 : SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$165,091
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$526,136
Total income from all sources (including contributions)2018-04-30$5,759,616
Total of all expenses incurred2018-04-30$5,061,585
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-04-30$4,596,512
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-04-30$4,765,765
Value of total assets at end of year2018-04-30$10,697,037
Value of total assets at beginning of year2018-04-30$10,360,051
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-04-30$465,073
Total interest from all sources2018-04-30$766
Total dividends received (eg from common stock, registered investment company shares)2018-04-30$335,670
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-04-30$335,670
Administrative expenses professional fees incurred2018-04-30$49,389
Was this plan covered by a fidelity bond2018-04-30Yes
Value of fidelity bond cover2018-04-30$500,000
If this is an individual account plan, was there a blackout period2018-04-30No
Were there any nonexempt tranactions with any party-in-interest2018-04-30No
Income. Received or receivable in cash from other sources (including rollovers)2018-04-30$31,280
Other income not declared elsewhere2018-04-30$590,035
Administrative expenses (other) incurred2018-04-30$243,531
Liabilities. Value of operating payables at end of year2018-04-30$6,883
Liabilities. Value of operating payables at beginning of year2018-04-30$8,215
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Value of net income/loss2018-04-30$698,031
Value of net assets at end of year (total assets less liabilities)2018-04-30$10,531,946
Value of net assets at beginning of year (total assets less liabilities)2018-04-30$9,833,915
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-04-30No
Were any leases to which the plan was party in default or uncollectible2018-04-30No
Investment advisory and management fees2018-04-30$78,576
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-04-30$9,280,408
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-04-30$869,179
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-04-30$410,303
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-04-30$410,303
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-04-30$766
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-04-30$9,155,958
Expenses. Payments to insurance carriers foe the provision of benefits2018-04-30$4,492,339
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-04-30$67,380
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-04-30No
Was there a failure to transmit to the plan any participant contributions2018-04-30No
Has the plan failed to provide any benefit when due under the plan2018-04-30No
Contributions received in cash from employer2018-04-30$4,734,485
Employer contributions (assets) at end of year2018-04-30$500,445
Employer contributions (assets) at beginning of year2018-04-30$753,230
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-04-30$104,173
Contract administrator fees2018-04-30$93,577
Liabilities. Value of benefit claims payable at end of year2018-04-30$158,208
Liabilities. Value of benefit claims payable at beginning of year2018-04-30$517,921
Assets. Value of buildings and other operty used in plan operation at end of year2018-04-30$47,005
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-04-30$40,560
Did the plan have assets held for investment2018-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-04-30No
Opinion of an independent qualified public accountant for this plan2018-04-30Unqualified
Accountancy firm name2018-04-30BROWN SCHULTZ SHERIDAN & FRITZ
Accountancy firm EIN2018-04-30251644159
2017 : SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-04-30$365,890
Total unrealized appreciation/depreciation of assets2017-04-30$365,890
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$526,136
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$476,197
Total income from all sources (including contributions)2017-04-30$5,681,701
Total of all expenses incurred2017-04-30$5,267,711
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-04-30$4,756,755
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-04-30$4,612,371
Value of total assets at end of year2017-04-30$10,360,051
Value of total assets at beginning of year2017-04-30$9,896,122
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-04-30$510,956
Total interest from all sources2017-04-30$502
Total dividends received (eg from common stock, registered investment company shares)2017-04-30$285,522
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-04-30No
Administrative expenses professional fees incurred2017-04-30$62,295
Was this plan covered by a fidelity bond2017-04-30Yes
Value of fidelity bond cover2017-04-30$500,000
If this is an individual account plan, was there a blackout period2017-04-30No
Were there any nonexempt tranactions with any party-in-interest2017-04-30No
Income. Received or receivable in cash from other sources (including rollovers)2017-04-30$32,345
Other income not declared elsewhere2017-04-30$423,360
Administrative expenses (other) incurred2017-04-30$277,687
Liabilities. Value of operating payables at end of year2017-04-30$8,215
Liabilities. Value of operating payables at beginning of year2017-04-30$17,358
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Value of net income/loss2017-04-30$413,990
Value of net assets at end of year (total assets less liabilities)2017-04-30$9,833,915
Value of net assets at beginning of year (total assets less liabilities)2017-04-30$9,419,925
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-04-30No
Were any leases to which the plan was party in default or uncollectible2017-04-30No
Investment advisory and management fees2017-04-30$74,711
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-04-30$410,303
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-04-30$941,989
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-04-30$941,989
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-04-30$502
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-04-30$9,155,958
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-04-30$8,485,895
Expenses. Payments to insurance carriers foe the provision of benefits2017-04-30$4,690,597
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-04-30$-5,944
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-04-30No
Was there a failure to transmit to the plan any participant contributions2017-04-30No
Has the plan failed to provide any benefit when due under the plan2017-04-30No
Contributions received in cash from employer2017-04-30$4,580,026
Employer contributions (assets) at end of year2017-04-30$753,230
Employer contributions (assets) at beginning of year2017-04-30$419,866
Income. Dividends from common stock2017-04-30$285,522
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-04-30$66,158
Contract administrator fees2017-04-30$96,263
Liabilities. Value of benefit claims payable at end of year2017-04-30$517,921
Liabilities. Value of benefit claims payable at beginning of year2017-04-30$458,839
Assets. Value of buildings and other operty used in plan operation at end of year2017-04-30$40,560
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-04-30$48,372
Did the plan have assets held for investment2017-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-04-30No
Opinion of an independent qualified public accountant for this plan2017-04-30Unqualified
Accountancy firm name2017-04-30BROWN SCHULTZ SHERIDAN & FRITZ
Accountancy firm EIN2017-04-30251644159
2016 : SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-04-30$-451,887
Total unrealized appreciation/depreciation of assets2016-04-30$-451,887
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$476,197
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$383,318
Total income from all sources (including contributions)2016-04-30$4,709,553
Total of all expenses incurred2016-04-30$4,577,031
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$4,124,003
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$4,415,891
Value of total assets at end of year2016-04-30$9,896,122
Value of total assets at beginning of year2016-04-30$9,670,721
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$453,028
Total interest from all sources2016-04-30$412
Total dividends received (eg from common stock, registered investment company shares)2016-04-30$311,529
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-30No
Administrative expenses professional fees incurred2016-04-30$169,045
Was this plan covered by a fidelity bond2016-04-30Yes
Value of fidelity bond cover2016-04-30$500,000
If this is an individual account plan, was there a blackout period2016-04-30No
Were there any nonexempt tranactions with any party-in-interest2016-04-30No
Income. Received or receivable in cash from other sources (including rollovers)2016-04-30$34,079
Other income not declared elsewhere2016-04-30$451,168
Administrative expenses (other) incurred2016-04-30$209,438
Liabilities. Value of operating payables at end of year2016-04-30$17,358
Liabilities. Value of operating payables at beginning of year2016-04-30$4,180
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$132,522
Value of net assets at end of year (total assets less liabilities)2016-04-30$9,419,925
Value of net assets at beginning of year (total assets less liabilities)2016-04-30$9,287,403
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-30No
Were any leases to which the plan was party in default or uncollectible2016-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-04-30$941,989
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-04-30$594,333
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-04-30$594,333
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-04-30$412
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-04-30$8,485,895
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-04-30$8,717,392
Expenses. Payments to insurance carriers foe the provision of benefits2016-04-30$3,974,949
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-04-30$-17,560
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30Yes
Was there a failure to transmit to the plan any participant contributions2016-04-30No
Has the plan failed to provide any benefit when due under the plan2016-04-30No
Contributions received in cash from employer2016-04-30$4,381,812
Employer contributions (assets) at end of year2016-04-30$419,866
Employer contributions (assets) at beginning of year2016-04-30$311,734
Income. Dividends from common stock2016-04-30$311,529
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-04-30$149,054
Contract administrator fees2016-04-30$74,545
Liabilities. Value of benefit claims payable at end of year2016-04-30$458,839
Liabilities. Value of benefit claims payable at beginning of year2016-04-30$379,138
Assets. Value of buildings and other operty used in plan operation at end of year2016-04-30$48,372
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-04-30$47,262
Did the plan have assets held for investment2016-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-30No
Opinion of an independent qualified public accountant for this plan2016-04-30Unqualified
Accountancy firm name2016-04-30BROWN SCHULTZ SHERIDAN & FRITZ
Accountancy firm EIN2016-04-30251644159
2015 : SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-04-30$-108,773
Total unrealized appreciation/depreciation of assets2015-04-30$-108,773
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$383,318
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$904,100
Total income from all sources (including contributions)2015-04-30$4,924,301
Total of all expenses incurred2015-04-30$4,045,183
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-04-30$3,610,798
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-04-30$4,412,203
Value of total assets at end of year2015-04-30$9,670,721
Value of total assets at beginning of year2015-04-30$9,312,385
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-04-30$434,385
Total interest from all sources2015-04-30$311,561
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-04-30No
Administrative expenses professional fees incurred2015-04-30$156,036
Was this plan covered by a fidelity bond2015-04-30Yes
Value of fidelity bond cover2015-04-30$500,000
If this is an individual account plan, was there a blackout period2015-04-30No
Were there any nonexempt tranactions with any party-in-interest2015-04-30No
Income. Received or receivable in cash from other sources (including rollovers)2015-04-30$23,504
Other income not declared elsewhere2015-04-30$206,538
Administrative expenses (other) incurred2015-04-30$203,803
Liabilities. Value of operating payables at end of year2015-04-30$4,180
Liabilities. Value of operating payables at beginning of year2015-04-30$19,826
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Value of net income/loss2015-04-30$879,118
Value of net assets at end of year (total assets less liabilities)2015-04-30$9,287,403
Value of net assets at beginning of year (total assets less liabilities)2015-04-30$8,408,285
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-04-30No
Were any leases to which the plan was party in default or uncollectible2015-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-04-30$594,333
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-04-30$856,367
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-04-30$856,367
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-04-30$311,561
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-04-30$8,717,392
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-04-30$8,136,218
Expenses. Payments to insurance carriers foe the provision of benefits2015-04-30$3,464,036
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-04-30$102,772
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-04-30Yes
Was there a failure to transmit to the plan any participant contributions2015-04-30No
Has the plan failed to provide any benefit when due under the plan2015-04-30No
Contributions received in cash from employer2015-04-30$4,388,699
Employer contributions (assets) at end of year2015-04-30$311,734
Employer contributions (assets) at beginning of year2015-04-30$276,959
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-04-30$146,762
Contract administrator fees2015-04-30$74,546
Liabilities. Value of benefit claims payable at end of year2015-04-30$379,138
Liabilities. Value of benefit claims payable at beginning of year2015-04-30$884,274
Assets. Value of buildings and other operty used in plan operation at end of year2015-04-30$47,262
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-04-30$42,841
Did the plan have assets held for investment2015-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-04-30No
Opinion of an independent qualified public accountant for this plan2015-04-30Unqualified
Accountancy firm name2015-04-30BROWN SCHULTZ SHERIDAN & FRITZ
Accountancy firm EIN2015-04-30251644159
2014 : SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$904,100
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$171,011
Total income from all sources (including contributions)2014-04-30$5,043,207
Total of all expenses incurred2014-04-30$5,008,886
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-04-30$4,598,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-04-30$4,469,934
Value of total assets at end of year2014-04-30$9,312,385
Value of total assets at beginning of year2014-04-30$8,544,975
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-04-30$410,195
Total interest from all sources2014-04-30$256,852
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-04-30No
Administrative expenses professional fees incurred2014-04-30$129,928
Was this plan covered by a fidelity bond2014-04-30Yes
Value of fidelity bond cover2014-04-30$500,000
If this is an individual account plan, was there a blackout period2014-04-30No
Were there any nonexempt tranactions with any party-in-interest2014-04-30No
Income. Received or receivable in cash from other sources (including rollovers)2014-04-30$31,475
Other income not declared elsewhere2014-04-30$181,797
Administrative expenses (other) incurred2014-04-30$215,841
Liabilities. Value of operating payables at end of year2014-04-30$19,826
Liabilities. Value of operating payables at beginning of year2014-04-30$15,649
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Value of net income/loss2014-04-30$34,321
Value of net assets at end of year (total assets less liabilities)2014-04-30$8,408,285
Value of net assets at beginning of year (total assets less liabilities)2014-04-30$8,373,964
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-04-30No
Were any leases to which the plan was party in default or uncollectible2014-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-04-30$856,367
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-04-30$252,642
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-04-30$252,642
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-04-30$256,852
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-04-30$8,136,218
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-04-30$7,615,470
Expenses. Payments to insurance carriers foe the provision of benefits2014-04-30$4,491,090
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-04-30$134,624
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-04-30Yes
Was there a failure to transmit to the plan any participant contributions2014-04-30No
Has the plan failed to provide any benefit when due under the plan2014-04-30No
Contributions received in cash from employer2014-04-30$4,438,459
Employer contributions (assets) at end of year2014-04-30$276,959
Employer contributions (assets) at beginning of year2014-04-30$619,591
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-04-30$107,601
Contract administrator fees2014-04-30$64,426
Liabilities. Value of benefit claims payable at end of year2014-04-30$884,274
Liabilities. Value of benefit claims payable at beginning of year2014-04-30$155,362
Assets. Value of buildings and other operty used in plan operation at end of year2014-04-30$42,841
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-04-30$57,272
Did the plan have assets held for investment2014-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-04-30No
Opinion of an independent qualified public accountant for this plan2014-04-30Unqualified
Accountancy firm name2014-04-30BROWN SCHULTZ SHERIDAN & FRITZ
Accountancy firm EIN2014-04-30251644159
2013 : SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$171,011
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$170,559
Total income from all sources (including contributions)2013-04-30$5,291,826
Total of all expenses incurred2013-04-30$4,360,097
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-04-30$3,975,557
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-04-30$4,589,898
Value of total assets at end of year2013-04-30$8,544,975
Value of total assets at beginning of year2013-04-30$7,612,794
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-04-30$384,540
Total interest from all sources2013-04-30$308,323
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-04-30No
Administrative expenses professional fees incurred2013-04-30$112,795
Was this plan covered by a fidelity bond2013-04-30Yes
Value of fidelity bond cover2013-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2013-04-30No
Income. Received or receivable in cash from other sources (including rollovers)2013-04-30$29,327
Other income not declared elsewhere2013-04-30$124,702
Administrative expenses (other) incurred2013-04-30$204,443
Liabilities. Value of operating payables at end of year2013-04-30$15,649
Liabilities. Value of operating payables at beginning of year2013-04-30$8,972
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Value of net income/loss2013-04-30$931,729
Value of net assets at end of year (total assets less liabilities)2013-04-30$8,373,964
Value of net assets at beginning of year (total assets less liabilities)2013-04-30$7,442,235
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-04-30No
Were any leases to which the plan was party in default or uncollectible2013-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-04-30$7,615,470
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-04-30$6,102,644
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-04-30$252,642
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-04-30$1,156,701
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-04-30$1,156,701
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-04-30$308,323
Expenses. Payments to insurance carriers foe the provision of benefits2013-04-30$3,776,106
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-04-30$268,903
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-04-30Yes
Was there a failure to transmit to the plan any participant contributions2013-04-30No
Has the plan failed to provide any benefit when due under the plan2013-04-30No
Contributions received in cash from employer2013-04-30$4,560,571
Employer contributions (assets) at end of year2013-04-30$619,591
Employer contributions (assets) at beginning of year2013-04-30$296,265
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-04-30$199,451
Contract administrator fees2013-04-30$67,302
Liabilities. Value of benefit claims payable at end of year2013-04-30$155,362
Liabilities. Value of benefit claims payable at beginning of year2013-04-30$161,587
Assets. Value of buildings and other operty used in plan operation at end of year2013-04-30$57,272
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-04-30$57,184
Did the plan have assets held for investment2013-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-04-30No
Opinion of an independent qualified public accountant for this plan2013-04-30Unqualified
Accountancy firm name2013-04-30BROWN SCHULTZ SHERIDAN FRITZ
Accountancy firm EIN2013-04-30251644159
2012 : SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$170,559
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$135,357
Total income from all sources (including contributions)2012-04-30$5,089,880
Total of all expenses incurred2012-04-30$3,967,458
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-04-30$3,608,986
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-04-30$4,754,369
Value of total assets at end of year2012-04-30$7,612,794
Value of total assets at beginning of year2012-04-30$6,455,170
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-04-30$358,472
Total interest from all sources2012-04-30$203,778
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-04-30No
Administrative expenses professional fees incurred2012-04-30$99,980
Was this plan covered by a fidelity bond2012-04-30Yes
Value of fidelity bond cover2012-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2012-04-30No
Income. Received or receivable in cash from other sources (including rollovers)2012-04-30$21,269
Other income not declared elsewhere2012-04-30$102,527
Administrative expenses (other) incurred2012-04-30$193,113
Liabilities. Value of operating payables at end of year2012-04-30$8,972
Liabilities. Value of operating payables at beginning of year2012-04-30$8,331
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Value of net income/loss2012-04-30$1,122,422
Value of net assets at end of year (total assets less liabilities)2012-04-30$7,442,235
Value of net assets at beginning of year (total assets less liabilities)2012-04-30$6,319,813
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-04-30No
Were any leases to which the plan was party in default or uncollectible2012-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-04-30$6,102,644
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-04-30$5,025,023
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-04-30$1,156,701
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-04-30$771,201
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-04-30$771,201
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-04-30$203,778
Expenses. Payments to insurance carriers foe the provision of benefits2012-04-30$3,475,706
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-04-30$29,206
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-04-30Yes
Was there a failure to transmit to the plan any participant contributions2012-04-30No
Has the plan failed to provide any benefit when due under the plan2012-04-30No
Contributions received in cash from employer2012-04-30$4,733,100
Employer contributions (assets) at end of year2012-04-30$296,265
Employer contributions (assets) at beginning of year2012-04-30$601,182
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-04-30$133,280
Contract administrator fees2012-04-30$65,379
Liabilities. Value of benefit claims payable at end of year2012-04-30$161,587
Liabilities. Value of benefit claims payable at beginning of year2012-04-30$127,026
Assets. Value of buildings and other operty used in plan operation at end of year2012-04-30$57,184
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-04-30$57,764
Did the plan have assets held for investment2012-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-04-30No
Opinion of an independent qualified public accountant for this plan2012-04-30Unqualified
Accountancy firm name2012-04-30BROWN SCHULTZ SHERIDAN FRITZ
Accountancy firm EIN2012-04-30251644159
2011 : SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$135,357
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$131,248
Total income from all sources (including contributions)2011-04-30$5,089,855
Total of all expenses incurred2011-04-30$3,708,841
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-04-30$3,347,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-04-30$4,681,889
Value of total assets at end of year2011-04-30$6,455,170
Value of total assets at beginning of year2011-04-30$5,070,047
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-04-30$361,111
Total interest from all sources2011-04-30$213,197
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-04-30No
Administrative expenses professional fees incurred2011-04-30$94,054
Was this plan covered by a fidelity bond2011-04-30Yes
Value of fidelity bond cover2011-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2011-04-30No
Amount of non-exempt transactions with any party-in-interest2011-04-30$500,000
Income. Received or receivable in cash from other sources (including rollovers)2011-04-30$24,005
Other income not declared elsewhere2011-04-30$102,213
Administrative expenses (other) incurred2011-04-30$200,417
Liabilities. Value of operating payables at end of year2011-04-30$8,331
Liabilities. Value of operating payables at beginning of year2011-04-30$1,542
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Value of net income/loss2011-04-30$1,381,014
Value of net assets at end of year (total assets less liabilities)2011-04-30$6,319,813
Value of net assets at beginning of year (total assets less liabilities)2011-04-30$4,938,799
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-04-30No
Were any leases to which the plan was party in default or uncollectible2011-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-04-30$5,025,023
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-04-30$3,617,253
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-04-30$771,201
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-04-30$1,116,356
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-04-30$1,116,356
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-04-30$213,197
Expenses. Payments to insurance carriers foe the provision of benefits2011-04-30$3,233,579
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-04-30$92,556
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-04-30Yes
Was there a failure to transmit to the plan any participant contributions2011-04-30No
Has the plan failed to provide any benefit when due under the plan2011-04-30No
Contributions received in cash from employer2011-04-30$4,657,884
Employer contributions (assets) at end of year2011-04-30$601,182
Employer contributions (assets) at beginning of year2011-04-30$302,720
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-04-30$114,151
Contract administrator fees2011-04-30$66,640
Liabilities. Value of benefit claims payable at end of year2011-04-30$127,026
Liabilities. Value of benefit claims payable at beginning of year2011-04-30$129,706
Assets. Value of buildings and other operty used in plan operation at end of year2011-04-30$57,764
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-04-30$33,718
Did the plan have assets held for investment2011-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-04-30No
Opinion of an independent qualified public accountant for this plan2011-04-30Unqualified
Accountancy firm name2011-04-30BROWN SCHULTZ SHERIDAN FRITZ
Accountancy firm EIN2011-04-30251644159

Form 5500 Responses for SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND

2021: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2021 form 5500 responses
2021-05-01Type of plan entityMulti-employer plan
2021-05-01Submission has been amendedYes
2021-05-01This submission is the final filingYes
2021-05-01Plan is a collectively bargained planYes
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2020 form 5500 responses
2020-05-01Type of plan entityMulti-employer plan
2020-05-01Plan is a collectively bargained planYes
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2019 form 5500 responses
2019-05-01Type of plan entityMulti-employer plan
2019-05-01Plan is a collectively bargained planYes
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2018 form 5500 responses
2018-05-01Type of plan entityMulti-employer plan
2018-05-01Plan is a collectively bargained planYes
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2017 form 5500 responses
2017-05-01Type of plan entityMulti-employer plan
2017-05-01Plan is a collectively bargained planYes
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2016 form 5500 responses
2016-05-01Type of plan entityMulti-employer plan
2016-05-01Plan is a collectively bargained planYes
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2015 form 5500 responses
2015-05-01Type of plan entityMulti-employer plan
2015-05-01Plan is a collectively bargained planYes
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2014 form 5500 responses
2014-05-01Type of plan entityMulti-employer plan
2014-05-01Plan is a collectively bargained planYes
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2013 form 5500 responses
2013-05-01Type of plan entityMulti-employer plan
2013-05-01Plan is a collectively bargained planYes
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2012 form 5500 responses
2012-05-01Type of plan entityMulti-employer plan
2012-05-01Plan is a collectively bargained planYes
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2011 form 5500 responses
2011-05-01Type of plan entityMulti-employer plan
2011-05-01Plan is a collectively bargained planYes
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2009: SEIU 668 PSSU LOCAL UNIT HEALTH & WELFARE FUND 2009 form 5500 responses
2009-05-01Type of plan entityMulti-employer plan
2009-05-01Plan is a collectively bargained planYes
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number879391G
Policy instance 3
Insurance contract or identification number879391G
Number of Individuals Covered835
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $17,733
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $147,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,733
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Total amount of fees paid to insurance companyUSD $0
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965502
Policy instance 2
Insurance contract or identification numberFLX965502
Number of Individuals Covered530
Insurance policy start date2021-01-08
Insurance policy end date2022-01-07
Total amount of commissions paid to insurance brokerUSD $8,808
Total amount of fees paid to insurance companyUSD $1,756
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,966
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,808
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD COMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees1756
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK967079
Policy instance 1
Insurance contract or identification numberOK967079
Number of Individuals Covered530
Insurance policy start date2021-01-08
Insurance policy end date2022-01-07
Total amount of commissions paid to insurance brokerUSD $1,215
Total amount of fees paid to insurance companyUSD $405
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $6,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,215
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD COMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees405
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number879391G
Policy instance 3
Insurance contract or identification number879391G
Number of Individuals Covered814
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $17,469
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $123,156
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,469
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965502
Policy instance 2
Insurance contract or identification numberFLX965502
Number of Individuals Covered537
Insurance policy start date2020-08-01
Insurance policy end date2021-08-01
Total amount of commissions paid to insurance brokerUSD $1,773
Total amount of fees paid to insurance companyUSD $591
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,818
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,773
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD COMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees591
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK967079
Policy instance 1
Insurance contract or identification numberOK967079
Number of Individuals Covered547
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $889
Total amount of fees paid to insurance companyUSD $296
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $5,929
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $889
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD COMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees296
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK967079
Policy instance 1
Insurance contract or identification numberOK967079
Number of Individuals Covered543
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $807
Total amount of fees paid to insurance companyUSD $269
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $5,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $807
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD COMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees269
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965502
Policy instance 2
Insurance contract or identification numberFLX965502
Number of Individuals Covered532
Insurance policy start date2019-08-01
Insurance policy end date2020-08-01
Total amount of commissions paid to insurance brokerUSD $6,434
Total amount of fees paid to insurance companyUSD $2,145
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,891
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,434
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD COMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees2145
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number879391G
Policy instance 3
Insurance contract or identification number879391G
Number of Individuals Covered818
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $17,313
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $130,182
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,313
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number879391G
Policy instance 3
Insurance contract or identification number879391G
Number of Individuals Covered815
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $16,769
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $128,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,769
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965502
Policy instance 2
Insurance contract or identification numberFLX965502
Number of Individuals Covered532
Insurance policy start date2017-08-01
Insurance policy end date2018-08-01
Total amount of commissions paid to insurance brokerUSD $7,509
Total amount of fees paid to insurance companyUSD $2,506
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,509
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD COMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees2506
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK967079
Policy instance 1
Insurance contract or identification numberOK967079
Number of Individuals Covered543
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Total amount of commissions paid to insurance brokerUSD $1,044
Total amount of fees paid to insurance companyUSD $348
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $6,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,044
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD COMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees348
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number879391G
Policy instance 3
Insurance contract or identification number879391G
Number of Individuals Covered804
Insurance policy start date2016-10-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $16,155
Total amount of fees paid to insurance companyUSD $6,014
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $124,268
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965502
Policy instance 2
Insurance contract or identification numberFLX965502
Number of Individuals Covered529
Insurance policy start date2016-08-01
Insurance policy end date2017-08-01
Total amount of commissions paid to insurance brokerUSD $6,819
Total amount of fees paid to insurance companyUSD $2,273
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,458
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK967079
Policy instance 1
Insurance contract or identification numberOK967079
Number of Individuals Covered536
Insurance policy start date2017-01-01
Insurance policy end date2018-01-01
Total amount of commissions paid to insurance brokerUSD $943
Total amount of fees paid to insurance companyUSD $314
Other welfare benefits providedACCIDENTIAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $6,286
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965502
Policy instance 3
Insurance contract or identification numberFLX965502
Number of Individuals Covered504
Insurance policy start date2014-08-01
Insurance policy end date2015-08-01
Total amount of commissions paid to insurance brokerUSD $7,124
Total amount of fees paid to insurance companyUSD $3,375
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,124
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD COMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees3375
Insurance broker nameBENEFITMALL
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK967079
Policy instance 2
Insurance contract or identification numberOK967079
Number of Individuals Covered504
Insurance policy start date2014-08-01
Insurance policy end date2015-08-01
Total amount of commissions paid to insurance brokerUSD $983
Total amount of fees paid to insurance companyUSD $466
Other welfare benefits providedACCIDENTIAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $6,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $983
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
Amount paid for insurance broker fees466
Insurance broker nameBENEFITMALL
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK963813
Policy instance 1
Insurance contract or identification numberLK963813
Number of Individuals Covered784
Insurance policy start date2014-08-01
Insurance policy end date2015-08-01
Total amount of commissions paid to insurance brokerUSD $18,117
Total amount of fees paid to insurance companyUSD $8,485
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $120,778
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,117
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
Amount paid for insurance broker fees8485
Insurance broker nameBENEFITMALL
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK963813
Policy instance 1
Insurance contract or identification numberLK963813
Number of Individuals Covered769
Insurance policy start date2013-08-01
Insurance policy end date2014-08-01
Total amount of commissions paid to insurance brokerUSD $15,239
Total amount of fees paid to insurance companyUSD $5,080
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,591
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,239
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
Amount paid for insurance broker fees5080
Insurance broker nameBENEFITMALL
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK967079
Policy instance 2
Insurance contract or identification numberOK967079
Number of Individuals Covered502
Insurance policy start date2013-08-01
Insurance policy end date2014-08-01
Total amount of commissions paid to insurance brokerUSD $851
Total amount of fees paid to insurance companyUSD $284
Other welfare benefits providedACCIDENTIAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $5,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $851
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
Amount paid for insurance broker fees284
Insurance broker name
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965502
Policy instance 3
Insurance contract or identification numberFLX965502
Number of Individuals Covered502
Insurance policy start date2013-08-01
Insurance policy end date2014-08-01
Total amount of commissions paid to insurance brokerUSD $6,173
Total amount of fees paid to insurance companyUSD $2,058
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,151
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,173
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD COMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees2058
Insurance broker nameBENEFITMALL
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AGDM
Policy instance 2
Insurance contract or identification numberG000AGDM
Number of Individuals Covered784
Insurance policy start date2012-07-01
Insurance policy end date2013-07-01
Total amount of commissions paid to insurance brokerUSD $19,138
Total amount of fees paid to insurance companyUSD $12,606
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $109,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,138
Amount paid for insurance broker fees12606
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameINGROUP ASSOCIATES INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AGE7
Policy instance 1
Insurance contract or identification numberGLUG0AGE7
Number of Individuals Covered522
Insurance policy start date2012-07-01
Insurance policy end date2013-07-01
Total amount of commissions paid to insurance brokerUSD $9,814
Total amount of fees paid to insurance companyUSD $6,319
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $56,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,814
Amount paid for insurance broker fees6319
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameINGROUP ASSOCIATES INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AGDM
Policy instance 2
Insurance contract or identification numberG000AGDM
Number of Individuals Covered819
Insurance policy start date2011-07-01
Insurance policy end date2012-07-01
Total amount of commissions paid to insurance brokerUSD $29,724
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,998
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,724
Insurance broker organization code?3
Insurance broker nameINGROUP ASSOCIATES INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AGE7
Policy instance 1
Insurance contract or identification numberGLUG0AGE7
Number of Individuals Covered549
Insurance policy start date2011-07-01
Insurance policy end date2012-07-01
Total amount of commissions paid to insurance brokerUSD $15,173
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $57,910
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,173
Insurance broker organization code?3
Insurance broker nameINGROUP ASSOCIATES INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AGE7
Policy instance 1
Insurance contract or identification numberGLUG0AGE7
Number of Individuals Covered553
Insurance policy start date2010-07-01
Insurance policy end date2011-07-01
Total amount of commissions paid to insurance brokerUSD $12,982
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $57,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AGDM
Policy instance 2
Insurance contract or identification numberG000AGDM
Number of Individuals Covered822
Insurance policy start date2010-07-01
Insurance policy end date2011-07-01
Total amount of commissions paid to insurance brokerUSD $24,662
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $109,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 960382
Policy instance 1
Insurance contract or identification numberLK 960382
Insurance policy start date2010-05-01
Insurance policy end date2010-06-30
Total amount of commissions paid to insurance brokerUSD $5,185
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $30,499

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