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RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameRETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN
Plan identification number 501

RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN has sponsored the creation of one or more 401k plans.

Company Name:RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN
Employer identification number (EIN):237105550
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01MORRIS KURTZMAN2023-09-06
5012020-01-01O NEIL CONSULTING CORPORATION2021-09-20
5012019-01-01
5012018-01-01
5012017-01-01BERNADETTE CONNOLLY
5012016-01-01BERNADETTE CONNOLLY
5012015-01-01BERNADETTE CONNOLLY
5012015-01-01BERNADETTE CONNOLLY
5012014-01-01BERNADETTE CONNOLLY
5012013-01-01BERNADETTE CONNOLLY
5012012-01-01BERNADETTE CONNOLLY
5012011-01-01BERNADETTE CONNOLLY
5012009-01-01BERNADETTE CONNOLLY

Plan Statistics for RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN

401k plan membership statisitcs for RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN

Measure Date Value
2022: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01345
Total number of active participants reported on line 7a of the Form 55002022-01-01311
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01311
2020: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01317
Total number of active participants reported on line 7a of the Form 55002020-01-01275
Total of all active and inactive participants2020-01-01275
2019: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01483
Total number of active participants reported on line 7a of the Form 55002019-01-01317
Total of all active and inactive participants2019-01-01317
2018: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01483
Total number of active participants reported on line 7a of the Form 55002018-01-01473
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01473
2017: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01396
Total number of active participants reported on line 7a of the Form 55002017-01-01483
Total of all active and inactive participants2017-01-01483
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
2016: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01352
Total number of active participants reported on line 7a of the Form 55002016-01-01396
Total of all active and inactive participants2016-01-01396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
2015: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01435
Total number of active participants reported on line 7a of the Form 55002015-01-01352
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01352
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
2014: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01636
Total number of active participants reported on line 7a of the Form 55002014-01-01435
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01435
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
2013: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01649
Total number of active participants reported on line 7a of the Form 55002013-01-01636
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01636
2012: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01636
Total number of active participants reported on line 7a of the Form 55002012-01-01649
Total of all active and inactive participants2012-01-01649
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
2011: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01628
Total number of active participants reported on line 7a of the Form 55002011-01-01636
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01636
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
2009: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01502
Total number of active participants reported on line 7a of the Form 55002009-01-01628
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01628
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN

Measure Date Value
2022 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-168,759
Total unrealized appreciation/depreciation of assets2022-12-31$-168,759
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$14,116
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$11,325
Total income from all sources (including contributions)2022-12-31$1,283,499
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,630,726
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,527,443
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,426,829
Value of total assets at end of year2022-12-31$1,091,147
Value of total assets at beginning of year2022-12-31$1,435,583
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$103,283
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$25,429
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$25,429
Administrative expenses professional fees incurred2022-12-31$26,390
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$152,719
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$14,579
Administrative expenses (other) incurred2022-12-31$56,413
Liabilities. Value of operating payables at end of year2022-12-31$14,116
Liabilities. Value of operating payables at beginning of year2022-12-31$11,325
Total non interest bearing cash at end of year2022-12-31$101,190
Total non interest bearing cash at beginning of year2022-12-31$234,537
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-347,227
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,077,031
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,424,258
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$3,512
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$621,706
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,057,270
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$49,056
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$6,810
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$6,810
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,485,854
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,426,829
Employer contributions (assets) at end of year2022-12-31$166,476
Employer contributions (assets) at beginning of year2022-12-31$122,387
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$41,589
Contract administrator fees2022-12-31$16,968
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CHERNOW KURTZMAN AND COMPANY, P.C.
Accountancy firm EIN2022-12-31232673549
2021 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$63,444
Total unrealized appreciation/depreciation of assets2021-12-31$63,444
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$11,325
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$10,430
Total income from all sources (including contributions)2021-12-31$1,327,845
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,453,660
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,342,738
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,236,231
Value of total assets at end of year2021-12-31$1,435,583
Value of total assets at beginning of year2021-12-31$1,560,503
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$110,922
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$28,170
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$28,170
Administrative expenses professional fees incurred2021-12-31$35,398
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$14,579
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$150,631
Administrative expenses (other) incurred2021-12-31$53,414
Liabilities. Value of operating payables at end of year2021-12-31$11,325
Liabilities. Value of operating payables at beginning of year2021-12-31$10,430
Total non interest bearing cash at end of year2021-12-31$234,537
Total non interest bearing cash at beginning of year2021-12-31$143,411
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-125,815
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,424,258
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,550,073
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$5,142
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,057,270
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$1,157,213
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$6,810
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$15,256
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$15,256
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,293,451
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,236,231
Employer contributions (assets) at end of year2021-12-31$122,387
Employer contributions (assets) at beginning of year2021-12-31$93,992
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$49,287
Contract administrator fees2021-12-31$16,968
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CHERNOW KURTZMAN AND COMPANY,PC
Accountancy firm EIN2021-12-31232673549
2020 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$107,963
Total unrealized appreciation/depreciation of assets2020-12-31$107,963
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$10,430
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$13,181
Total income from all sources (including contributions)2020-12-31$1,786,934
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,999,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,904,794
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,650,655
Value of total assets at end of year2020-12-31$1,560,503
Value of total assets at beginning of year2020-12-31$1,775,397
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$94,283
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$28,316
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$28,316
Administrative expenses professional fees incurred2020-12-31$22,919
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$150,631
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$152,659
Administrative expenses (other) incurred2020-12-31$48,362
Liabilities. Value of operating payables at end of year2020-12-31$10,430
Liabilities. Value of operating payables at beginning of year2020-12-31$13,181
Total non interest bearing cash at end of year2020-12-31$143,411
Total non interest bearing cash at beginning of year2020-12-31$38,269
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-212,143
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,550,073
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,762,216
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$6,034
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,157,213
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,430,730
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$15,256
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$5,460
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$5,460
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,843,550
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,650,655
Employer contributions (assets) at end of year2020-12-31$93,992
Employer contributions (assets) at beginning of year2020-12-31$148,279
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$61,244
Contract administrator fees2020-12-31$16,968
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31CHERNOW KURTZMAN AND COMPANY,P.C.
Accountancy firm EIN2020-12-31232673549
2019 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$192,255
Total unrealized appreciation/depreciation of assets2019-12-31$192,255
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$13,181
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$17,014
Total income from all sources (including contributions)2019-12-31$1,835,879
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$2,065,269
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,962,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,601,872
Value of total assets at end of year2019-12-31$1,775,397
Value of total assets at beginning of year2019-12-31$2,008,620
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$102,741
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$41,752
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$41,752
Administrative expenses professional fees incurred2019-12-31$26,918
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$152,659
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$198,027
Administrative expenses (other) incurred2019-12-31$51,355
Liabilities. Value of operating payables at end of year2019-12-31$13,181
Liabilities. Value of operating payables at beginning of year2019-12-31$17,014
Total non interest bearing cash at end of year2019-12-31$38,269
Total non interest bearing cash at beginning of year2019-12-31$119,662
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-229,390
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,762,216
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,991,606
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$7,500
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,430,730
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,446,673
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$5,460
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$5,470
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$5,470
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,924,661
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,601,872
Employer contributions (assets) at end of year2019-12-31$148,279
Employer contributions (assets) at beginning of year2019-12-31$238,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$37,867
Contract administrator fees2019-12-31$16,968
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31CHERNOW KURTZMAN AND COMPANY,P.C.
Accountancy firm EIN2019-12-31232673549
2018 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-113,492
Total unrealized appreciation/depreciation of assets2018-12-31$-113,492
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$17,014
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$13,343
Total income from all sources (including contributions)2018-12-31$1,616,986
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$2,001,592
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,897,867
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,680,321
Value of total assets at end of year2018-12-31$2,008,620
Value of total assets at beginning of year2018-12-31$2,389,555
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$103,725
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$50,157
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$50,157
Administrative expenses professional fees incurred2018-12-31$28,052
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$198,027
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$157,676
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$1,224
Administrative expenses (other) incurred2018-12-31$50,445
Liabilities. Value of operating payables at end of year2018-12-31$17,014
Liabilities. Value of operating payables at beginning of year2018-12-31$12,119
Total non interest bearing cash at end of year2018-12-31$119,662
Total non interest bearing cash at beginning of year2018-12-31$83,724
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-384,606
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,991,606
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,376,212
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$8,260
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$1,446,673
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,910,052
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$5,470
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$5,457
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$5,457
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,852,839
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,680,321
Employer contributions (assets) at end of year2018-12-31$238,788
Employer contributions (assets) at beginning of year2018-12-31$232,646
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$45,028
Contract administrator fees2018-12-31$16,968
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31CHERNOW KURTZMAN AND COMPANY,P.C.
Accountancy firm EIN2018-12-31232673549
2017 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$182,219
Total unrealized appreciation/depreciation of assets2017-12-31$182,219
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$13,343
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$17,768
Total income from all sources (including contributions)2017-12-31$1,959,454
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$2,013,902
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,901,666
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,726,153
Value of total assets at end of year2017-12-31$2,389,555
Value of total assets at beginning of year2017-12-31$2,448,428
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$112,236
Total interest from all sources2017-12-31$51,082
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Administrative expenses professional fees incurred2017-12-31$18,469
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$157,676
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$5,172
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$1,224
Administrative expenses (other) incurred2017-12-31$67,068
Liabilities. Value of operating payables at end of year2017-12-31$12,119
Liabilities. Value of operating payables at beginning of year2017-12-31$17,768
Total non interest bearing cash at end of year2017-12-31$83,724
Total non interest bearing cash at beginning of year2017-12-31$193,057
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-54,448
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,376,212
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,430,660
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$9,731
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,910,052
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$2,093,052
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$5,457
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$14,156
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$14,156
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$51,082
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,869,002
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$1,726,153
Employer contributions (assets) at end of year2017-12-31$232,646
Employer contributions (assets) at beginning of year2017-12-31$142,991
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$32,664
Contract administrator fees2017-12-31$16,968
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31CHERNOW KURTZMAN AND COMPANY P C
Accountancy firm EIN2017-12-31232673549
2016 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-12-31$56,632
Total unrealized appreciation/depreciation of assets2016-12-31$56,632
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$17,768
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$17,563
Total income from all sources (including contributions)2016-12-31$1,923,616
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,889,732
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,780,866
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,818,834
Value of total assets at end of year2016-12-31$2,448,428
Value of total assets at beginning of year2016-12-31$2,414,339
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$108,866
Total interest from all sources2016-12-31$48,150
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Administrative expenses professional fees incurred2016-12-31$14,838
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$19,126
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$5,172
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$132,199
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$6,132
Administrative expenses (other) incurred2016-12-31$67,672
Liabilities. Value of operating payables at end of year2016-12-31$17,768
Liabilities. Value of operating payables at beginning of year2016-12-31$11,431
Total non interest bearing cash at end of year2016-12-31$193,057
Total non interest bearing cash at beginning of year2016-12-31$93,708
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$33,884
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,430,660
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,396,776
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$9,388
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$2,093,052
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,848,194
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$14,156
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$4,234
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$4,234
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$48,150
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,734,703
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$1,799,708
Employer contributions (assets) at end of year2016-12-31$142,991
Employer contributions (assets) at beginning of year2016-12-31$336,004
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$46,163
Contract administrator fees2016-12-31$16,968
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31CHERNOW KURTZMAN AND COMPANY P C
Accountancy firm EIN2016-12-31232673549
2015 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-35,614
Total unrealized appreciation/depreciation of assets2015-12-31$-35,614
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$17,563
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$223,451
Total income from all sources (including contributions)2015-12-31$2,299,726
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$2,332,035
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,221,967
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,288,931
Value of total assets at end of year2015-12-31$2,414,339
Value of total assets at beginning of year2015-12-31$2,652,536
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$110,068
Total interest from all sources2015-12-31$46,409
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$33,570
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$19,891
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$132,199
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$6,247
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$6,132
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$3,066
Administrative expenses (other) incurred2015-12-31$50,745
Liabilities. Value of operating payables at end of year2015-12-31$11,431
Liabilities. Value of operating payables at beginning of year2015-12-31$214,770
Total non interest bearing cash at end of year2015-12-31$93,708
Total non interest bearing cash at beginning of year2015-12-31$389,444
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-32,309
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,396,776
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,429,085
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$8,785
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,848,194
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,836,250
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$4,234
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$5,386
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$5,386
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$46,409
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$2,178,989
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,269,040
Employer contributions (assets) at end of year2015-12-31$336,004
Employer contributions (assets) at beginning of year2015-12-31$415,209
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$42,978
Contract administrator fees2015-12-31$16,968
Liabilities. Value of benefit claims payable at end of year2015-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$5,615
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31CHERNOW KURTZMAN AND COMPANY,P.C.
Accountancy firm EIN2015-12-31232673549
2014 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$42,831
Total unrealized appreciation/depreciation of assets2014-12-31$42,831
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$223,451
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$70,916
Total income from all sources (including contributions)2014-12-31$2,469,848
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$2,235,914
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,129,943
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$2,375,457
Value of total assets at end of year2014-12-31$2,652,536
Value of total assets at beginning of year2014-12-31$2,266,067
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$105,971
Total interest from all sources2014-12-31$51,560
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$28,437
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Assets. Other investments not covered elsewhere at end of year2014-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$3,512
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$23,053
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$6,247
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$7,738
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$3,066
Administrative expenses (other) incurred2014-12-31$51,453
Liabilities. Value of operating payables at end of year2014-12-31$214,770
Liabilities. Value of operating payables at beginning of year2014-12-31$15,170
Total non interest bearing cash at end of year2014-12-31$389,444
Total non interest bearing cash at beginning of year2014-12-31$139,961
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$233,934
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,429,085
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,195,151
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$9,113
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,836,250
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,667,285
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$5,386
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$181,064
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$181,064
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$51,560
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,077,422
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$2,352,404
Employer contributions (assets) at end of year2014-12-31$415,209
Employer contributions (assets) at beginning of year2014-12-31$266,507
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$52,521
Contract administrator fees2014-12-31$16,968
Liabilities. Value of benefit claims payable at end of year2014-12-31$5,615
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$55,746
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31CHERNOW KURTZMAN AND COMPANY,P.C.
Accountancy firm EIN2014-12-31232673549
2013 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$63,021
Total unrealized appreciation/depreciation of assets2013-12-31$63,021
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$70,916
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$225,162
Total income from all sources (including contributions)2013-12-31$2,305,551
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$2,087,928
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,883,905
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$2,191,404
Value of total assets at end of year2013-12-31$2,266,067
Value of total assets at beginning of year2013-12-31$2,202,690
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$204,023
Total interest from all sources2013-12-31$51,126
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$27,604
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Assets. Other investments not covered elsewhere at end of year2013-12-31$3,512
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$3,737
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$5,925
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$7,738
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$5,791
Administrative expenses (other) incurred2013-12-31$92,578
Liabilities. Value of operating payables at end of year2013-12-31$15,170
Liabilities. Value of operating payables at beginning of year2013-12-31$22,305
Total non interest bearing cash at end of year2013-12-31$139,961
Total non interest bearing cash at beginning of year2013-12-31$213,341
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$217,623
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,195,151
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,977,528
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$8,628
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,667,285
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,576,896
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$181,064
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$157,309
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$157,309
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$51,126
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$398,267
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,185,479
Employer contributions (assets) at end of year2013-12-31$266,507
Employer contributions (assets) at beginning of year2013-12-31$245,616
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,485,638
Contract administrator fees2013-12-31$75,213
Liabilities. Value of benefit claims payable at end of year2013-12-31$55,746
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$202,857
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31CHERNOW KURTZMAN AND COMPANY,P.C.
Accountancy firm EIN2013-12-31232673549
2012 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$144,799
Total unrealized appreciation/depreciation of assets2012-12-31$144,799
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$225,162
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$240,450
Total income from all sources (including contributions)2012-12-31$2,323,003
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$2,638,595
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,452,589
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,113,722
Value of total assets at end of year2012-12-31$2,202,690
Value of total assets at beginning of year2012-12-31$2,533,570
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$186,006
Total interest from all sources2012-12-31$64,482
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$31,730
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Assets. Other investments not covered elsewhere at end of year2012-12-31$3,737
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$8,416
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$7,581
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$5,791
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$13,025
Administrative expenses (other) incurred2012-12-31$65,916
Liabilities. Value of operating payables at end of year2012-12-31$22,305
Liabilities. Value of operating payables at beginning of year2012-12-31$25,063
Total non interest bearing cash at end of year2012-12-31$213,341
Total non interest bearing cash at beginning of year2012-12-31$183,304
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-315,592
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,977,528
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,293,120
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$9,628
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,576,896
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,895,943
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$157,309
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$228,189
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$228,189
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$64,482
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$95,832
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,106,141
Employer contributions (assets) at end of year2012-12-31$245,616
Employer contributions (assets) at beginning of year2012-12-31$204,693
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,356,757
Contract administrator fees2012-12-31$78,732
Liabilities. Value of benefit claims payable at end of year2012-12-31$202,857
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$215,387
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31CHERNOW KURTZMAN AND COMPANY,P.C.
Accountancy firm EIN2012-12-31232673549
2011 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-31,791
Total unrealized appreciation/depreciation of assets2011-12-31$-31,791
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$240,450
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$266,786
Total income from all sources (including contributions)2011-12-31$2,119,662
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$2,349,482
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,166,716
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,085,097
Value of total assets at end of year2011-12-31$2,533,570
Value of total assets at beginning of year2011-12-31$2,789,726
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$182,766
Total interest from all sources2011-12-31$66,356
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$33,949
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$2,941
Assets. Other investments not covered elsewhere at end of year2011-12-31$8,416
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$10,136
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$13,025
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$5,944
Administrative expenses (other) incurred2011-12-31$60,865
Liabilities. Value of operating payables at end of year2011-12-31$25,063
Liabilities. Value of operating payables at beginning of year2011-12-31$23,589
Total non interest bearing cash at end of year2011-12-31$183,304
Total non interest bearing cash at beginning of year2011-12-31$502,401
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-229,820
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,293,120
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,522,940
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$9,844
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,895,943
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,689,731
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$228,189
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$399,856
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$399,856
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$66,356
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$95,845
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$2,072,020
Employer contributions (assets) at end of year2011-12-31$204,693
Employer contributions (assets) at beginning of year2011-12-31$191,794
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,070,871
Contract administrator fees2011-12-31$78,108
Liabilities. Value of benefit claims payable at end of year2011-12-31$215,387
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$243,197
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31CHERNOW KURTZMAN AND COMPANY,P.C.
Accountancy firm EIN2011-12-31232673549
2010 : RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$105,740
Total unrealized appreciation/depreciation of assets2010-12-31$105,740
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$266,786
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$148,622
Total income from all sources (including contributions)2010-12-31$2,181,717
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$2,015,706
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,838,095
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,005,444
Value of total assets at end of year2010-12-31$2,789,726
Value of total assets at beginning of year2010-12-31$2,505,551
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$177,611
Total interest from all sources2010-12-31$70,533
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
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$28,880
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$4,305
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$5,944
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$6,396
Administrative expenses (other) incurred2010-12-31$62,830
Liabilities. Value of operating payables at end of year2010-12-31$23,589
Liabilities. Value of operating payables at beginning of year2010-12-31$23,402
Total non interest bearing cash at end of year2010-12-31$502,401
Total non interest bearing cash at beginning of year2010-12-31$307,684
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$166,011
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,522,940
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,356,929
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$10,193
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,689,731
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,573,853
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$399,856
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$339,722
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$339,722
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$70,533
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$89,245
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$2,001,139
Employer contributions (assets) at end of year2010-12-31$191,794
Employer contributions (assets) at beginning of year2010-12-31$277,896
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,748,850
Contract administrator fees2010-12-31$75,708
Liabilities. Value of benefit claims payable at end of year2010-12-31$243,197
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$125,220
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31CHERNOWKURTZMAN
Accountancy firm EIN2010-12-31232673549

Form 5500 Responses for RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN

2022: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2020: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: RETAIL WHOLESALE & DEPT STORE UNION LOCAL 1034 HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number93688
Policy instance 2
Insurance contract or identification number93688
Number of Individuals Covered219
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $61,812
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,812
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674108G
Policy instance 1
Insurance contract or identification number674108G
Number of Individuals Covered224
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,798
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,798
Insurance broker organization code?3
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number93688
Policy instance 2
Insurance contract or identification number93688
Number of Individuals Covered184
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $56,392
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,392
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674108G
Policy instance 1
Insurance contract or identification number674108G
Number of Individuals Covered347
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,380
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,380
Amount paid for insurance broker fees0
Insurance broker organization code?3
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number93688
Policy instance 2
Insurance contract or identification number93688
Number of Individuals Covered249
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $76,859
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76,859
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674108G
Policy instance 1
Insurance contract or identification number674108G
Number of Individuals Covered347
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,380
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,380
Amount paid for insurance broker fees0
Insurance broker organization code?3
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number93688
Policy instance 2
Insurance contract or identification number93688
Number of Individuals Covered260
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $77,784
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77,784
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674108G
Policy instance 1
Insurance contract or identification number674108G
Number of Individuals Covered347
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,380
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,380
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674108G
Policy instance 1
Insurance contract or identification number674108G
Number of Individuals Covered347
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,629
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,629
Insurance broker organization code?3
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number93688
Policy instance 2
Insurance contract or identification number93688
Number of Individuals Covered283
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $73,267
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,267
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberOGL-674108
Policy instance 2
Insurance contract or identification numberOGL-674108
Number of Individuals Covered384
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,480
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,480
Insurance broker organization code?3
Insurance broker nameO NEILL EMPLOYEE BENEFITS
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number93688
Policy instance 1
Insurance contract or identification number93688
Number of Individuals Covered280
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $94,688
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $94,688
Insurance broker organization code?3
Insurance broker nameO NEILL CONSULTING CORPORATION
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberOGL-674108
Policy instance 1
Insurance contract or identification numberOGL-674108
Number of Individuals Covered471
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,130
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $23,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,130
Amount paid for insurance broker fees0
Insurance broker organization code?5
Insurance broker nameO NEIL CONSULTING CORPORATION
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number93688
Policy instance 2
Insurance contract or identification number93688
Number of Individuals Covered352
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $102,138
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,029,049
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $102,138
Amount paid for insurance broker fees0
Insurance broker organization code?5
Insurance broker nameO NEILL CONSULTING CORPORATION
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number93688
Policy instance 1
Insurance contract or identification number93688
Number of Individuals Covered432
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $45,004
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,977,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,004
Insurance broker organization code?5
Insurance broker nameO NEILL CONSULTING CORPORATION
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL653312
Policy instance 3
Insurance contract or identification numberABL653312
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberOGL-674108
Policy instance 4
Insurance contract or identification numberOGL-674108
Number of Individuals Covered471
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,309
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $22,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,309
Insurance broker organization code?5
Insurance broker nameO NEIL CONSULTING CORPORATION
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberOGL-674108
Policy instance 4
Insurance contract or identification numberOGL-674108
Number of Individuals Covered471
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,150
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $23,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,150
Amount paid for insurance broker fees0
Insurance broker organization code?5
Insurance broker nameO NEIL CONSULTING CORPORATION
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number93688
Policy instance 1
Insurance contract or identification number93688
Number of Individuals Covered418
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $9,295
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $320,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,295
Amount paid for insurance broker fees0
Insurance broker organization code?5
Insurance broker nameO NEILL CONSULTING CORPORATION
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL653312
Policy instance 3
Insurance contract or identification numberABL653312
Number of Individuals Covered0
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 number93688
Policy instance 1
Insurance contract or identification number93688
Number of Individuals Covered9
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,972
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $72,219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,972
Insurance broker organization code?5
Insurance broker nameO NEILL CONSULTING CORPORATION
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberOGL-674108
Policy instance 4
Insurance contract or identification numberOGL-674108
Number of Individuals Covered444
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,054
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $23,613
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,054
Insurance broker organization code?5
Insurance broker nameO NEIL CONSULTING CORPORATION
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL653312
Policy instance 3
Insurance contract or identification numberABL653312
Number of Individuals Covered7
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $405
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $405
Insurance broker organization code?5
Insurance broker nameO NEILL COSULTING CORPORATION
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberOGL-674108
Policy instance 4
Insurance contract or identification numberOGL-674108
Number of Individuals Covered495
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $3,115
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $24,281
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 number93688
Policy instance 1
Insurance contract or identification number93688
Number of Individuals Covered20
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $520
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $71,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL653312
Policy instance 3
Insurance contract or identification numberABL653312
Insurance policy start date2011-02-01
Insurance policy end date2012-02-01
Total amount of commissions paid to insurance brokerUSD $405
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number93688
Policy instance 2
Insurance contract or identification number93688
Number of Individuals Covered20
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,824
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $55,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,824
Insurance broker organization code?5
Insurance broker nameO NEILL CONSULTING CORPORATION
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberOGL-674108
Policy instance 1
Insurance contract or identification numberOGL-674108
Number of Individuals Covered475
Insurance policy start date2009-06-01
Insurance policy end date2010-05-31
Total amount of commissions paid to insurance brokerUSD $3,005
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,005
Insurance broker organization code?5
Insurance broker nameO NEIL CONSULTING CORPORATION

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