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IBEW LOCAL 688 WELFARE FUND 401k Plan overview

Plan NameIBEW LOCAL 688 WELFARE FUND
Plan identification number 501

IBEW LOCAL 688 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)

401k Sponsoring company profile

BOARD OF TRUSTEES IBEW LOCAL 688 WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES IBEW LOCAL 688 WELFARE FUND
Employer identification number (EIN):237003732
NAIC Classification:238210
NAIC Description:Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IBEW LOCAL 688 WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-06-01CARL W NEUTZLING BRIAN D DAMANT2018-06-12
5012016-06-01CARL W NEUTZLING BRIAN D DAMANT2017-10-23
5012015-06-01CARL W NEUTZLING BRIAN D DAMANT2016-12-27
5012014-06-01CARL W NEUTZLING BRIAN D DAMANT2015-12-01
5012013-06-01CARL W NEUTZLING BRIAN D DAMANT2014-09-25
5012012-06-01CARL W NEUTZLING BRIAN D DAMANT2013-12-31
5012011-06-01CARL W NEUTZLING BRIAN D DAMANT2013-02-11
5012009-06-01JIM MILLIGAN CARL W NEUTZLING2011-05-23
5012009-06-01JIM MILLIGAN CARL W NEUTZLING2011-03-09

Plan Statistics for IBEW LOCAL 688 WELFARE FUND

401k plan membership statisitcs for IBEW LOCAL 688 WELFARE FUND

Measure Date Value
2017: IBEW LOCAL 688 WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-06-010
Total number of active participants reported on line 7a of the Form 55002017-06-010
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-010
Number of employers contributing to the scheme2017-06-010
2016: IBEW LOCAL 688 WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-06-01134
Total number of active participants reported on line 7a of the Form 55002016-06-010
Number of retired or separated participants receiving benefits2016-06-010
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-010
Number of employers contributing to the scheme2016-06-010
2015: IBEW LOCAL 688 WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-06-01137
Total number of active participants reported on line 7a of the Form 55002015-06-01134
Number of retired or separated participants receiving benefits2015-06-0139
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-01173
Number of employers contributing to the scheme2015-06-0131
2014: IBEW LOCAL 688 WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-06-01124
Total number of active participants reported on line 7a of the Form 55002014-06-01137
Number of retired or separated participants receiving benefits2014-06-0154
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-01191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-06-0112
Total participants2014-06-01203
Number of employers contributing to the scheme2014-06-0129
2013: IBEW LOCAL 688 WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-06-01186
Total number of active participants reported on line 7a of the Form 55002013-06-01124
Number of retired or separated participants receiving benefits2013-06-0150
Total of all active and inactive participants2013-06-01174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-06-0111
Total participants2013-06-01185
Number of employers contributing to the scheme2013-06-0128
2012: IBEW LOCAL 688 WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-06-01133
Total number of active participants reported on line 7a of the Form 55002012-06-01127
Number of retired or separated participants receiving benefits2012-06-0148
Total of all active and inactive participants2012-06-01175
Number of employers contributing to the scheme2012-06-0126
2011: IBEW LOCAL 688 WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-06-01157
Total number of active participants reported on line 7a of the Form 55002011-06-01133
Number of retired or separated participants receiving benefits2011-06-0145
Total of all active and inactive participants2011-06-01178
Number of employers contributing to the scheme2011-06-0122
2009: IBEW LOCAL 688 WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-06-01179
Total number of active participants reported on line 7a of the Form 55002009-06-01126
Number of retired or separated participants receiving benefits2009-06-0144
Total of all active and inactive participants2009-06-01170
Total participants2009-06-01170

Financial Data on IBEW LOCAL 688 WELFARE FUND

Measure Date Value
2018 : IBEW LOCAL 688 WELFARE FUND 2018 401k financial data
Total plan liabilities at beginning of year2018-05-31$4,035
Total income from all sources2018-05-31$569
Expenses. Total of all expenses incurred2018-05-31$372
Total plan assets at end of year2018-05-31$0
Total plan assets at beginning of year2018-05-31$3,838
Expenses. Other expenses not covered elsewhere2018-05-31$372
Contributions received from other sources (not participants or employers)2018-05-31$569
Net income (gross income less expenses)2018-05-31$197
Net plan assets at end of year (total assets less liabilities)2018-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-05-31$-197
2017 : IBEW LOCAL 688 WELFARE FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$4,035
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$27,243
Total income from all sources (including contributions)2017-05-31$252,419
Total of all expenses incurred2017-05-31$601,733
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-05-31$555,414
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-05-31$243,094
Value of total assets at end of year2017-05-31$3,838
Value of total assets at beginning of year2017-05-31$376,360
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-05-31$46,319
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-05-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-05-31$0
Administrative expenses professional fees incurred2017-05-31$14,618
Was this plan covered by a fidelity bond2017-05-31Yes
Value of fidelity bond cover2017-05-31$500,000
If this is an individual account plan, was there a blackout period2017-05-31No
Were there any nonexempt tranactions with any party-in-interest2017-05-31No
Contributions received from participants2017-05-31$191,201
Income. Received or receivable in cash from other sources (including rollovers)2017-05-31$30,000
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-05-31$479,358
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-05-31$3,128
Other income not declared elsewhere2017-05-31$9,325
Administrative expenses (other) incurred2017-05-31$10,501
Liabilities. Value of operating payables at end of year2017-05-31$4,035
Liabilities. Value of operating payables at beginning of year2017-05-31$27,243
Total non interest bearing cash at end of year2017-05-31$3,838
Total non interest bearing cash at beginning of year2017-05-31$373,232
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Value of net income/loss2017-05-31$-349,314
Value of net assets at end of year (total assets less liabilities)2017-05-31$-197
Value of net assets at beginning of year (total assets less liabilities)2017-05-31$349,117
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-05-31No
Were any leases to which the plan was party in default or uncollectible2017-05-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-05-31Yes
Was there a failure to transmit to the plan any participant contributions2017-05-31No
Has the plan failed to provide any benefit when due under the plan2017-05-31No
Contributions received in cash from employer2017-05-31$21,893
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-05-31$76,056
Contract administrator fees2017-05-31$21,200
Did the plan have assets held for investment2017-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-05-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-05-31No
Opinion of an independent qualified public accountant for this plan2017-05-31Unqualified
Accountancy firm name2017-05-31MOSIER & ASSOCIATES CPAS INC
Accountancy firm EIN2017-05-31471912410
2016 : IBEW LOCAL 688 WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-05-31$-62,359
Total unrealized appreciation/depreciation of assets2016-05-31$-62,359
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$27,243
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$44,959
Total income from all sources (including contributions)2016-05-31$1,109,862
Total loss/gain on sale of assets2016-05-31$32,337
Total of all expenses incurred2016-05-31$2,423,564
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-05-31$2,254,078
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-05-31$1,096,166
Value of total assets at end of year2016-05-31$376,360
Value of total assets at beginning of year2016-05-31$1,707,778
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-05-31$169,486
Total interest from all sources2016-05-31$18,411
Total dividends received (eg from common stock, registered investment company shares)2016-05-31$3,476
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-05-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-05-31$0
Total dividends received from registered investment company shares (eg mutual funds)2016-05-31$3,476
Administrative expenses professional fees incurred2016-05-31$48,807
Was this plan covered by a fidelity bond2016-05-31Yes
Value of fidelity bond cover2016-05-31$500,000
If this is an individual account plan, was there a blackout period2016-05-31No
Were there any nonexempt tranactions with any party-in-interest2016-05-31No
Contributions received from participants2016-05-31$173,567
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-05-31$379,502
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-05-31$3,128
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-05-31$21,657
Other income not declared elsewhere2016-05-31$21,831
Administrative expenses (other) incurred2016-05-31$89,247
Liabilities. Value of operating payables at end of year2016-05-31$27,243
Liabilities. Value of operating payables at beginning of year2016-05-31$44,959
Total non interest bearing cash at end of year2016-05-31$373,232
Total non interest bearing cash at beginning of year2016-05-31$368,207
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Value of net income/loss2016-05-31$-1,313,702
Value of net assets at end of year (total assets less liabilities)2016-05-31$349,117
Value of net assets at beginning of year (total assets less liabilities)2016-05-31$1,662,819
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-05-31No
Were any leases to which the plan was party in default or uncollectible2016-05-31No
Investment advisory and management fees2016-05-31$1,167
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-05-31$203,014
Income. Interest from US Government securities2016-05-31$5,213
Income. Interest from corporate debt instruments2016-05-31$13,087
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-05-31$14,050
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-05-31$14,050
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-05-31$111
Expenses. Payments to insurance carriers foe the provision of benefits2016-05-31$205,065
Asset value of US Government securities at beginning of year2016-05-31$405,291
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-05-31Yes
Was there a failure to transmit to the plan any participant contributions2016-05-31No
Has the plan failed to provide any benefit when due under the plan2016-05-31No
Contributions received in cash from employer2016-05-31$922,599
Employer contributions (assets) at beginning of year2016-05-31$141,171
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-05-31$1,669,511
Asset. Corporate debt instrument debt (other) at beginning of year2016-05-31$554,388
Contract administrator fees2016-05-31$30,265
Did the plan have assets held for investment2016-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-05-31No
Aggregate proceeds on sale of assets2016-05-31$1,481,297
Aggregate carrying amount (costs) on sale of assets2016-05-31$1,448,960
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-05-31No
Opinion of an independent qualified public accountant for this plan2016-05-31Unqualified
Accountancy firm name2016-05-31MOSIER & ASSOCIATES CPAS INC
Accountancy firm EIN2016-05-31471912410
2015 : IBEW LOCAL 688 WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-05-31$17,980
Total unrealized appreciation/depreciation of assets2015-05-31$17,980
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$44,959
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$18,803
Total income from all sources (including contributions)2015-05-31$1,758,645
Total loss/gain on sale of assets2015-05-31$-17,972
Total of all expenses incurred2015-05-31$1,554,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-05-31$1,412,145
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-05-31$1,672,433
Value of total assets at end of year2015-05-31$1,707,778
Value of total assets at beginning of year2015-05-31$1,477,006
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-05-31$141,884
Total interest from all sources2015-05-31$26,691
Total dividends received (eg from common stock, registered investment company shares)2015-05-31$3,776
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-05-31$3,776
Administrative expenses professional fees incurred2015-05-31$24,683
Was this plan covered by a fidelity bond2015-05-31Yes
Value of fidelity bond cover2015-05-31$500,000
If this is an individual account plan, was there a blackout period2015-05-31No
Were there any nonexempt tranactions with any party-in-interest2015-05-31No
Contributions received from participants2015-05-31$187,605
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-05-31$21,657
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-05-31$21,747
Other income not declared elsewhere2015-05-31$55,737
Administrative expenses (other) incurred2015-05-31$87,601
Liabilities. Value of operating payables at end of year2015-05-31$44,959
Liabilities. Value of operating payables at beginning of year2015-05-31$18,803
Total non interest bearing cash at end of year2015-05-31$368,207
Total non interest bearing cash at beginning of year2015-05-31$197,988
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Value of net income/loss2015-05-31$204,616
Value of net assets at end of year (total assets less liabilities)2015-05-31$1,662,819
Value of net assets at beginning of year (total assets less liabilities)2015-05-31$1,458,203
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-05-31No
Were any leases to which the plan was party in default or uncollectible2015-05-31No
Investment advisory and management fees2015-05-31$2,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-05-31$203,014
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-05-31$185,146
Income. Interest from US Government securities2015-05-31$4,642
Income. Interest from corporate debt instruments2015-05-31$22,046
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-05-31$14,050
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-05-31$20,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-05-31$20,604
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-05-31$3
Expenses. Payments to insurance carriers foe the provision of benefits2015-05-31$170,584
Asset value of US Government securities at end of year2015-05-31$405,291
Asset value of US Government securities at beginning of year2015-05-31$367,453
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-05-31Yes
Was there a failure to transmit to the plan any participant contributions2015-05-31No
Has the plan failed to provide any benefit when due under the plan2015-05-31No
Contributions received in cash from employer2015-05-31$1,484,828
Employer contributions (assets) at end of year2015-05-31$141,171
Employer contributions (assets) at beginning of year2015-05-31$110,306
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-05-31$1,241,561
Asset. Corporate debt instrument debt (other) at end of year2015-05-31$554,388
Asset. Corporate debt instrument debt (other) at beginning of year2015-05-31$573,762
Contract administrator fees2015-05-31$27,600
Did the plan have assets held for investment2015-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-05-31No
Aggregate proceeds on sale of assets2015-05-31$426,264
Aggregate carrying amount (costs) on sale of assets2015-05-31$444,236
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-05-31No
Opinion of an independent qualified public accountant for this plan2015-05-31Unqualified
Accountancy firm name2015-05-31MOSIER & ASSOCIATES CPAS INC
Accountancy firm EIN2015-05-31471912410
2014 : IBEW LOCAL 688 WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-05-31$20,667
Total unrealized appreciation/depreciation of assets2014-05-31$20,667
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$18,803
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$32,171
Total income from all sources (including contributions)2014-05-31$1,633,847
Total loss/gain on sale of assets2014-05-31$-4,945
Total of all expenses incurred2014-05-31$1,838,702
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-05-31$1,718,384
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-05-31$1,444,483
Value of total assets at end of year2014-05-31$1,477,006
Value of total assets at beginning of year2014-05-31$1,695,229
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-05-31$120,318
Total interest from all sources2014-05-31$33,049
Total dividends received (eg from common stock, registered investment company shares)2014-05-31$4,333
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-05-31$4,333
Administrative expenses professional fees incurred2014-05-31$22,425
Was this plan covered by a fidelity bond2014-05-31Yes
Value of fidelity bond cover2014-05-31$500,000
If this is an individual account plan, was there a blackout period2014-05-31No
Were there any nonexempt tranactions with any party-in-interest2014-05-31No
Contributions received from participants2014-05-31$183,720
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-05-31$21,747
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-05-31$27,460
Other income not declared elsewhere2014-05-31$136,260
Administrative expenses (other) incurred2014-05-31$68,293
Liabilities. Value of operating payables at end of year2014-05-31$18,803
Liabilities. Value of operating payables at beginning of year2014-05-31$32,171
Total non interest bearing cash at end of year2014-05-31$197,988
Total non interest bearing cash at beginning of year2014-05-31$88,640
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Value of net income/loss2014-05-31$-204,855
Value of net assets at end of year (total assets less liabilities)2014-05-31$1,458,203
Value of net assets at beginning of year (total assets less liabilities)2014-05-31$1,663,058
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-05-31No
Were any leases to which the plan was party in default or uncollectible2014-05-31No
Investment advisory and management fees2014-05-31$2,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-05-31$185,146
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-05-31$223,448
Interest earned on other investments2014-05-31$1,719
Income. Interest from US Government securities2014-05-31$5,330
Income. Interest from corporate debt instruments2014-05-31$25,994
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-05-31$20,604
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-05-31$5,056
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-05-31$5,056
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-05-31$6
Expenses. Payments to insurance carriers foe the provision of benefits2014-05-31$171,285
Asset value of US Government securities at end of year2014-05-31$367,453
Asset value of US Government securities at beginning of year2014-05-31$328,163
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-05-31Yes
Was there a failure to transmit to the plan any participant contributions2014-05-31No
Has the plan failed to provide any benefit when due under the plan2014-05-31No
Contributions received in cash from employer2014-05-31$1,260,763
Employer contributions (assets) at end of year2014-05-31$110,306
Employer contributions (assets) at beginning of year2014-05-31$134,410
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-05-31$1,547,099
Asset. Corporate debt instrument debt (other) at end of year2014-05-31$573,762
Asset. Corporate debt instrument debt (other) at beginning of year2014-05-31$888,052
Contract administrator fees2014-05-31$27,600
Did the plan have assets held for investment2014-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-05-31No
Aggregate proceeds on sale of assets2014-05-31$875,127
Aggregate carrying amount (costs) on sale of assets2014-05-31$880,072
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-05-31No
Opinion of an independent qualified public accountant for this plan2014-05-31Unqualified
Accountancy firm name2014-05-31COUCHOT, HOGENKAMP, SEVING & MOSIER
Accountancy firm EIN2014-05-31311365614
2013 : IBEW LOCAL 688 WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-05-31$1,350
Total unrealized appreciation/depreciation of assets2013-05-31$1,350
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$32,171
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$34,985
Total income from all sources (including contributions)2013-05-31$1,511,461
Total loss/gain on sale of assets2013-05-31$19,048
Total of all expenses incurred2013-05-31$2,117,800
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-05-31$1,984,507
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-05-31$1,405,307
Value of total assets at end of year2013-05-31$1,695,229
Value of total assets at beginning of year2013-05-31$2,304,382
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-05-31$133,293
Total interest from all sources2013-05-31$38,877
Total dividends received (eg from common stock, registered investment company shares)2013-05-31$7,244
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-05-31$7,244
Administrative expenses professional fees incurred2013-05-31$32,978
Was this plan covered by a fidelity bond2013-05-31Yes
Value of fidelity bond cover2013-05-31$500,000
If this is an individual account plan, was there a blackout period2013-05-31No
Were there any nonexempt tranactions with any party-in-interest2013-05-31No
Contributions received from participants2013-05-31$167,087
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-05-31$27,460
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-05-31$161,564
Other income not declared elsewhere2013-05-31$39,635
Administrative expenses (other) incurred2013-05-31$70,715
Liabilities. Value of operating payables at end of year2013-05-31$32,171
Liabilities. Value of operating payables at beginning of year2013-05-31$34,985
Total non interest bearing cash at end of year2013-05-31$88,640
Total non interest bearing cash at beginning of year2013-05-31$427,795
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Value of net income/loss2013-05-31$-606,339
Value of net assets at end of year (total assets less liabilities)2013-05-31$1,663,058
Value of net assets at beginning of year (total assets less liabilities)2013-05-31$2,269,397
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-05-31No
Were any leases to which the plan was party in default or uncollectible2013-05-31No
Investment advisory and management fees2013-05-31$2,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-05-31$223,448
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-05-31$470,417
Income. Interest from US Government securities2013-05-31$8,692
Income. Interest from corporate debt instruments2013-05-31$30,153
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-05-31$5,056
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-05-31$8,196
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-05-31$8,196
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-05-31$32
Expenses. Payments to insurance carriers foe the provision of benefits2013-05-31$159,847
Asset value of US Government securities at end of year2013-05-31$328,163
Asset value of US Government securities at beginning of year2013-05-31$444,329
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-05-31Yes
Was there a failure to transmit to the plan any participant contributions2013-05-31No
Has the plan failed to provide any benefit when due under the plan2013-05-31No
Contributions received in cash from employer2013-05-31$1,238,220
Employer contributions (assets) at end of year2013-05-31$134,410
Employer contributions (assets) at beginning of year2013-05-31$106,643
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-05-31$1,824,660
Asset. Corporate debt instrument debt (other) at end of year2013-05-31$888,052
Asset. Corporate debt instrument debt (other) at beginning of year2013-05-31$685,438
Contract administrator fees2013-05-31$27,600
Did the plan have assets held for investment2013-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-05-31No
Aggregate proceeds on sale of assets2013-05-31$835,613
Aggregate carrying amount (costs) on sale of assets2013-05-31$816,565
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-05-31No
Opinion of an independent qualified public accountant for this plan2013-05-31Unqualified
Accountancy firm name2013-05-31COUCHOT, HOGENKAMP, SEVING & MOSIER
Accountancy firm EIN2013-05-31311365614
2012 : IBEW LOCAL 688 WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-05-31$-13,073
Total unrealized appreciation/depreciation of assets2012-05-31$-13,073
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$34,985
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$22,954
Total income from all sources (including contributions)2012-05-31$2,005,043
Total loss/gain on sale of assets2012-05-31$-23,335
Total of all expenses incurred2012-05-31$2,213,276
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-05-31$2,086,733
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-05-31$1,375,635
Value of total assets at end of year2012-05-31$2,304,382
Value of total assets at beginning of year2012-05-31$2,500,584
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-05-31$126,543
Total interest from all sources2012-05-31$53,793
Total dividends received (eg from common stock, registered investment company shares)2012-05-31$13,018
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-05-31$13,018
Administrative expenses professional fees incurred2012-05-31$28,060
Was this plan covered by a fidelity bond2012-05-31Yes
Value of fidelity bond cover2012-05-31$500,000
If this is an individual account plan, was there a blackout period2012-05-31No
Were there any nonexempt tranactions with any party-in-interest2012-05-31No
Contributions received from participants2012-05-31$168,660
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-05-31$161,564
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-05-31$30,533
Other income not declared elsewhere2012-05-31$589,965
Administrative expenses (other) incurred2012-05-31$68,883
Liabilities. Value of operating payables at end of year2012-05-31$34,985
Liabilities. Value of operating payables at beginning of year2012-05-31$22,954
Total non interest bearing cash at end of year2012-05-31$427,795
Total non interest bearing cash at beginning of year2012-05-31$11,876
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Value of net income/loss2012-05-31$-208,233
Value of net assets at end of year (total assets less liabilities)2012-05-31$2,269,397
Value of net assets at beginning of year (total assets less liabilities)2012-05-31$2,477,630
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-05-31No
Were any leases to which the plan was party in default or uncollectible2012-05-31No
Investment advisory and management fees2012-05-31$2,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-05-31$470,417
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-05-31$422,186
Income. Interest from US Government securities2012-05-31$16,112
Income. Interest from corporate debt instruments2012-05-31$37,549
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-05-31$8,196
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-05-31$100,864
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-05-31$100,864
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-05-31$132
Expenses. Payments to insurance carriers foe the provision of benefits2012-05-31$146,267
Asset value of US Government securities at end of year2012-05-31$444,329
Asset value of US Government securities at beginning of year2012-05-31$937,693
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-05-31$9,040
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-05-31Yes
Was there a failure to transmit to the plan any participant contributions2012-05-31No
Has the plan failed to provide any benefit when due under the plan2012-05-31No
Contributions received in cash from employer2012-05-31$1,206,975
Employer contributions (assets) at end of year2012-05-31$106,643
Employer contributions (assets) at beginning of year2012-05-31$105,179
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-05-31$1,940,466
Asset. Corporate debt instrument debt (other) at end of year2012-05-31$685,438
Asset. Corporate debt instrument debt (other) at beginning of year2012-05-31$892,253
Contract administrator fees2012-05-31$27,600
Did the plan have assets held for investment2012-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-05-31No
Aggregate proceeds on sale of assets2012-05-31$1,569,319
Aggregate carrying amount (costs) on sale of assets2012-05-31$1,592,654
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-05-31No
Opinion of an independent qualified public accountant for this plan2012-05-31Unqualified
Accountancy firm name2012-05-31COUCHOT, HOGENKAMP, SEVING & MOSIER
Accountancy firm EIN2012-05-31311365614
2011 : IBEW LOCAL 688 WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-05-31$-6,557
Total unrealized appreciation/depreciation of assets2011-05-31$-6,557
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$22,954
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$47,238
Total income from all sources (including contributions)2011-05-31$1,272,663
Total loss/gain on sale of assets2011-05-31$-1,561
Total of all expenses incurred2011-05-31$1,477,729
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-05-31$1,337,032
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-05-31$1,176,009
Value of total assets at end of year2011-05-31$2,500,584
Value of total assets at beginning of year2011-05-31$2,729,934
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-05-31$140,697
Total interest from all sources2011-05-31$59,079
Total dividends received (eg from common stock, registered investment company shares)2011-05-31$13,716
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-05-31$13,716
Administrative expenses professional fees incurred2011-05-31$37,179
Was this plan covered by a fidelity bond2011-05-31Yes
Value of fidelity bond cover2011-05-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-05-31Yes
Amount of non-exempt transactions with any party-in-interest2011-05-31$133,397
Contributions received from participants2011-05-31$190,941
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-05-31$30,533
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-05-31$15,533
Administrative expenses (other) incurred2011-05-31$74,785
Liabilities. Value of operating payables at end of year2011-05-31$22,954
Liabilities. Value of operating payables at beginning of year2011-05-31$47,238
Total non interest bearing cash at end of year2011-05-31$11,876
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Value of net income/loss2011-05-31$-205,066
Value of net assets at end of year (total assets less liabilities)2011-05-31$2,477,630
Value of net assets at beginning of year (total assets less liabilities)2011-05-31$2,682,696
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-05-31No
Were any leases to which the plan was party in default or uncollectible2011-05-31No
Investment advisory and management fees2011-05-31$1,833
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-05-31$422,186
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-05-31$320,415
Income. Interest from US Government securities2011-05-31$20,547
Income. Interest from corporate debt instruments2011-05-31$38,218
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-05-31$100,864
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-05-31$210,244
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-05-31$210,244
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-05-31$314
Expenses. Payments to insurance carriers foe the provision of benefits2011-05-31$162,653
Asset value of US Government securities at end of year2011-05-31$937,693
Asset value of US Government securities at beginning of year2011-05-31$1,177,942
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-05-31$31,977
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-05-31Yes
Was there a failure to transmit to the plan any participant contributions2011-05-31No
Has the plan failed to provide any benefit when due under the plan2011-05-31No
Contributions received in cash from employer2011-05-31$985,068
Employer contributions (assets) at end of year2011-05-31$105,179
Employer contributions (assets) at beginning of year2011-05-31$105,537
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-05-31$1,174,379
Asset. Corporate debt instrument debt (other) at end of year2011-05-31$892,253
Asset. Corporate debt instrument debt (other) at beginning of year2011-05-31$900,263
Contract administrator fees2011-05-31$26,900
Did the plan have assets held for investment2011-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-05-31No
Aggregate proceeds on sale of assets2011-05-31$724,821
Aggregate carrying amount (costs) on sale of assets2011-05-31$726,382
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-05-31No
Opinion of an independent qualified public accountant for this plan2011-05-31Unqualified
Accountancy firm name2011-05-31KISSEL & ASSOCIATES, INC.
Accountancy firm EIN2011-05-31341204227

Form 5500 Responses for IBEW LOCAL 688 WELFARE FUND

2017: IBEW LOCAL 688 WELFARE FUND 2017 form 5500 responses
2017-06-01Type of plan entityMulti-employer plan
2017-06-01This submission is the final filingYes
2017-06-01Plan is a collectively bargained planYes
2017-06-01Plan funding arrangement – TrustYes
2017-06-01Plan benefit arrangement - TrustYes
2016: IBEW LOCAL 688 WELFARE FUND 2016 form 5500 responses
2016-06-01Type of plan entityMulti-employer plan
2016-06-01Plan is a collectively bargained planYes
2016-06-01Plan funding arrangement – TrustYes
2016-06-01Plan benefit arrangement - TrustYes
2015: IBEW LOCAL 688 WELFARE FUND 2015 form 5500 responses
2015-06-01Type of plan entityMulti-employer plan
2015-06-01Plan is a collectively bargained planYes
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – TrustYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement - TrustYes
2014: IBEW LOCAL 688 WELFARE FUND 2014 form 5500 responses
2014-06-01Type of plan entityMulti-employer plan
2014-06-01Plan is a collectively bargained planYes
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – TrustYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement - TrustYes
2013: IBEW LOCAL 688 WELFARE FUND 2013 form 5500 responses
2013-06-01Type of plan entityMulti-employer plan
2013-06-01Plan is a collectively bargained planYes
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan funding arrangement – TrustYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement - TrustYes
2012: IBEW LOCAL 688 WELFARE FUND 2012 form 5500 responses
2012-06-01Type of plan entityMulti-employer plan
2012-06-01Plan is a collectively bargained planYes
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan funding arrangement – TrustYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement - TrustYes
2011: IBEW LOCAL 688 WELFARE FUND 2011 form 5500 responses
2011-06-01Type of plan entityMulti-employer plan
2011-06-01Plan is a collectively bargained planYes
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan funding arrangement – TrustYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement - TrustYes
2009: IBEW LOCAL 688 WELFARE FUND 2009 form 5500 responses
2009-06-01Type of plan entityMulti-employer plan
2009-06-01Submission has been amendedYes
2009-06-01Plan is a collectively bargained planYes
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan funding arrangement – TrustYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number228498
Policy instance 1
Insurance contract or identification number228498
Number of Individuals Covered167
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $1,166
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $13,409
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,166
Insurance broker organization code?3
Insurance broker nameDESTEFANO DANIEL
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10193
Policy instance 2
Insurance contract or identification numberSL10193
Number of Individuals Covered162
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Welfare Benefit Premiums Paid to CarrierUSD $179,118
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number228498
Policy instance 1
Insurance contract or identification number228498
Number of Individuals Covered171
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $1,282
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $12,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,282
Insurance broker organization code?3
Insurance broker nameDESTEFANO DANIEL
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10193
Policy instance 2
Insurance contract or identification numberSL10193
Number of Individuals Covered149
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Welfare Benefit Premiums Paid to CarrierUSD $155,925
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number228498
Policy instance 1
Insurance contract or identification number228498
Number of Individuals Covered176
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $1,088
Total amount of fees paid to insurance companyUSD $249
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $12,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees249
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $1,088
Insurance broker nameDESTEFANO DANIEL
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number
Policy instance 2
Number of Individuals Covered156
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $23,459
Welfare Benefit Premiums Paid to CarrierUSD $156,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,767
Insurance broker nameMCA ADMINISTRATORS INC
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number
Policy instance 2
Number of Individuals Covered149
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $23,117
Welfare Benefit Premiums Paid to CarrierUSD $144,482
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,338
Insurance broker nameMCA ADMINISTRATORS INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL147046
Policy instance 1
Insurance contract or identification numberGL147046
Number of Individuals Covered193
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $1,191
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $12,202
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,191
Insurance broker nameLIBERTY FINANCIAL SERVICES INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL147046
Policy instance 1
Insurance contract or identification numberGL147046
Number of Individuals Covered176
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $1,216
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number
Policy instance 2
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $20,452
Welfare Benefit Premiums Paid to CarrierUSD $127,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL147046
Policy instance 1
Insurance contract or identification numberGL147046
Number of Individuals Covered195
Insurance policy start date2011-05-01
Insurance policy end date2012-05-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTIAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCLI70096
Policy instance 2
Insurance contract or identification numberCLI70096
Number of Individuals Covered193
Insurance policy start date2011-03-01
Insurance policy end date2012-02-28
Welfare Benefit Premiums Paid to CarrierUSD $150,773
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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