Logo

UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 401k Plan overview

Plan NameUFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND
Plan identification number 501

UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS 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
  • Other welfare benefit cover

401k Sponsoring company profile

TRUSTEES OF UFCW LOCAL 1776 & PART EMPLOYERS H & W FUND has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES OF UFCW LOCAL 1776 & PART EMPLOYERS H & W FUND
Employer identification number (EIN):232949242
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012020-05-01
5012019-05-01
5012018-05-01
5012017-05-01WENDELL W. YOUNG IV
5012016-05-01WENDELL W. YOUNG IV
5012015-05-01WENDELL W. YOUNG IV
5012014-05-01WENDELL W. YOUNG IV
5012013-05-01WENDELL W. YOUNG IV
5012012-05-01WENDELL YOUNG IV DAN DOSENBACH2014-02-09
5012011-05-01EDWARD CHEW
5012009-05-01WENDELL YOUNG IV DAN DOSENBACH2011-02-14

Plan Statistics for UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND

401k plan membership statisitcs for UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND

Measure Date Value
2022: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-05-018,652
Total number of active participants reported on line 7a of the Form 55002022-05-015,978
Number of retired or separated participants receiving benefits2022-05-011,264
Total of all active and inactive participants2022-05-017,242
Number of employers contributing to the scheme2022-05-0134
2021: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-05-016,412
Total number of active participants reported on line 7a of the Form 55002021-05-017,409
Number of retired or separated participants receiving benefits2021-05-011,243
Total of all active and inactive participants2021-05-018,652
Number of employers contributing to the scheme2021-05-0135
2020: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-05-014,974
Total number of active participants reported on line 7a of the Form 55002020-05-014,949
Number of retired or separated participants receiving benefits2020-05-011,463
Total of all active and inactive participants2020-05-016,412
Number of employers contributing to the scheme2020-05-0132
2019: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-05-015,563
Total number of active participants reported on line 7a of the Form 55002019-05-013,483
Number of retired or separated participants receiving benefits2019-05-011,491
Total of all active and inactive participants2019-05-014,974
Number of employers contributing to the scheme2019-05-0133
2018: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-05-015,749
Total number of active participants reported on line 7a of the Form 55002018-05-014,121
Number of retired or separated participants receiving benefits2018-05-011,442
Total of all active and inactive participants2018-05-015,563
Number of employers contributing to the scheme2018-05-0138
2017: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-05-015,782
Total number of active participants reported on line 7a of the Form 55002017-05-014,213
Number of retired or separated participants receiving benefits2017-05-011,466
Total of all active and inactive participants2017-05-015,679
Number of employers contributing to the scheme2017-05-0137
2016: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-05-016,617
Total number of active participants reported on line 7a of the Form 55002016-05-014,213
Number of retired or separated participants receiving benefits2016-05-011,569
Total of all active and inactive participants2016-05-015,782
Number of employers contributing to the scheme2016-05-0143
2015: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-05-018,995
Total number of active participants reported on line 7a of the Form 55002015-05-016,617
Number of retired or separated participants receiving benefits2015-05-011,543
Total of all active and inactive participants2015-05-018,160
Number of employers contributing to the scheme2015-05-0149
2014: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-05-018,899
Total number of active participants reported on line 7a of the Form 55002014-05-017,429
Number of retired or separated participants receiving benefits2014-05-011,566
Total of all active and inactive participants2014-05-018,995
Number of employers contributing to the scheme2014-05-0146
2013: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-05-019,330
Total number of active participants reported on line 7a of the Form 55002013-05-017,294
Number of retired or separated participants receiving benefits2013-05-011,605
Total of all active and inactive participants2013-05-018,899
Number of employers contributing to the scheme2013-05-0142
2012: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-05-019,408
Total number of active participants reported on line 7a of the Form 55002012-05-017,710
Number of retired or separated participants receiving benefits2012-05-011,620
Total of all active and inactive participants2012-05-019,330
Total participants2012-05-019,330
Number of employers contributing to the scheme2012-05-0144
2011: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-05-0111,963
Total number of active participants reported on line 7a of the Form 55002011-05-017,796
Number of retired or separated participants receiving benefits2011-05-011,612
Total of all active and inactive participants2011-05-019,408
Total participants2011-05-019,408
Number of employers contributing to the scheme2011-05-0145
2009: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-05-0111,473
Total number of active participants reported on line 7a of the Form 55002009-05-0110,249
Number of retired or separated participants receiving benefits2009-05-011,826
Total of all active and inactive participants2009-05-0112,075
Total participants2009-05-0112,075

Financial Data on UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND

Measure Date Value
2023 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-04-30$-306,433
Total unrealized appreciation/depreciation of assets2023-04-30$-306,433
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-30$7,045,034
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-30$7,728,846
Total income from all sources (including contributions)2023-04-30$73,551,420
Total loss/gain on sale of assets2023-04-30$-14,008
Total of all expenses incurred2023-04-30$47,078,835
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-04-30$38,371,929
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-04-30$72,270,061
Value of total assets at end of year2023-04-30$86,110,249
Value of total assets at beginning of year2023-04-30$60,321,476
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-04-30$8,706,906
Total interest from all sources2023-04-30$1,592,213
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-04-30No
Administrative expenses professional fees incurred2023-04-30$370,811
Was this plan covered by a fidelity bond2023-04-30Yes
Value of fidelity bond cover2023-04-30$500,000
If this is an individual account plan, was there a blackout period2023-04-30No
Were there any nonexempt tranactions with any party-in-interest2023-04-30No
Contributions received from participants2023-04-30$7,905,365
Participant contributions at end of year2023-04-30$932
Participant contributions at beginning of year2023-04-30$177,322
Assets. Other investments not covered elsewhere at end of year2023-04-30$1,649,000
Assets. Other investments not covered elsewhere at beginning of year2023-04-30$1,649,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-04-30$3,075,875
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-04-30$1,574,825
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-04-30$5,923,914
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-04-30$3,620,153
Other income not declared elsewhere2023-04-30$9,587
Administrative expenses (other) incurred2023-04-30$5,081,011
Liabilities. Value of operating payables at end of year2023-04-30$145,189
Liabilities. Value of operating payables at beginning of year2023-04-30$218,860
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-30No
Value of net income/loss2023-04-30$26,472,585
Value of net assets at end of year (total assets less liabilities)2023-04-30$79,065,215
Value of net assets at beginning of year (total assets less liabilities)2023-04-30$52,592,630
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-04-30No
Were any leases to which the plan was party in default or uncollectible2023-04-30No
Investment advisory and management fees2023-04-30$94,115
Income. Interest from US Government securities2023-04-30$75,742
Income. Interest from corporate debt instruments2023-04-30$1,486,715
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-04-30$29,451,652
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-04-30$15,212,656
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-04-30$15,212,656
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-04-30$29,756
Expenses. Payments to insurance carriers foe the provision of benefits2023-04-30$27,221,322
Asset value of US Government securities at end of year2023-04-30$4,228,351
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-04-30No
Was there a failure to transmit to the plan any participant contributions2023-04-30No
Has the plan failed to provide any benefit when due under the plan2023-04-30No
Contributions received in cash from employer2023-04-30$64,364,696
Employer contributions (assets) at end of year2023-04-30$12,667,390
Employer contributions (assets) at beginning of year2023-04-30$13,475,089
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-04-30$11,150,607
Asset. Corporate debt instrument debt (other) at end of year2023-04-30$34,632,604
Asset. Corporate debt instrument debt (other) at beginning of year2023-04-30$27,928,298
Contract administrator fees2023-04-30$3,160,969
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-04-30No
Liabilities. Value of benefit claims payable at end of year2023-04-30$975,931
Liabilities. Value of benefit claims payable at beginning of year2023-04-30$3,889,833
Assets. Value of buildings and other operty used in plan operation at end of year2023-04-30$404,445
Assets. Value of buildings and other operty used in plan operation at beginning of year2023-04-30$304,286
Did the plan have assets held for investment2023-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-04-30No
Aggregate proceeds on sale of assets2023-04-30$69,582,324
Aggregate carrying amount (costs) on sale of assets2023-04-30$69,596,332
Opinion of an independent qualified public accountant for this plan2023-04-30Unqualified
Accountancy firm name2023-04-30ALAN ROSS & COMPANY, PC
Accountancy firm EIN2023-04-30205367494
2022 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-04-30$-436,158
Total unrealized appreciation/depreciation of assets2022-04-30$-436,158
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$7,728,846
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$9,574,624
Total income from all sources (including contributions)2022-04-30$62,641,900
Total loss/gain on sale of assets2022-04-30$-274,070
Total of all expenses incurred2022-04-30$48,420,273
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-04-30$42,511,010
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-04-30$62,507,892
Value of total assets at end of year2022-04-30$60,321,476
Value of total assets at beginning of year2022-04-30$47,945,627
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-04-30$5,909,263
Total interest from all sources2022-04-30$804,090
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-04-30No
Administrative expenses professional fees incurred2022-04-30$390,529
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
Contributions received from participants2022-04-30$3,412,363
Participant contributions at end of year2022-04-30$177,322
Participant contributions at beginning of year2022-04-30$143,723
Assets. Other investments not covered elsewhere at end of year2022-04-30$1,649,000
Assets. Other investments not covered elsewhere at beginning of year2022-04-30$1,649,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-04-30$1,574,825
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-04-30$1,315,311
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-04-30$3,620,153
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-04-30$3,803,241
Other income not declared elsewhere2022-04-30$40,146
Administrative expenses (other) incurred2022-04-30$2,751,855
Liabilities. Value of operating payables at end of year2022-04-30$218,860
Liabilities. Value of operating payables at beginning of year2022-04-30$178,027
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$14,221,627
Value of net assets at end of year (total assets less liabilities)2022-04-30$52,592,630
Value of net assets at beginning of year (total assets less liabilities)2022-04-30$38,371,003
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$63,056
Income. Interest from corporate debt instruments2022-04-30$754,050
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-04-30$15,212,656
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-04-30$31,424,703
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-04-30$31,424,703
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-04-30$50,040
Expenses. Payments to insurance carriers foe the provision of benefits2022-04-30$29,851,071
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$59,095,529
Employer contributions (assets) at end of year2022-04-30$13,475,089
Employer contributions (assets) at beginning of year2022-04-30$3,157,727
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-04-30$12,659,939
Asset. Corporate debt instrument debt (other) at end of year2022-04-30$27,928,298
Asset. Corporate debt instrument debt (other) at beginning of year2022-04-30$9,994,964
Contract administrator fees2022-04-30$2,703,823
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$3,889,833
Liabilities. Value of benefit claims payable at beginning of year2022-04-30$5,593,356
Assets. Value of buildings and other operty used in plan operation at end of year2022-04-30$304,286
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-04-30$260,199
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
Aggregate proceeds on sale of assets2022-04-30$23,267,495
Aggregate carrying amount (costs) on sale of assets2022-04-30$23,541,565
Opinion of an independent qualified public accountant for this plan2022-04-30Unqualified
Accountancy firm name2022-04-30ALAN ROSS & COMPANY, PC
Accountancy firm EIN2022-04-30205367494
2021 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-04-30$-254,792
Total unrealized appreciation/depreciation of assets2021-04-30$-254,792
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$9,574,624
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$8,151,372
Total income from all sources (including contributions)2021-04-30$65,217,432
Total loss/gain on sale of assets2021-04-30$-71,363
Total of all expenses incurred2021-04-30$47,160,234
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-04-30$41,237,315
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-04-30$65,065,469
Value of total assets at end of year2021-04-30$47,945,627
Value of total assets at beginning of year2021-04-30$28,465,177
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-04-30$5,922,919
Total interest from all sources2021-04-30$458,101
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-04-30No
Administrative expenses professional fees incurred2021-04-30$387,708
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
Contributions received from participants2021-04-30$2,422,836
Participant contributions at end of year2021-04-30$143,723
Participant contributions at beginning of year2021-04-30$189,932
Assets. Other investments not covered elsewhere at end of year2021-04-30$1,649,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-04-30$1,315,311
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-04-30$1,563,397
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-04-30$3,803,241
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-04-30$2,602,783
Other income not declared elsewhere2021-04-30$20,017
Administrative expenses (other) incurred2021-04-30$3,106,724
Liabilities. Value of operating payables at end of year2021-04-30$178,027
Liabilities. Value of operating payables at beginning of year2021-04-30$208,431
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$18,057,198
Value of net assets at end of year (total assets less liabilities)2021-04-30$38,371,003
Value of net assets at beginning of year (total assets less liabilities)2021-04-30$20,313,805
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$24,347
Interest earned on other investments2021-04-30$6,255
Income. Interest from corporate debt instruments2021-04-30$391,074
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-04-30$31,424,703
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-04-30$22,533,345
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-04-30$22,533,345
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-04-30$60,772
Expenses. Payments to insurance carriers foe the provision of benefits2021-04-30$28,079,490
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$62,642,633
Employer contributions (assets) at end of year2021-04-30$3,157,727
Employer contributions (assets) at beginning of year2021-04-30$3,060,501
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-04-30$13,157,825
Asset. Corporate debt instrument debt (other) at end of year2021-04-30$9,994,964
Asset. Corporate debt instrument debt (other) at beginning of year2021-04-30$868,544
Contract administrator fees2021-04-30$2,404,140
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-04-30No
Liabilities. Value of benefit claims payable at end of year2021-04-30$5,593,356
Liabilities. Value of benefit claims payable at beginning of year2021-04-30$5,340,158
Assets. Value of buildings and other operty used in plan operation at end of year2021-04-30$260,199
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-04-30$249,458
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
Aggregate proceeds on sale of assets2021-04-30$4,097,579
Aggregate carrying amount (costs) on sale of assets2021-04-30$4,168,942
Opinion of an independent qualified public accountant for this plan2021-04-30Unqualified
Accountancy firm name2021-04-30ALAN ROSS AND COMPANY, PC
Accountancy firm EIN2021-04-30205367494
2020 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-04-30$-5,058
Total unrealized appreciation/depreciation of assets2020-04-30$-5,058
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$8,151,372
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$12,831,406
Total income from all sources (including contributions)2020-04-30$68,121,010
Total of all expenses incurred2020-04-30$51,630,325
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-04-30$47,592,533
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-04-30$67,967,401
Value of total assets at end of year2020-04-30$28,465,177
Value of total assets at beginning of year2020-04-30$16,654,526
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-04-30$4,037,792
Total interest from all sources2020-04-30$158,214
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-04-30No
Administrative expenses professional fees incurred2020-04-30$364,411
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
Contributions received from participants2020-04-30$2,640,911
Participant contributions at end of year2020-04-30$189,932
Participant contributions at beginning of year2020-04-30$194,415
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-04-30$1,563,397
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-04-30$935,518
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-04-30$2,602,783
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-04-30$3,128,373
Other income not declared elsewhere2020-04-30$453
Administrative expenses (other) incurred2020-04-30$928,678
Liabilities. Value of operating payables at end of year2020-04-30$208,431
Liabilities. Value of operating payables at beginning of year2020-04-30$135,893
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$16,490,685
Value of net assets at end of year (total assets less liabilities)2020-04-30$20,313,805
Value of net assets at beginning of year (total assets less liabilities)2020-04-30$3,823,120
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$8,612
Income. Interest from corporate debt instruments2020-04-30$9,803
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-04-30$22,533,345
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-04-30$12,443,022
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-04-30$12,443,022
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-04-30$148,411
Expenses. Payments to insurance carriers foe the provision of benefits2020-04-30$34,106,605
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$65,326,490
Employer contributions (assets) at end of year2020-04-30$3,060,501
Employer contributions (assets) at beginning of year2020-04-30$2,997,856
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-04-30$13,485,928
Asset. Corporate debt instrument debt (other) at end of year2020-04-30$868,544
Asset. Corporate debt instrument debt (other) at beginning of year2020-04-30$12,345
Contract administrator fees2020-04-30$2,736,091
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-04-30No
Liabilities. Value of benefit claims payable at end of year2020-04-30$5,340,158
Liabilities. Value of benefit claims payable at beginning of year2020-04-30$9,567,140
Assets. Value of buildings and other operty used in plan operation at end of year2020-04-30$249,458
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-04-30$71,370
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 name2020-04-30ALAN ROSS & COMPANY, PC
Accountancy firm EIN2020-04-30205367494
2019 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-04-30$59
Total unrealized appreciation/depreciation of assets2019-04-30$59
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$12,831,406
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$22,724,299
Total income from all sources (including contributions)2019-04-30$70,866,999
Total loss/gain on sale of assets2019-04-30$157
Total of all expenses incurred2019-04-30$61,242,471
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-04-30$57,395,578
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-04-30$70,764,412
Value of total assets at end of year2019-04-30$16,654,526
Value of total assets at beginning of year2019-04-30$16,922,891
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-04-30$3,846,893
Total interest from all sources2019-04-30$101,925
Total dividends received (eg from common stock, registered investment company shares)2019-04-30$446
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$446
Administrative expenses professional fees incurred2019-04-30$304,840
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
Contributions received from participants2019-04-30$1,289,934
Participant contributions at end of year2019-04-30$194,415
Participant contributions at beginning of year2019-04-30$202,020
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-04-30$935,518
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-04-30$4,004,591
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-04-30$3,128,373
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-04-30$4,783,459
Administrative expenses (other) incurred2019-04-30$443,922
Liabilities. Value of operating payables at end of year2019-04-30$135,893
Liabilities. Value of operating payables at beginning of year2019-04-30$287,950
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$9,624,528
Value of net assets at end of year (total assets less liabilities)2019-04-30$3,823,120
Value of net assets at beginning of year (total assets less liabilities)2019-04-30$-5,801,408
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$999
Income. Interest from corporate debt instruments2019-04-30$1,268
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-04-30$12,443,022
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-04-30$9,454,496
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-04-30$9,454,496
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-04-30$100,657
Expenses. Payments to insurance carriers foe the provision of benefits2019-04-30$42,128,471
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$69,474,478
Employer contributions (assets) at end of year2019-04-30$2,997,856
Employer contributions (assets) at beginning of year2019-04-30$3,158,607
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-04-30$15,267,107
Asset. Corporate debt instrument debt (other) at end of year2019-04-30$12,345
Asset. Corporate debt instrument debt (other) at beginning of year2019-04-30$37,282
Contract administrator fees2019-04-30$3,097,132
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-04-30No
Liabilities. Value of benefit claims payable at end of year2019-04-30$9,567,140
Liabilities. Value of benefit claims payable at beginning of year2019-04-30$17,652,890
Assets. Value of buildings and other operty used in plan operation at end of year2019-04-30$71,370
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-04-30$65,895
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
Aggregate proceeds on sale of assets2019-04-30$75,000
Aggregate carrying amount (costs) on sale of assets2019-04-30$74,843
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-04-30No
Opinion of an independent qualified public accountant for this plan2019-04-30Unqualified
Accountancy firm name2019-04-30ALAN ROSS & COMPANY, PC
Accountancy firm EIN2019-04-30205367494
2018 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-04-30$-151
Total unrealized appreciation/depreciation of assets2018-04-30$-151
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$22,724,299
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$13,703,579
Total income from all sources (including contributions)2018-04-30$68,933,273
Total loss/gain on sale of assets2018-04-30$-785
Total of all expenses incurred2018-04-30$72,105,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-04-30$68,342,573
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-04-30$68,901,053
Value of total assets at end of year2018-04-30$16,922,891
Value of total assets at beginning of year2018-04-30$11,074,303
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-04-30$3,762,832
Total interest from all sources2018-04-30$32,747
Total dividends received (eg from common stock, registered investment company shares)2018-04-30$409
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$409
Administrative expenses professional fees incurred2018-04-30$481,863
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
Contributions received from participants2018-04-30$2,772,749
Participant contributions at end of year2018-04-30$202,020
Participant contributions at beginning of year2018-04-30$244,593
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-04-30$4,004,591
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-04-30$1,811,316
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-04-30$4,783,459
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-04-30$1,660,478
Administrative expenses (other) incurred2018-04-30$591,564
Liabilities. Value of operating payables at end of year2018-04-30$287,950
Liabilities. Value of operating payables at beginning of year2018-04-30$632,574
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Value of net income/loss2018-04-30$-3,172,132
Value of net assets at end of year (total assets less liabilities)2018-04-30$-5,801,408
Value of net assets at beginning of year (total assets less liabilities)2018-04-30$-2,629,276
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$782
Income. Interest from corporate debt instruments2018-04-30$1,647
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-04-30$9,454,496
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-04-30$4,912,312
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-04-30$4,912,312
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-04-30$31,100
Expenses. Payments to insurance carriers foe the provision of benefits2018-04-30$48,404,448
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$66,128,304
Employer contributions (assets) at end of year2018-04-30$3,158,607
Employer contributions (assets) at beginning of year2018-04-30$3,966,638
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-04-30$19,938,125
Asset. Corporate debt instrument debt (other) at end of year2018-04-30$37,282
Asset. Corporate debt instrument debt (other) at beginning of year2018-04-30$63,104
Contract administrator fees2018-04-30$2,688,623
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-04-30No
Liabilities. Value of benefit claims payable at end of year2018-04-30$17,652,890
Liabilities. Value of benefit claims payable at beginning of year2018-04-30$11,410,527
Assets. Value of buildings and other operty used in plan operation at end of year2018-04-30$65,895
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-04-30$76,340
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
Aggregate proceeds on sale of assets2018-04-30$77,000
Aggregate carrying amount (costs) on sale of assets2018-04-30$77,785
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-04-30No
Opinion of an independent qualified public accountant for this plan2018-04-30Unqualified
Accountancy firm name2018-04-30ALAN ROSS & CO, PC
Accountancy firm EIN2018-04-30205367494
2017 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-04-30$-1,265
Total unrealized appreciation/depreciation of assets2017-04-30$-1,265
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$13,703,579
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$14,112,569
Total income from all sources (including contributions)2017-04-30$69,138,140
Total loss/gain on sale of assets2017-04-30$-1,495
Total of all expenses incurred2017-04-30$63,053,332
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-04-30$58,934,553
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-04-30$69,131,247
Value of total assets at end of year2017-04-30$11,074,303
Value of total assets at beginning of year2017-04-30$5,398,485
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-04-30$4,118,779
Total interest from all sources2017-04-30$9,147
Total dividends received (eg from common stock, registered investment company shares)2017-04-30$506
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-04-30$506
Administrative expenses professional fees incurred2017-04-30$591,384
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
Contributions received from participants2017-04-30$2,217,330
Participant contributions at end of year2017-04-30$244,593
Participant contributions at beginning of year2017-04-30$347,849
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-04-30$1,811,316
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-04-30$706,722
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-04-30$1,660,478
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-04-30$2,763,289
Administrative expenses (other) incurred2017-04-30$878,689
Liabilities. Value of operating payables at end of year2017-04-30$632,574
Liabilities. Value of operating payables at beginning of year2017-04-30$468,100
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$6,084,808
Value of net assets at end of year (total assets less liabilities)2017-04-30$-2,629,276
Value of net assets at beginning of year (total assets less liabilities)2017-04-30$-8,714,084
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$1,000
Income. Interest from corporate debt instruments2017-04-30$3,146
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-04-30$4,912,312
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-04-30$462,202
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-04-30$462,202
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-04-30$6,001
Expenses. Payments to insurance carriers foe the provision of benefits2017-04-30$42,591,980
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$66,913,917
Employer contributions (assets) at end of year2017-04-30$3,966,638
Employer contributions (assets) at beginning of year2017-04-30$3,773,034
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-04-30$16,342,573
Asset. Corporate debt instrument debt (other) at end of year2017-04-30$63,104
Asset. Corporate debt instrument debt (other) at beginning of year2017-04-30$39,735
Contract administrator fees2017-04-30$2,647,706
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-04-30No
Liabilities. Value of benefit claims payable at end of year2017-04-30$11,410,527
Liabilities. Value of benefit claims payable at beginning of year2017-04-30$10,881,180
Assets. Value of buildings and other operty used in plan operation at end of year2017-04-30$76,340
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-04-30$68,943
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
Aggregate proceeds on sale of assets2017-04-30$78,000
Aggregate carrying amount (costs) on sale of assets2017-04-30$79,495
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-04-30No
Opinion of an independent qualified public accountant for this plan2017-04-30Unqualified
Accountancy firm name2017-04-30ALAN ROSS & CO, PC
Accountancy firm EIN2017-04-30205367494
2016 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-04-30$-385
Total unrealized appreciation/depreciation of assets2016-04-30$-385
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$14,112,569
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$15,886,768
Total income from all sources (including contributions)2016-04-30$71,835,661
Total loss/gain on sale of assets2016-04-30$-2,522
Total of all expenses incurred2016-04-30$74,150,607
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$70,167,239
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$71,824,249
Value of total assets at end of year2016-04-30$5,398,485
Value of total assets at beginning of year2016-04-30$9,487,630
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$3,983,368
Total interest from all sources2016-04-30$5,818
Total dividends received (eg from common stock, registered investment company shares)2016-04-30$8,501
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$566,378
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
Contributions received from participants2016-04-30$2,433,387
Participant contributions at end of year2016-04-30$347,849
Participant contributions at beginning of year2016-04-30$297,366
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-04-30$706,722
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-04-30$1,458,764
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-04-30$2,763,289
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-04-30$4,760,003
Administrative expenses (other) incurred2016-04-30$1,174,182
Liabilities. Value of operating payables at end of year2016-04-30$468,100
Liabilities. Value of operating payables at beginning of year2016-04-30$398,202
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$-2,314,946
Value of net assets at end of year (total assets less liabilities)2016-04-30$-8,714,084
Value of net assets at beginning of year (total assets less liabilities)2016-04-30$-6,399,138
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
Investment advisory and management fees2016-04-30$991
Income. Interest from corporate debt instruments2016-04-30$2,648
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-04-30$462,202
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-04-30$2,577,361
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-04-30$2,577,361
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-04-30$3,170
Expenses. Payments to insurance carriers foe the provision of benefits2016-04-30$51,729,912
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30No
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$69,390,862
Employer contributions (assets) at end of year2016-04-30$3,773,034
Employer contributions (assets) at beginning of year2016-04-30$3,527,430
Income. Dividends from common stock2016-04-30$8,501
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-04-30$18,437,327
Asset. Corporate debt instrument debt (other) at end of year2016-04-30$39,735
Asset. Corporate debt instrument debt (other) at beginning of year2016-04-30$414,997
Contract administrator fees2016-04-30$2,241,817
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-04-30No
Assets. Corporate common stocks other than exployer securities at end of year2016-04-30$0
Assets. Corporate common stocks other than exployer securities at beginning of year2016-04-30$1,134,035
Liabilities. Value of benefit claims payable at end of year2016-04-30$10,881,180
Liabilities. Value of benefit claims payable at beginning of year2016-04-30$10,728,563
Assets. Value of buildings and other operty used in plan operation at end of year2016-04-30$68,943
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-04-30$77,677
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
Aggregate proceeds on sale of assets2016-04-30$1,584,028
Aggregate carrying amount (costs) on sale of assets2016-04-30$1,586,550
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-30No
Opinion of an independent qualified public accountant for this plan2016-04-30Unqualified
Accountancy firm name2016-04-30ALAN ROSS & CO, PC
Accountancy firm EIN2016-04-30205367494
2015 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-04-30$-499,480
Total unrealized appreciation/depreciation of assets2015-04-30$-499,480
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$15,886,768
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$18,466,897
Total income from all sources (including contributions)2015-04-30$73,617,861
Total loss/gain on sale of assets2015-04-30$427,928
Total of all expenses incurred2015-04-30$83,320,340
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-04-30$78,517,447
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-04-30$73,503,871
Value of total assets at end of year2015-04-30$9,487,630
Value of total assets at beginning of year2015-04-30$21,770,238
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-04-30$4,802,893
Total interest from all sources2015-04-30$119,499
Total dividends received (eg from common stock, registered investment company shares)2015-04-30$66,043
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$551,600
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
Contributions received from participants2015-04-30$3,025,180
Participant contributions at end of year2015-04-30$297,366
Participant contributions at beginning of year2015-04-30$184,067
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-04-30$1,458,764
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-04-30$1,642,504
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-04-30$4,760,003
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-04-30$2,037,273
Administrative expenses (other) incurred2015-04-30$1,454,743
Liabilities. Value of operating payables at end of year2015-04-30$398,202
Liabilities. Value of operating payables at beginning of year2015-04-30$450,118
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Value of net income/loss2015-04-30$-9,702,479
Value of net assets at end of year (total assets less liabilities)2015-04-30$-6,399,138
Value of net assets at beginning of year (total assets less liabilities)2015-04-30$3,303,341
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
Investment advisory and management fees2015-04-30$10,053
Income. Interest from corporate debt instruments2015-04-30$112,224
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-04-30$2,577,361
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-04-30$7,103,627
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-04-30$7,103,627
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-04-30$7,275
Expenses. Payments to insurance carriers foe the provision of benefits2015-04-30$52,183,655
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-04-30No
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$70,478,691
Employer contributions (assets) at end of year2015-04-30$3,527,430
Employer contributions (assets) at beginning of year2015-04-30$2,901,395
Income. Dividends from common stock2015-04-30$66,043
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-04-30$26,333,792
Asset. Corporate debt instrument debt (other) at end of year2015-04-30$414,997
Asset. Corporate debt instrument debt (other) at beginning of year2015-04-30$7,491,996
Contract administrator fees2015-04-30$2,786,497
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-04-30No
Assets. Corporate common stocks other than exployer securities at end of year2015-04-30$1,134,035
Assets. Corporate common stocks other than exployer securities at beginning of year2015-04-30$2,376,168
Liabilities. Value of benefit claims payable at end of year2015-04-30$10,728,563
Liabilities. Value of benefit claims payable at beginning of year2015-04-30$15,979,506
Assets. Value of buildings and other operty used in plan operation at end of year2015-04-30$77,677
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-04-30$70,481
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
Aggregate proceeds on sale of assets2015-04-30$10,212,505
Aggregate carrying amount (costs) on sale of assets2015-04-30$9,784,577
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 name2015-04-30ALAN ROSS & CO, PC
Accountancy firm EIN2015-04-30205367494
2014 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-04-30$77,378
Total unrealized appreciation/depreciation of assets2014-04-30$77,378
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$18,466,897
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$16,427,161
Total income from all sources (including contributions)2014-04-30$70,344,779
Total loss/gain on sale of assets2014-04-30$-383,985
Total of all expenses incurred2014-04-30$72,947,558
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-04-30$68,776,884
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-04-30$70,074,803
Value of total assets at end of year2014-04-30$21,770,238
Value of total assets at beginning of year2014-04-30$22,333,281
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-04-30$4,170,674
Total interest from all sources2014-04-30$489,223
Total dividends received (eg from common stock, registered investment company shares)2014-04-30$87,360
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$564,658
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
Contributions received from participants2014-04-30$3,241,419
Participant contributions at end of year2014-04-30$184,067
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-04-30$1,642,504
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-04-30$2,391,483
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-04-30$2,037,273
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-04-30$3,567,618
Administrative expenses (other) incurred2014-04-30$1,031,915
Liabilities. Value of operating payables at end of year2014-04-30$450,118
Liabilities. Value of operating payables at beginning of year2014-04-30$276,309
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Value of net income/loss2014-04-30$-2,602,779
Value of net assets at end of year (total assets less liabilities)2014-04-30$3,303,341
Value of net assets at beginning of year (total assets less liabilities)2014-04-30$5,906,120
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
Investment advisory and management fees2014-04-30$30,288
Income. Interest from corporate debt instruments2014-04-30$484,730
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-04-30$7,103,627
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-04-30$721,085
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-04-30$721,085
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-04-30$4,493
Expenses. Payments to insurance carriers foe the provision of benefits2014-04-30$54,278,584
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-04-30No
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$66,833,384
Employer contributions (assets) at end of year2014-04-30$2,901,395
Employer contributions (assets) at beginning of year2014-04-30$3,207,842
Income. Dividends from common stock2014-04-30$87,360
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-04-30$14,498,300
Asset. Corporate debt instrument debt (other) at end of year2014-04-30$7,491,996
Asset. Corporate debt instrument debt (other) at beginning of year2014-04-30$13,582,435
Contract administrator fees2014-04-30$2,543,813
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-04-30No
Assets. Corporate common stocks other than exployer securities at end of year2014-04-30$2,376,168
Assets. Corporate common stocks other than exployer securities at beginning of year2014-04-30$2,430,436
Liabilities. Value of benefit claims payable at end of year2014-04-30$15,979,506
Liabilities. Value of benefit claims payable at beginning of year2014-04-30$12,583,234
Assets. Value of buildings and other operty used in plan operation at end of year2014-04-30$70,481
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
Aggregate proceeds on sale of assets2014-04-30$12,952,634
Aggregate carrying amount (costs) on sale of assets2014-04-30$13,336,619
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 name2014-04-30ALAN ROSS & COMPANY, PC
Accountancy firm EIN2014-04-30205367494
2013 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-04-30$179,234
Total unrealized appreciation/depreciation of assets2013-04-30$179,234
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$16,427,161
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$15,491,790
Total income from all sources (including contributions)2013-04-30$69,466,153
Total loss/gain on sale of assets2013-04-30$-450,032
Total of all expenses incurred2013-04-30$74,325,326
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-04-30$70,232,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-04-30$68,252,352
Value of total assets at end of year2013-04-30$22,333,281
Value of total assets at beginning of year2013-04-30$26,257,083
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-04-30$4,092,526
Total interest from all sources2013-04-30$769,275
Total dividends received (eg from common stock, registered investment company shares)2013-04-30$89,817
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$583,683
Was this plan covered by a fidelity bond2013-04-30Yes
Value of fidelity bond cover2013-04-30$500,000
If this is an individual account plan, was there a blackout period2013-04-30No
Were there any nonexempt tranactions with any party-in-interest2013-04-30No
Contributions received from participants2013-04-30$3,136,118
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-04-30$2,391,483
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-04-30$1,766,470
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-04-30$3,567,618
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-04-30$3,370,000
Other income not declared elsewhere2013-04-30$625,507
Administrative expenses (other) incurred2013-04-30$332,917
Liabilities. Value of operating payables at end of year2013-04-30$276,309
Liabilities. Value of operating payables at beginning of year2013-04-30$320,192
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Value of net income/loss2013-04-30$-4,859,173
Value of net assets at end of year (total assets less liabilities)2013-04-30$5,906,120
Value of net assets at beginning of year (total assets less liabilities)2013-04-30$10,765,293
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
Investment advisory and management fees2013-04-30$39,985
Income. Interest from corporate debt instruments2013-04-30$762,498
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-04-30$721,085
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-04-30$9,185,198
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-04-30$9,185,198
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-04-30$6,777
Expenses. Payments to insurance carriers foe the provision of benefits2013-04-30$47,485,032
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-04-30No
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$65,116,234
Employer contributions (assets) at end of year2013-04-30$3,207,842
Employer contributions (assets) at beginning of year2013-04-30$2,966,532
Income. Dividends from common stock2013-04-30$89,817
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-04-30$22,747,768
Asset. Corporate debt instrument debt (other) at end of year2013-04-30$13,582,435
Asset. Corporate debt instrument debt (other) at beginning of year2013-04-30$10,376,562
Contract administrator fees2013-04-30$3,135,941
Assets. Corporate common stocks other than exployer securities at end of year2013-04-30$2,430,436
Assets. Corporate common stocks other than exployer securities at beginning of year2013-04-30$1,962,321
Liabilities. Value of benefit claims payable at end of year2013-04-30$12,583,234
Liabilities. Value of benefit claims payable at beginning of year2013-04-30$11,801,598
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
Aggregate proceeds on sale of assets2013-04-30$38,797,638
Aggregate carrying amount (costs) on sale of assets2013-04-30$39,247,670
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 name2013-04-30LAPADULA CARLSON & CO. CPA'S
Accountancy firm EIN2013-04-30650292391
2012 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-04-30$60,068
Total unrealized appreciation/depreciation of assets2012-04-30$60,068
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$15,491,790
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$19,039,562
Total income from all sources (including contributions)2012-04-30$75,790,208
Total loss/gain on sale of assets2012-04-30$-793,044
Total of all expenses incurred2012-04-30$83,585,700
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-04-30$78,921,807
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-04-30$74,686,772
Value of total assets at end of year2012-04-30$26,257,083
Value of total assets at beginning of year2012-04-30$37,600,347
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-04-30$4,663,893
Total interest from all sources2012-04-30$962,733
Total dividends received (eg from common stock, registered investment company shares)2012-04-30$86,150
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$834,839
Was this plan covered by a fidelity bond2012-04-30Yes
Value of fidelity bond cover2012-04-30$500,000
If this is an individual account plan, was there a blackout period2012-04-30No
Were there any nonexempt tranactions with any party-in-interest2012-04-30No
Contributions received from participants2012-04-30$3,390,605
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-04-30$1,766,470
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-04-30$1,706,881
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-04-30$3,370,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-04-30$5,020,000
Other income not declared elsewhere2012-04-30$787,529
Administrative expenses (other) incurred2012-04-30$294,880
Liabilities. Value of operating payables at end of year2012-04-30$320,192
Liabilities. Value of operating payables at beginning of year2012-04-30$107,043
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Value of net income/loss2012-04-30$-7,795,492
Value of net assets at end of year (total assets less liabilities)2012-04-30$10,765,293
Value of net assets at beginning of year (total assets less liabilities)2012-04-30$18,560,785
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
Investment advisory and management fees2012-04-30$54,069
Income. Interest from corporate debt instruments2012-04-30$954,681
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-04-30$9,185,198
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-04-30$2,570,333
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-04-30$2,570,333
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-04-30$8,052
Expenses. Payments to insurance carriers foe the provision of benefits2012-04-30$56,721,712
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-04-30No
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$71,296,167
Employer contributions (assets) at end of year2012-04-30$2,966,532
Employer contributions (assets) at beginning of year2012-04-30$4,897,509
Income. Dividends from common stock2012-04-30$86,150
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-04-30$22,200,095
Asset. Corporate debt instrument debt (other) at end of year2012-04-30$10,376,562
Asset. Corporate debt instrument debt (other) at beginning of year2012-04-30$26,543,938
Contract administrator fees2012-04-30$3,480,105
Assets. Corporate common stocks other than exployer securities at end of year2012-04-30$1,962,321
Assets. Corporate common stocks other than exployer securities at beginning of year2012-04-30$1,881,686
Liabilities. Value of benefit claims payable at end of year2012-04-30$11,801,598
Liabilities. Value of benefit claims payable at beginning of year2012-04-30$13,912,519
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
Aggregate proceeds on sale of assets2012-04-30$43,506,041
Aggregate carrying amount (costs) on sale of assets2012-04-30$44,299,085
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-04-30No
Opinion of an independent qualified public accountant for this plan2012-04-30Unqualified
Accountancy firm name2012-04-30LAPADULA, CARLSON & CO. CPA'S
Accountancy firm EIN2012-04-30650292391
2011 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-04-30$-384,739
Total unrealized appreciation/depreciation of assets2011-04-30$-384,739
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$19,039,562
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$15,140,321
Total income from all sources (including contributions)2011-04-30$81,577,201
Total loss/gain on sale of assets2011-04-30$-570,128
Total of all expenses incurred2011-04-30$90,433,226
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-04-30$86,219,234
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-04-30$79,355,656
Value of total assets at end of year2011-04-30$37,600,347
Value of total assets at beginning of year2011-04-30$42,557,131
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-04-30$4,213,992
Total interest from all sources2011-04-30$1,823,752
Total dividends received (eg from common stock, registered investment company shares)2011-04-30$80,697
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$632,324
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-04-30$1,881,686
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-04-30$1,585,147
Was this plan covered by a fidelity bond2011-04-30Yes
Value of fidelity bond cover2011-04-30$500,000
If this is an individual account plan, was there a blackout period2011-04-30No
Were there any nonexempt tranactions with any party-in-interest2011-04-30No
Contributions received from participants2011-04-30$2,184,981
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-04-30$1,706,881
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-04-30$1,199,085
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-04-30$5,020,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-04-30$5,469,000
Other income not declared elsewhere2011-04-30$1,271,963
Administrative expenses (other) incurred2011-04-30$315,851
Liabilities. Value of operating payables at end of year2011-04-30$107,043
Liabilities. Value of operating payables at beginning of year2011-04-30$190,253
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Value of net income/loss2011-04-30$-8,856,025
Value of net assets at end of year (total assets less liabilities)2011-04-30$18,560,785
Value of net assets at beginning of year (total assets less liabilities)2011-04-30$27,416,810
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
Investment advisory and management fees2011-04-30$80,926
Income. Interest from US Government securities2011-04-30$40,209
Income. Interest from corporate debt instruments2011-04-30$1,553,660
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-04-30$2,570,333
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-04-30$2,772,304
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-04-30$2,772,304
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-04-30$229,883
Expenses. Payments to insurance carriers foe the provision of benefits2011-04-30$60,316,804
Asset value of US Government securities at end of year2011-04-30$0
Asset value of US Government securities at beginning of year2011-04-30$4,537,905
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$77,170,675
Employer contributions (assets) at end of year2011-04-30$4,897,509
Employer contributions (assets) at beginning of year2011-04-30$5,097,116
Income. Dividends from common stock2011-04-30$80,697
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-04-30$25,902,430
Asset. Corporate debt instrument preferred debt at end of year2011-04-30$26,543,938
Asset. Corporate debt instrument preferred debt at beginning of year2011-04-30$27,365,574
Asset. Corporate debt instrument debt (other) at end of year2011-04-30$26,543,938
Asset. Corporate debt instrument debt (other) at beginning of year2011-04-30$27,365,574
Contract administrator fees2011-04-30$3,184,891
Assets. Corporate common stocks other than exployer securities at end of year2011-04-30$1,881,686
Assets. Corporate common stocks other than exployer securities at beginning of year2011-04-30$1,585,147
Liabilities. Value of benefit claims payable at end of year2011-04-30$13,912,519
Liabilities. Value of benefit claims payable at beginning of year2011-04-30$9,481,068
Did the plan have assets held for investment2011-04-30No
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
Aggregate proceeds on sale of assets2011-04-30$42,477,307
Aggregate carrying amount (costs) on sale of assets2011-04-30$43,047,435
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-04-30No
Opinion of an independent qualified public accountant for this plan2011-04-30Unqualified
Accountancy firm name2011-04-30LAPADULA CARLSON & CO. CPA'S
Accountancy firm EIN2011-04-30650292391
2010 : UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-384,739
Total unrealized appreciation/depreciation of assets2010-12-31$-384,739
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$19,039,562
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$15,140,321
Total income from all sources (including contributions)2010-12-31$81,577,201
Total loss/gain on sale of assets2010-12-31$-570,128
Total of all expenses incurred2010-12-31$90,433,226
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$86,219,234
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$79,355,656
Value of total assets at end of year2010-12-31$37,600,347
Value of total assets at beginning of year2010-12-31$42,557,131
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$4,213,992
Total interest from all sources2010-12-31$1,823,752
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$80,697
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$632,324
Assets. Corporate prefeered stocks other than exployer securities at end of year2010-12-31$1,881,686
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2010-12-31$1,585,147
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$2,184,981
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$1,706,881
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$1,199,085
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$5,020,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$5,469,000
Other income not declared elsewhere2010-12-31$1,271,963
Administrative expenses (other) incurred2010-12-31$315,851
Liabilities. Value of operating payables at end of year2010-12-31$107,043
Liabilities. Value of operating payables at beginning of year2010-12-31$190,253
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-8,856,025
Value of net assets at end of year (total assets less liabilities)2010-12-31$18,560,785
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$27,416,810
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$80,926
Income. Interest from US Government securities2010-12-31$40,209
Income. Interest from corporate debt instruments2010-12-31$1,553,660
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$2,570,333
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$2,772,304
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$2,772,304
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$229,883
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$60,316,804
Asset value of US Government securities at end of year2010-12-31$0
Asset value of US Government securities at beginning of year2010-12-31$4,537,905
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$77,170,675
Employer contributions (assets) at end of year2010-12-31$4,897,509
Employer contributions (assets) at beginning of year2010-12-31$5,097,116
Income. Dividends from common stock2010-12-31$80,697
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$25,902,430
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$26,543,938
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$27,365,574
Contract administrator fees2010-12-31$3,184,891
Liabilities. Value of benefit claims payable at end of year2010-12-31$13,912,519
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$9,481,068
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$42,477,307
Aggregate carrying amount (costs) on sale of assets2010-12-31$43,047,435
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31LAPADULA CARLSON & CO. CPA'S
Accountancy firm EIN2010-12-31650292391

Form 5500 Responses for UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND

2022: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2022 form 5500 responses
2022-05-01Type of plan entityMulti-employer plan
2022-05-01Plan is a collectively bargained planYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2021 form 5500 responses
2021-05-01Type of plan entityMulti-employer plan
2021-05-01Plan is a collectively bargained planYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS 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 – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS 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 – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS 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 – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS 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 – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS 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 – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS 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 – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS 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 – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS 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 – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2012 form 5500 responses
2012-05-01Type of plan entityMulti-employer plan
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2011 form 5500 responses
2011-05-01Type of plan entityMulti-employer plan
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2009: UFCW LOCAL 1776 & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2009 form 5500 responses
2009-05-01Type of plan entityMulti-employer plan
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10558
Policy instance 6
Insurance contract or identification numberSL10558
Number of Individuals Covered2941
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $25,015
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,067,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,015
GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 )
Policy contract numberSELF INSURED
Policy instance 5
Insurance contract or identification numberSELF INSURED
Number of Individuals Covered890
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-015388-01
Policy instance 4
Insurance contract or identification number01-015388-01
Number of Individuals Covered2261
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $126,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract numberCN05181002
Policy instance 3
Insurance contract or identification numberCN05181002
Number of Individuals Covered3711
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract numberCN05181002
Policy instance 2
Insurance contract or identification numberCN05181002
Number of Individuals Covered3711
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract numberCN05181001
Policy instance 1
Insurance contract or identification numberCN05181001
Number of Individuals Covered1330
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-015388-01
Policy instance 1
Insurance contract or identification number01-015388-01
Number of Individuals Covered3
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $1
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $207
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Insurance broker organization code?3
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract numberCN05181001
Policy instance 2
Insurance contract or identification numberCN05181001
Number of Individuals Covered1349
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract numberCN05181002
Policy instance 3
Insurance contract or identification numberCN05181002
Number of Individuals Covered2427
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract numberCN05181002
Policy instance 4
Insurance contract or identification numberCN05181002
Number of Individuals Covered2427
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-015388-01
Policy instance 5
Insurance contract or identification number01-015388-01
Number of Individuals Covered2491
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $2,463
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $83,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,765
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-015388-01
Policy instance 5
Insurance contract or identification number01-015388-01
Number of Individuals Covered2360
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $7,146
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $102,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,146
Insurance broker organization code?3
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract numberCN05181002
Policy instance 4
Insurance contract or identification numberCN05181002
Number of Individuals Covered4503
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract numberCN05181002
Policy instance 3
Insurance contract or identification numberCN05181002
Number of Individuals Covered4503
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract numberCN05181001
Policy instance 2
Insurance contract or identification numberCN05181001
Number of Individuals Covered1361
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-015388-01
Policy instance 1
Insurance contract or identification number01-015388-01
Number of Individuals Covered3
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $8
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8
Insurance broker organization code?3
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract numberCN05181002
Policy instance 5
Insurance contract or identification numberCN05181002
Number of Individuals Covered4952
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract numberCN05181002
Policy instance 4
Insurance contract or identification numberCN05181002
Number of Individuals Covered4952
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404189
Policy instance 3
Insurance contract or identification number404189
Number of Individuals Covered3457
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,071,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract numberCN05181001
Policy instance 2
Insurance contract or identification numberCN05181001
Number of Individuals Covered1389
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-015388-01
Policy instance 1
Insurance contract or identification number01-015388-01
Number of Individuals Covered4
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $29
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $595
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-015388-01
Policy instance 1
Insurance contract or identification number01-015388-01
Number of Individuals Covered1
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $40
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40
Insurance broker organization code?3
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract numberCN0518
Policy instance 2
Insurance contract or identification numberCN0518
Number of Individuals Covered1442
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,904,082
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404189
Policy instance 3
Insurance contract or identification number404189
Number of Individuals Covered3831
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,236,497
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404189
Policy instance 4
Insurance contract or identification number404189
Number of Individuals Covered455
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $905,017
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404189
Policy instance 3
Insurance contract or identification number404189
Number of Individuals Covered4010
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,558,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract numberCN0518
Policy instance 2
Insurance contract or identification numberCN0518
Number of Individuals Covered1660
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-015388-00
Policy instance 1
Insurance contract or identification number01-015388-00
Number of Individuals Covered9
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $93
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract numberAF100099100430
Policy instance 1
Insurance contract or identification numberAF100099100430
Number of Individuals Covered6556
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S1