CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH & WELFARE TRUST F has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND
401k plan membership statisitcs for CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND
Measure | Date | Value |
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2023 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2023 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2023-02-28 | $-221,360 |
Total unrealized appreciation/depreciation of assets | 2023-02-28 | $-221,360 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-02-28 | $1,286,443 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-02-28 | $1,329,499 |
Total income from all sources (including contributions) | 2023-02-28 | $2,713,897 |
Total loss/gain on sale of assets | 2023-02-28 | $675 |
Total of all expenses incurred | 2023-02-28 | $2,828,339 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-02-28 | $2,670,251 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-02-28 | $2,861,379 |
Value of total assets at end of year | 2023-02-28 | $5,872,642 |
Value of total assets at beginning of year | 2023-02-28 | $6,030,140 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-02-28 | $158,088 |
Total interest from all sources | 2023-02-28 | $2,006 |
Total dividends received (eg from common stock, registered investment company shares) | 2023-02-28 | $71,197 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-02-28 | No |
Total dividends received from registered investment company shares (eg mutual funds) | 2023-02-28 | $71,197 |
Administrative expenses professional fees incurred | 2023-02-28 | $67,291 |
Was this plan covered by a fidelity bond | 2023-02-28 | Yes |
Value of fidelity bond cover | 2023-02-28 | $500,000 |
If this is an individual account plan, was there a blackout period | 2023-02-28 | No |
Were there any nonexempt tranactions with any party-in-interest | 2023-02-28 | No |
Contributions received from participants | 2023-02-28 | $28,810 |
Assets. Other investments not covered elsewhere at end of year | 2023-02-28 | $4,286,865 |
Assets. Other investments not covered elsewhere at beginning of year | 2023-02-28 | $4,508,226 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2023-02-28 | $-43,056 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-02-28 | $117,757 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2023-02-28 | $846,198 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2023-02-28 | $918,642 |
Administrative expenses (other) incurred | 2023-02-28 | $17,556 |
Total non interest bearing cash at end of year | 2023-02-28 | $853,843 |
Total non interest bearing cash at beginning of year | 2023-02-28 | $671,075 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-02-28 | No |
Value of net income/loss | 2023-02-28 | $-114,442 |
Value of net assets at end of year (total assets less liabilities) | 2023-02-28 | $4,586,199 |
Value of net assets at beginning of year (total assets less liabilities) | 2023-02-28 | $4,700,641 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-02-28 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2023-02-28 | No |
Were any leases to which the plan was party in default or uncollectible | 2023-02-28 | No |
Investment advisory and management fees | 2023-02-28 | $10,864 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-02-28 | $448,305 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-02-28 | $435,832 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-02-28 | $435,832 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-02-28 | $2,006 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2023-02-28 | $2,713,307 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-02-28 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2023-02-28 | No |
Has the plan failed to provide any benefit when due under the plan | 2023-02-28 | No |
Contributions received in cash from employer | 2023-02-28 | $2,832,569 |
Employer contributions (assets) at end of year | 2023-02-28 | $283,629 |
Employer contributions (assets) at beginning of year | 2023-02-28 | $297,250 |
Contract administrator fees | 2023-02-28 | $62,377 |
Liabilities. Value of benefit claims payable at end of year | 2023-02-28 | $440,245 |
Liabilities. Value of benefit claims payable at beginning of year | 2023-02-28 | $410,857 |
Did the plan have assets held for investment | 2023-02-28 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-02-28 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-02-28 | No |
Aggregate proceeds on sale of assets | 2023-02-28 | $675 |
Opinion of an independent qualified public accountant for this plan | 2023-02-28 | Unqualified |
Accountancy firm name | 2023-02-28 | MC GROUP HAWAII, INC. |
Accountancy firm EIN | 2023-02-28 | 273701730 |
2022 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2022 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2022-02-28 | $-134,462 |
Total unrealized appreciation/depreciation of assets | 2022-02-28 | $-134,462 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-02-28 | $1,329,499 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-02-28 | $1,119,023 |
Total income from all sources (including contributions) | 2022-02-28 | $3,143,573 |
Total of all expenses incurred | 2022-02-28 | $4,063,528 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-02-28 | $3,891,397 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-02-28 | $2,981,093 |
Value of total assets at end of year | 2022-02-28 | $5,912,383 |
Value of total assets at beginning of year | 2022-02-28 | $5,502,839 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-02-28 | $172,131 |
Total interest from all sources | 2022-02-28 | $155 |
Total dividends received (eg from common stock, registered investment company shares) | 2022-02-28 | $41,544 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-02-28 | No |
Total dividends received from registered investment company shares (eg mutual funds) | 2022-02-28 | $41,544 |
Administrative expenses professional fees incurred | 2022-02-28 | $93,311 |
Was this plan covered by a fidelity bond | 2022-02-28 | Yes |
Value of fidelity bond cover | 2022-02-28 | $500,000 |
If this is an individual account plan, was there a blackout period | 2022-02-28 | No |
Were there any nonexempt tranactions with any party-in-interest | 2022-02-28 | No |
Contributions received from participants | 2022-02-28 | $43,102 |
Assets. Other investments not covered elsewhere at end of year | 2022-02-28 | $4,508,226 |
Assets. Other investments not covered elsewhere at beginning of year | 2022-02-28 | $4,383,311 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2022-02-28 | $1,329,499 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-02-28 | $117,757 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-02-28 | $373,000 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-02-28 | $918,642 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-02-28 | $700,628 |
Other income not declared elsewhere | 2022-02-28 | $255,243 |
Administrative expenses (other) incurred | 2022-02-28 | $8,650 |
Total non interest bearing cash at end of year | 2022-02-28 | $671,075 |
Total non interest bearing cash at beginning of year | 2022-02-28 | $475,225 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-02-28 | No |
Value of net income/loss | 2022-02-28 | $-919,955 |
Value of net assets at end of year (total assets less liabilities) | 2022-02-28 | $4,582,884 |
Value of net assets at beginning of year (total assets less liabilities) | 2022-02-28 | $5,502,839 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-02-28 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2022-02-28 | No |
Were any leases to which the plan was party in default or uncollectible | 2022-02-28 | No |
Investment advisory and management fees | 2022-02-28 | $9,479 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-02-28 | $435,832 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-02-28 | $644,303 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-02-28 | $644,303 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-02-28 | $155 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2022-02-28 | $2,561,898 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-02-28 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2022-02-28 | No |
Has the plan failed to provide any benefit when due under the plan | 2022-02-28 | No |
Contributions received in cash from employer | 2022-02-28 | $2,937,991 |
Employer contributions (assets) at end of year | 2022-02-28 | $297,250 |
Employer contributions (assets) at beginning of year | 2022-02-28 | $290,335 |
Contract administrator fees | 2022-02-28 | $60,691 |
Liabilities. Value of benefit claims payable at end of year | 2022-02-28 | $410,857 |
Liabilities. Value of benefit claims payable at beginning of year | 2022-02-28 | $418,395 |
Did the plan have assets held for investment | 2022-02-28 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-02-28 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-02-28 | No |
Opinion of an independent qualified public accountant for this plan | 2022-02-28 | Unqualified |
Accountancy firm name | 2022-02-28 | MC GROUP HAWAII, INC. |
Accountancy firm EIN | 2022-02-28 | 273701730 |
2021 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2021 401k financial data |
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Unrealized appreciation/depreciation of real estate assets | 2021-02-28 | $23,242 |
Total unrealized appreciation/depreciation of assets | 2021-02-28 | $23,242 |
Total income from all sources (including contributions) | 2021-02-28 | $2,627,759 |
Total loss/gain on sale of assets | 2021-02-28 | $6,100 |
Total of all expenses incurred | 2021-02-28 | $2,750,597 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-02-28 | $2,599,956 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-02-28 | $2,519,989 |
Value of total assets at end of year | 2021-02-28 | $5,502,839 |
Value of total assets at beginning of year | 2021-02-28 | $5,625,677 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-02-28 | $150,641 |
Total interest from all sources | 2021-02-28 | $1,264 |
Total dividends received (eg from common stock, registered investment company shares) | 2021-02-28 | $61,031 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-02-28 | No |
Total dividends received from registered investment company shares (eg mutual funds) | 2021-02-28 | $61,031 |
Administrative expenses professional fees incurred | 2021-02-28 | $79,394 |
Was this plan covered by a fidelity bond | 2021-02-28 | Yes |
Value of fidelity bond cover | 2021-02-28 | $500,000 |
If this is an individual account plan, was there a blackout period | 2021-02-28 | No |
Were there any nonexempt tranactions with any party-in-interest | 2021-02-28 | No |
Contributions received from participants | 2021-02-28 | $21,342 |
Assets. Other investments not covered elsewhere at end of year | 2021-02-28 | $4,383,311 |
Assets. Other investments not covered elsewhere at beginning of year | 2021-02-28 | $4,570,290 |
Other income not declared elsewhere | 2021-02-28 | $16,133 |
Administrative expenses (other) incurred | 2021-02-28 | $8,116 |
Total non interest bearing cash at end of year | 2021-02-28 | $597,159 |
Total non interest bearing cash at beginning of year | 2021-02-28 | $801,270 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-02-28 | No |
Value of net income/loss | 2021-02-28 | $-122,838 |
Value of net assets at end of year (total assets less liabilities) | 2021-02-28 | $5,502,839 |
Value of net assets at beginning of year (total assets less liabilities) | 2021-02-28 | $5,625,677 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-02-28 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2021-02-28 | No |
Were any leases to which the plan was party in default or uncollectible | 2021-02-28 | No |
Investment advisory and management fees | 2021-02-28 | $10,796 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-02-28 | $522,369 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-02-28 | $254,117 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-02-28 | $254,117 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-02-28 | $1,264 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2021-02-28 | $2,599,956 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-02-28 | No |
Was there a failure to transmit to the plan any participant contributions | 2021-02-28 | No |
Has the plan failed to provide any benefit when due under the plan | 2021-02-28 | No |
Contributions received in cash from employer | 2021-02-28 | $2,498,647 |
Contract administrator fees | 2021-02-28 | $52,335 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-02-28 | No |
Did the plan have assets held for investment | 2021-02-28 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-02-28 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-02-28 | No |
Aggregate proceeds on sale of assets | 2021-02-28 | $6,100 |
Opinion of an independent qualified public accountant for this plan | 2021-02-28 | Unqualified |
Accountancy firm name | 2021-02-28 | EIDE BALLY LLP |
Accountancy firm EIN | 2021-02-28 | 450250958 |
2020 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2020 401k financial data |
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Unrealized appreciation/depreciation of real estate assets | 2020-02-29 | $140,178 |
Total unrealized appreciation/depreciation of assets | 2020-02-29 | $140,178 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-02-29 | $0 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-02-29 | $981,037 |
Total income from all sources (including contributions) | 2020-02-29 | $2,908,938 |
Total loss/gain on sale of assets | 2020-02-29 | $228 |
Total of all expenses incurred | 2020-02-29 | $2,134,407 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-02-29 | $2,008,361 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-02-29 | $2,656,224 |
Value of total assets at end of year | 2020-02-29 | $5,625,677 |
Value of total assets at beginning of year | 2020-02-29 | $5,832,183 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-02-29 | $126,046 |
Total interest from all sources | 2020-02-29 | $105,959 |
Total dividends received (eg from common stock, registered investment company shares) | 2020-02-29 | $97,297 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-02-29 | No |
Total dividends received from registered investment company shares (eg mutual funds) | 2020-02-29 | $97,297 |
Administrative expenses professional fees incurred | 2020-02-29 | $48,286 |
Was this plan covered by a fidelity bond | 2020-02-29 | Yes |
Value of fidelity bond cover | 2020-02-29 | $500,000 |
If this is an individual account plan, was there a blackout period | 2020-02-29 | No |
Were there any nonexempt tranactions with any party-in-interest | 2020-02-29 | No |
Contributions received from participants | 2020-02-29 | $25,862 |
Assets. Other investments not covered elsewhere at end of year | 2020-02-29 | $4,570,290 |
Assets. Other investments not covered elsewhere at beginning of year | 2020-02-29 | $4,265,695 |
Income. Received or receivable in cash from other sources (including rollovers) | 2020-02-29 | $6,349 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2020-02-29 | $-627,167 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-02-29 | $255,243 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-02-29 | $1,084,696 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-02-29 | $587,899 |
Other income not declared elsewhere | 2020-02-29 | $6,349 |
Administrative expenses (other) incurred | 2020-02-29 | $15,026 |
Liabilities. Value of operating payables at end of year | 2020-02-29 | $0 |
Liabilities. Value of operating payables at beginning of year | 2020-02-29 | $8,950 |
Total non interest bearing cash at end of year | 2020-02-29 | $801,270 |
Total non interest bearing cash at beginning of year | 2020-02-29 | $500,310 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-02-29 | No |
Value of net income/loss | 2020-02-29 | $774,531 |
Value of net assets at end of year (total assets less liabilities) | 2020-02-29 | $5,625,677 |
Value of net assets at beginning of year (total assets less liabilities) | 2020-02-29 | $4,851,146 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-02-29 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2020-02-29 | No |
Were any leases to which the plan was party in default or uncollectible | 2020-02-29 | No |
Investment advisory and management fees | 2020-02-29 | $10,399 |
Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-02-29 | $4,570,290 |
Interest earned on other investments | 2020-02-29 | $96,605 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-02-29 | $254,117 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-02-29 | $712,306 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-02-29 | $712,306 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-02-29 | $9,354 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2020-02-29 | $2,635,528 |
Asset value of US Government securities at beginning of year | 2020-02-29 | $712,306 |
Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-02-29 | $140,406 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-02-29 | No |
Was there a failure to transmit to the plan any participant contributions | 2020-02-29 | No |
Has the plan failed to provide any benefit when due under the plan | 2020-02-29 | No |
Contributions received in cash from employer | 2020-02-29 | $2,630,362 |
Employer contributions (assets) at end of year | 2020-02-29 | $0 |
Employer contributions (assets) at beginning of year | 2020-02-29 | $353,872 |
Contract administrator fees | 2020-02-29 | $52,335 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-02-29 | No |
Liabilities. Value of benefit claims payable at end of year | 2020-02-29 | $0 |
Liabilities. Value of benefit claims payable at beginning of year | 2020-02-29 | $384,188 |
Did the plan have assets held for investment | 2020-02-29 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-02-29 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-02-29 | No |
Aggregate proceeds on sale of assets | 2020-02-29 | $228 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-02-29 | No |
Opinion of an independent qualified public accountant for this plan | 2020-02-29 | Unqualified |
Accountancy firm name | 2020-02-29 | EIDE BAILLY LLP |
Accountancy firm EIN | 2020-02-29 | 450250958 |
2019 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2019 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2019-02-28 | $26,277 |
Total unrealized appreciation/depreciation of assets | 2019-02-28 | $26,277 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-02-28 | $981,037 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-02-28 | $1,008,099 |
Total income from all sources (including contributions) | 2019-02-28 | $2,690,361 |
Total of all expenses incurred | 2019-02-28 | $2,466,248 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-02-28 | $2,336,842 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-02-28 | $2,570,894 |
Value of total assets at end of year | 2019-02-28 | $5,832,183 |
Value of total assets at beginning of year | 2019-02-28 | $5,635,132 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-02-28 | $129,406 |
Total interest from all sources | 2019-02-28 | $90,145 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-02-28 | No |
Administrative expenses professional fees incurred | 2019-02-28 | $47,442 |
Was this plan covered by a fidelity bond | 2019-02-28 | Yes |
Value of fidelity bond cover | 2019-02-28 | $500,000 |
Were there any nonexempt tranactions with any party-in-interest | 2019-02-28 | No |
Contributions received from participants | 2019-02-28 | $40,849 |
Assets. Other investments not covered elsewhere at end of year | 2019-02-28 | $4,265,695 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2019-02-28 | $-42,802 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-02-28 | $587,899 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-02-28 | $630,701 |
Other income not declared elsewhere | 2019-02-28 | $3,045 |
Administrative expenses (other) incurred | 2019-02-28 | $19,599 |
Liabilities. Value of operating payables at end of year | 2019-02-28 | $8,950 |
Total non interest bearing cash at end of year | 2019-02-28 | $500,310 |
Total non interest bearing cash at beginning of year | 2019-02-28 | $817,914 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-02-28 | No |
Value of net income/loss | 2019-02-28 | $224,113 |
Value of net assets at end of year (total assets less liabilities) | 2019-02-28 | $4,851,146 |
Value of net assets at beginning of year (total assets less liabilities) | 2019-02-28 | $4,627,033 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-02-28 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2019-02-28 | No |
Were any leases to which the plan was party in default or uncollectible | 2019-02-28 | No |
Investment advisory and management fees | 2019-02-28 | $10,030 |
Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-02-28 | $4,239,418 |
Interest earned on other investments | 2019-02-28 | $83,182 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-02-28 | $712,306 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-02-28 | $245,375 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-02-28 | $245,375 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-02-28 | $6,963 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2019-02-28 | $2,379,644 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-02-28 | No |
Was there a failure to transmit to the plan any participant contributions | 2019-02-28 | No |
Has the plan failed to provide any benefit when due under the plan | 2019-02-28 | No |
Contributions received in cash from employer | 2019-02-28 | $2,530,045 |
Employer contributions (assets) at end of year | 2019-02-28 | $353,872 |
Employer contributions (assets) at beginning of year | 2019-02-28 | $332,425 |
Contract administrator fees | 2019-02-28 | $52,335 |
Liabilities. Value of benefit claims payable at end of year | 2019-02-28 | $384,188 |
Liabilities. Value of benefit claims payable at beginning of year | 2019-02-28 | $377,398 |
Did the plan have assets held for investment | 2019-02-28 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-02-28 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-02-28 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-02-28 | No |
Opinion of an independent qualified public accountant for this plan | 2019-02-28 | Unqualified |
Accountancy firm name | 2019-02-28 | EIDE BAILLY LLP |
Accountancy firm EIN | 2019-02-28 | 450250958 |
2018 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2018 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2018-02-28 | $-9,728 |
Total unrealized appreciation/depreciation of assets | 2018-02-28 | $-9,728 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-02-28 | $1,008,099 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-02-28 | $1,236,339 |
Total income from all sources (including contributions) | 2018-02-28 | $2,764,699 |
Total of all expenses incurred | 2018-02-28 | $2,324,833 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-02-28 | $2,207,552 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-02-28 | $2,706,895 |
Value of total assets at end of year | 2018-02-28 | $5,635,132 |
Value of total assets at beginning of year | 2018-02-28 | $5,423,506 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-02-28 | $117,281 |
Total interest from all sources | 2018-02-28 | $3,062 |
Total dividends received (eg from common stock, registered investment company shares) | 2018-02-28 | $51,470 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-02-28 | No |
Total dividends received from registered investment company shares (eg mutual funds) | 2018-02-28 | $51,470 |
Administrative expenses professional fees incurred | 2018-02-28 | $37,894 |
Was this plan covered by a fidelity bond | 2018-02-28 | Yes |
Value of fidelity bond cover | 2018-02-28 | $500,000 |
If this is an individual account plan, was there a blackout period | 2018-02-28 | No |
Were there any nonexempt tranactions with any party-in-interest | 2018-02-28 | No |
Contributions received from participants | 2018-02-28 | $30,348 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2018-02-28 | $-226,632 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-02-28 | $1,951 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-02-28 | $630,701 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-02-28 | $857,333 |
Other income not declared elsewhere | 2018-02-28 | $69,672 |
Administrative expenses (other) incurred | 2018-02-28 | $18,099 |
Liabilities. Value of operating payables at beginning of year | 2018-02-28 | $98 |
Total non interest bearing cash at end of year | 2018-02-28 | $817,914 |
Total non interest bearing cash at beginning of year | 2018-02-28 | $1,421,722 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-02-28 | No |
Value of net income/loss | 2018-02-28 | $439,866 |
Value of net assets at end of year (total assets less liabilities) | 2018-02-28 | $4,627,033 |
Value of net assets at beginning of year (total assets less liabilities) | 2018-02-28 | $4,187,167 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-02-28 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2018-02-28 | No |
Were any leases to which the plan was party in default or uncollectible | 2018-02-28 | No |
Investment advisory and management fees | 2018-02-28 | $8,953 |
Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-02-28 | $4,239,418 |
Income. Interest from US Government securities | 2018-02-28 | $2,292 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-02-28 | $245,375 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-02-28 | $3,684,540 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-02-28 | $3,684,540 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-02-28 | $770 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2018-02-28 | $2,434,184 |
Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-02-28 | $-56,672 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-02-28 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2018-02-28 | No |
Has the plan failed to provide any benefit when due under the plan | 2018-02-28 | No |
Contributions received in cash from employer | 2018-02-28 | $2,676,547 |
Employer contributions (assets) at end of year | 2018-02-28 | $332,425 |
Employer contributions (assets) at beginning of year | 2018-02-28 | $315,293 |
Contract administrator fees | 2018-02-28 | $52,335 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-02-28 | No |
Liabilities. Value of benefit claims payable at end of year | 2018-02-28 | $377,398 |
Liabilities. Value of benefit claims payable at beginning of year | 2018-02-28 | $378,908 |
Did the plan have assets held for investment | 2018-02-28 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-02-28 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-02-28 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-02-28 | No |
Opinion of an independent qualified public accountant for this plan | 2018-02-28 | Unqualified |
Accountancy firm name | 2018-02-28 | VAVRINEK, TRINE, DAY & CO., LLP |
Accountancy firm EIN | 2018-02-28 | 952648289 |
2017 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2017 401k financial data |
---|
Total unrealized appreciation/depreciation of assets | 2017-02-28 | $0 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-02-28 | $98 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-02-28 | $16,079 |
Total income from all sources (including contributions) | 2017-02-28 | $3,275,889 |
Total loss/gain on sale of assets | 2017-02-28 | $0 |
Total of all expenses incurred | 2017-02-28 | $2,384,870 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-02-28 | $2,271,464 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-02-28 | $3,235,116 |
Value of total assets at end of year | 2017-02-28 | $5,423,506 |
Value of total assets at beginning of year | 2017-02-28 | $4,548,468 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-02-28 | $113,406 |
Total interest from all sources | 2017-02-28 | $18,413 |
Total dividends received (eg from common stock, registered investment company shares) | 2017-02-28 | $0 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-02-28 | No |
Administrative expenses professional fees incurred | 2017-02-28 | $43,420 |
Was this plan covered by a fidelity bond | 2017-02-28 | Yes |
Value of fidelity bond cover | 2017-02-28 | $500,000 |
If this is an individual account plan, was there a blackout period | 2017-02-28 | No |
Were there any nonexempt tranactions with any party-in-interest | 2017-02-28 | No |
Contributions received from participants | 2017-02-28 | $22,595 |
Income. Received or receivable in cash from other sources (including rollovers) | 2017-02-28 | $30,512 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-02-28 | $1,951 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-02-28 | $3,139 |
Other income not declared elsewhere | 2017-02-28 | $22,360 |
Administrative expenses (other) incurred | 2017-02-28 | $9,799 |
Liabilities. Value of operating payables at end of year | 2017-02-28 | $98 |
Liabilities. Value of operating payables at beginning of year | 2017-02-28 | $16,079 |
Total non interest bearing cash at end of year | 2017-02-28 | $1,421,722 |
Total non interest bearing cash at beginning of year | 2017-02-28 | $554,885 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-02-28 | No |
Value of net income/loss | 2017-02-28 | $891,019 |
Value of net assets at end of year (total assets less liabilities) | 2017-02-28 | $5,423,408 |
Value of net assets at beginning of year (total assets less liabilities) | 2017-02-28 | $4,532,389 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-02-28 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2017-02-28 | No |
Were any leases to which the plan was party in default or uncollectible | 2017-02-28 | No |
Investment advisory and management fees | 2017-02-28 | $7,852 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-02-28 | $3,684,540 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-02-28 | $3,670,708 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-02-28 | $3,670,708 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-02-28 | $18,413 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-02-28 | No |
Was there a failure to transmit to the plan any participant contributions | 2017-02-28 | No |
Has the plan failed to provide any benefit when due under the plan | 2017-02-28 | No |
Contributions received in cash from employer | 2017-02-28 | $3,182,009 |
Employer contributions (assets) at end of year | 2017-02-28 | $315,293 |
Employer contributions (assets) at beginning of year | 2017-02-28 | $319,736 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-02-28 | $2,271,464 |
Contract administrator fees | 2017-02-28 | $52,335 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-02-28 | No |
Did the plan have assets held for investment | 2017-02-28 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-02-28 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-02-28 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-02-28 | No |
Opinion of an independent qualified public accountant for this plan | 2017-02-28 | Unqualified |
Accountancy firm name | 2017-02-28 | G. USHIJIMA CPA LLC |
Accountancy firm EIN | 2017-02-28 | 201318913 |
2016 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2016 401k financial data |
---|
Total unrealized appreciation/depreciation of assets | 2016-12-31 | $0 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $98 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $16,079 |
Total income from all sources (including contributions) | 2016-12-31 | $3,275,889 |
Total loss/gain on sale of assets | 2016-12-31 | $0 |
Total of all expenses incurred | 2016-12-31 | $2,384,870 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $2,271,464 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $3,235,116 |
Value of total assets at end of year | 2016-12-31 | $5,423,506 |
Value of total assets at beginning of year | 2016-12-31 | $4,548,468 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $113,406 |
Total interest from all sources | 2016-12-31 | $18,413 |
Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $0 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
Administrative expenses professional fees incurred | 2016-12-31 | $43,420 |
Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
Value of fidelity bond cover | 2016-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
Contributions received from participants | 2016-12-31 | $22,595 |
Income. Received or receivable in cash from other sources (including rollovers) | 2016-12-31 | $30,512 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $1,951 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $3,139 |
Other income not declared elsewhere | 2016-12-31 | $22,360 |
Administrative expenses (other) incurred | 2016-12-31 | $9,799 |
Liabilities. Value of operating payables at end of year | 2016-12-31 | $98 |
Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $16,079 |
Total non interest bearing cash at end of year | 2016-12-31 | $1,421,722 |
Total non interest bearing cash at beginning of year | 2016-12-31 | $554,885 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
Value of net income/loss | 2016-12-31 | $891,019 |
Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $5,423,408 |
Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $4,532,389 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
Investment advisory and management fees | 2016-12-31 | $7,852 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $3,684,540 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $3,670,708 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $3,670,708 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $18,413 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
Contributions received in cash from employer | 2016-12-31 | $3,182,009 |
Employer contributions (assets) at end of year | 2016-12-31 | $315,293 |
Employer contributions (assets) at beginning of year | 2016-12-31 | $319,736 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $2,271,464 |
Contract administrator fees | 2016-12-31 | $52,335 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-12-31 | No |
Did the plan have assets held for investment | 2016-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
Accountancy firm name | 2016-12-31 | G. USHIJIMA CPA LLC |
Accountancy firm EIN | 2016-12-31 | 201318913 |
Total unrealized appreciation/depreciation of assets | 2016-02-29 | $0 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-02-29 | $344,735 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-02-29 | $262,509 |
Total income from all sources (including contributions) | 2016-02-29 | $2,390,333 |
Total loss/gain on sale of assets | 2016-02-29 | $0 |
Total of all expenses incurred | 2016-02-29 | $1,948,661 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-02-29 | $1,833,079 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-02-29 | $2,339,010 |
Value of total assets at end of year | 2016-02-29 | $4,548,468 |
Value of total assets at beginning of year | 2016-02-29 | $4,024,570 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-02-29 | $115,582 |
Total interest from all sources | 2016-02-29 | $41,495 |
Total dividends received (eg from common stock, registered investment company shares) | 2016-02-29 | $0 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-02-29 | No |
Administrative expenses professional fees incurred | 2016-02-29 | $46,331 |
Was this plan covered by a fidelity bond | 2016-02-29 | Yes |
Value of fidelity bond cover | 2016-02-29 | $500,000 |
If this is an individual account plan, was there a blackout period | 2016-02-29 | No |
Were there any nonexempt tranactions with any party-in-interest | 2016-02-29 | No |
Contributions received from participants | 2016-02-29 | $22,110 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-02-29 | $3,139 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-02-29 | $2,310 |
Other income not declared elsewhere | 2016-02-29 | $9,828 |
Administrative expenses (other) incurred | 2016-02-29 | $9,107 |
Liabilities. Value of operating payables at end of year | 2016-02-29 | $16,079 |
Liabilities. Value of operating payables at beginning of year | 2016-02-29 | $9,918 |
Total non interest bearing cash at end of year | 2016-02-29 | $554,885 |
Total non interest bearing cash at beginning of year | 2016-02-29 | $422,170 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-02-29 | No |
Value of net income/loss | 2016-02-29 | $441,672 |
Value of net assets at end of year (total assets less liabilities) | 2016-02-29 | $4,203,733 |
Value of net assets at beginning of year (total assets less liabilities) | 2016-02-29 | $3,762,061 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-02-29 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2016-02-29 | No |
Were any leases to which the plan was party in default or uncollectible | 2016-02-29 | No |
Investment advisory and management fees | 2016-02-29 | $7,809 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-02-29 | $3,670,708 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-02-29 | $3,480,528 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-02-29 | $3,480,528 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-02-29 | $41,495 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2016-02-29 | $1,833,079 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-02-29 | No |
Was there a failure to transmit to the plan any participant contributions | 2016-02-29 | No |
Has the plan failed to provide any benefit when due under the plan | 2016-02-29 | No |
Contributions received in cash from employer | 2016-02-29 | $2,316,900 |
Employer contributions (assets) at end of year | 2016-02-29 | $319,736 |
Employer contributions (assets) at beginning of year | 2016-02-29 | $119,562 |
Contract administrator fees | 2016-02-29 | $52,335 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-02-29 | No |
Liabilities. Value of benefit claims payable at end of year | 2016-02-29 | $328,656 |
Liabilities. Value of benefit claims payable at beginning of year | 2016-02-29 | $252,591 |
Did the plan have assets held for investment | 2016-02-29 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-02-29 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-02-29 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-02-29 | No |
Opinion of an independent qualified public accountant for this plan | 2016-02-29 | Unqualified |
Accountancy firm name | 2016-02-29 | U. SHIJIMA CPA LLC |
Accountancy firm EIN | 2016-02-29 | 201318913 |
2015 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2015 401k financial data |
---|
Total unrealized appreciation/depreciation of assets | 2015-02-28 | $0 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-02-28 | $262,509 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-02-28 | $333,521 |
Total income from all sources (including contributions) | 2015-02-28 | $1,658,470 |
Total loss/gain on sale of assets | 2015-02-28 | $0 |
Total of all expenses incurred | 2015-02-28 | $1,583,823 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-02-28 | $1,459,119 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-02-28 | $1,640,434 |
Value of total assets at end of year | 2015-02-28 | $4,024,570 |
Value of total assets at beginning of year | 2015-02-28 | $4,020,935 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-02-28 | $124,704 |
Total interest from all sources | 2015-02-28 | $17,224 |
Total dividends received (eg from common stock, registered investment company shares) | 2015-02-28 | $0 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-02-28 | No |
Administrative expenses professional fees incurred | 2015-02-28 | $53,736 |
Was this plan covered by a fidelity bond | 2015-02-28 | Yes |
Value of fidelity bond cover | 2015-02-28 | $500,000 |
If this is an individual account plan, was there a blackout period | 2015-02-28 | No |
Were there any nonexempt tranactions with any party-in-interest | 2015-02-28 | No |
Contributions received from participants | 2015-02-28 | $22,957 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-02-28 | $2,310 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-02-28 | $8,613 |
Other income not declared elsewhere | 2015-02-28 | $812 |
Administrative expenses (other) incurred | 2015-02-28 | $11,327 |
Liabilities. Value of operating payables at end of year | 2015-02-28 | $9,918 |
Liabilities. Value of operating payables at beginning of year | 2015-02-28 | $5,976 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-02-28 | No |
Value of net income/loss | 2015-02-28 | $74,647 |
Value of net assets at end of year (total assets less liabilities) | 2015-02-28 | $3,762,061 |
Value of net assets at beginning of year (total assets less liabilities) | 2015-02-28 | $3,687,414 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-02-28 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2015-02-28 | No |
Were any leases to which the plan was party in default or uncollectible | 2015-02-28 | No |
Investment advisory and management fees | 2015-02-28 | $7,306 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-02-28 | $3,902,698 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-02-28 | $3,929,817 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-02-28 | $3,929,817 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-02-28 | $17,224 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2015-02-28 | $1,459,119 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-02-28 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2015-02-28 | No |
Has the plan failed to provide any benefit when due under the plan | 2015-02-28 | No |
Contributions received in cash from employer | 2015-02-28 | $1,617,477 |
Employer contributions (assets) at end of year | 2015-02-28 | $119,562 |
Employer contributions (assets) at beginning of year | 2015-02-28 | $82,505 |
Contract administrator fees | 2015-02-28 | $52,335 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-02-28 | No |
Liabilities. Value of benefit claims payable at end of year | 2015-02-28 | $252,591 |
Liabilities. Value of benefit claims payable at beginning of year | 2015-02-28 | $327,545 |
Did the plan have assets held for investment | 2015-02-28 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-02-28 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-02-28 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-02-28 | No |
Opinion of an independent qualified public accountant for this plan | 2015-02-28 | Unqualified |
Accountancy firm name | 2015-02-28 | G. USHIJIMA CPA LLC |
Accountancy firm EIN | 2015-02-28 | 201318913 |
2014 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2014 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2014-02-28 | $0 |
Total unrealized appreciation/depreciation of assets | 2014-02-28 | $0 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-02-28 | $333,521 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-02-28 | $225,496 |
Total income from all sources (including contributions) | 2014-02-28 | $1,316,718 |
Total loss/gain on sale of assets | 2014-02-28 | $0 |
Total of all expenses incurred | 2014-02-28 | $1,463,777 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-02-28 | $1,332,117 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-02-28 | $1,303,372 |
Value of total assets at end of year | 2014-02-28 | $4,020,935 |
Value of total assets at beginning of year | 2014-02-28 | $4,059,969 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-02-28 | $131,660 |
Total interest from all sources | 2014-02-28 | $1,519 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-02-28 | No |
Administrative expenses professional fees incurred | 2014-02-28 | $65,065 |
Was this plan covered by a fidelity bond | 2014-02-28 | Yes |
Value of fidelity bond cover | 2014-02-28 | $500,000 |
If this is an individual account plan, was there a blackout period | 2014-02-28 | No |
Were there any nonexempt tranactions with any party-in-interest | 2014-02-28 | No |
Contributions received from participants | 2014-02-28 | $28,302 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-02-28 | $8,613 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-02-28 | $63,467 |
Other income not declared elsewhere | 2014-02-28 | $11,827 |
Administrative expenses (other) incurred | 2014-02-28 | $6,715 |
Liabilities. Value of operating payables at end of year | 2014-02-28 | $5,976 |
Liabilities. Value of operating payables at beginning of year | 2014-02-28 | $6,192 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-02-28 | No |
Value of net income/loss | 2014-02-28 | $-147,059 |
Value of net assets at end of year (total assets less liabilities) | 2014-02-28 | $3,687,414 |
Value of net assets at beginning of year (total assets less liabilities) | 2014-02-28 | $3,834,473 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-02-28 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2014-02-28 | No |
Were any leases to which the plan was party in default or uncollectible | 2014-02-28 | No |
Investment advisory and management fees | 2014-02-28 | $7,545 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-02-28 | $3,929,817 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-02-28 | $3,852,536 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-02-28 | $3,852,536 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-02-28 | $1,519 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2014-02-28 | $1,332,117 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-02-28 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2014-02-28 | No |
Has the plan failed to provide any benefit when due under the plan | 2014-02-28 | No |
Contributions received in cash from employer | 2014-02-28 | $1,275,070 |
Employer contributions (assets) at end of year | 2014-02-28 | $82,505 |
Employer contributions (assets) at beginning of year | 2014-02-28 | $143,966 |
Contract administrator fees | 2014-02-28 | $52,335 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-02-28 | No |
Liabilities. Value of benefit claims payable at end of year | 2014-02-28 | $327,545 |
Liabilities. Value of benefit claims payable at beginning of year | 2014-02-28 | $219,304 |
Did the plan have assets held for investment | 2014-02-28 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-02-28 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-02-28 | No |
Aggregate proceeds on sale of assets | 2014-02-28 | $3,007,005 |
Aggregate carrying amount (costs) on sale of assets | 2014-02-28 | $3,007,005 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-02-28 | No |
Opinion of an independent qualified public accountant for this plan | 2014-02-28 | Unqualified |
Accountancy firm name | 2014-02-28 | LEMKE, CHINEN & TANAKA, CPA, INC. |
Accountancy firm EIN | 2014-02-28 | 990155373 |
2013 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2013 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2013-02-28 | $3,525 |
Total unrealized appreciation/depreciation of assets | 2013-02-28 | $3,525 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-02-28 | $225,496 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-02-28 | $128,608 |
Total income from all sources (including contributions) | 2013-02-28 | $1,366,967 |
Total loss/gain on sale of assets | 2013-02-28 | $-6,617 |
Total of all expenses incurred | 2013-02-28 | $1,685,414 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-02-28 | $1,562,189 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-02-28 | $1,357,658 |
Value of total assets at end of year | 2013-02-28 | $4,059,969 |
Value of total assets at beginning of year | 2013-02-28 | $4,281,528 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-02-28 | $123,225 |
Total interest from all sources | 2013-02-28 | $8,365 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-02-28 | No |
Administrative expenses professional fees incurred | 2013-02-28 | $56,841 |
Was this plan covered by a fidelity bond | 2013-02-28 | Yes |
Value of fidelity bond cover | 2013-02-28 | $500,000 |
If this is an individual account plan, was there a blackout period | 2013-02-28 | No |
Were there any nonexempt tranactions with any party-in-interest | 2013-02-28 | No |
Contributions received from participants | 2013-02-28 | $35,348 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-02-28 | $63,467 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-02-28 | $14,907 |
Other income not declared elsewhere | 2013-02-28 | $4,036 |
Administrative expenses (other) incurred | 2013-02-28 | $6,623 |
Liabilities. Value of operating payables at end of year | 2013-02-28 | $6,192 |
Liabilities. Value of operating payables at beginning of year | 2013-02-28 | $9,447 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-02-28 | No |
Value of net income/loss | 2013-02-28 | $-318,447 |
Value of net assets at end of year (total assets less liabilities) | 2013-02-28 | $3,834,473 |
Value of net assets at beginning of year (total assets less liabilities) | 2013-02-28 | $4,152,920 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-02-28 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2013-02-28 | No |
Were any leases to which the plan was party in default or uncollectible | 2013-02-28 | No |
Investment advisory and management fees | 2013-02-28 | $7,426 |
Income. Interest from US Government securities | 2013-02-28 | $3,228 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-02-28 | $3,852,536 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-02-28 | $1,982,061 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-02-28 | $1,982,061 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-02-28 | $5,137 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2013-02-28 | $1,562,189 |
Asset value of US Government securities at end of year | 2013-02-28 | $0 |
Asset value of US Government securities at beginning of year | 2013-02-28 | $2,176,085 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-02-28 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2013-02-28 | No |
Has the plan failed to provide any benefit when due under the plan | 2013-02-28 | No |
Contributions received in cash from employer | 2013-02-28 | $1,322,310 |
Employer contributions (assets) at end of year | 2013-02-28 | $143,966 |
Employer contributions (assets) at beginning of year | 2013-02-28 | $108,475 |
Contract administrator fees | 2013-02-28 | $52,335 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-02-28 | No |
Liabilities. Value of benefit claims payable at end of year | 2013-02-28 | $219,304 |
Liabilities. Value of benefit claims payable at beginning of year | 2013-02-28 | $119,161 |
Did the plan have assets held for investment | 2013-02-28 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-02-28 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-02-28 | No |
Aggregate proceeds on sale of assets | 2013-02-28 | $2,180,506 |
Aggregate carrying amount (costs) on sale of assets | 2013-02-28 | $2,187,123 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-02-28 | No |
Opinion of an independent qualified public accountant for this plan | 2013-02-28 | Unqualified |
Accountancy firm name | 2013-02-28 | LEMKE, CHINEN & TANAKA, C.P.A., INC |
Accountancy firm EIN | 2013-02-28 | 990155373 |
2012 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2012 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2012-02-29 | $-16,147 |
Total unrealized appreciation/depreciation of assets | 2012-02-29 | $-16,147 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-02-29 | $128,608 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-02-29 | $41,847 |
Total income from all sources (including contributions) | 2012-02-29 | $1,480,140 |
Total loss/gain on sale of assets | 2012-02-29 | $-8,810 |
Total of all expenses incurred | 2012-02-29 | $1,568,215 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-02-29 | $1,445,766 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-02-29 | $1,465,647 |
Value of total assets at end of year | 2012-02-29 | $4,281,528 |
Value of total assets at beginning of year | 2012-02-29 | $4,282,842 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-02-29 | $122,449 |
Total interest from all sources | 2012-02-29 | $32,231 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-02-29 | No |
Administrative expenses professional fees incurred | 2012-02-29 | $54,086 |
Was this plan covered by a fidelity bond | 2012-02-29 | Yes |
Value of fidelity bond cover | 2012-02-29 | $500,000 |
If this is an individual account plan, was there a blackout period | 2012-02-29 | No |
Were there any nonexempt tranactions with any party-in-interest | 2012-02-29 | No |
Contributions received from participants | 2012-02-29 | $33,814 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-02-29 | $14,907 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-02-29 | $6,875 |
Other income not declared elsewhere | 2012-02-29 | $7,219 |
Administrative expenses (other) incurred | 2012-02-29 | $7,965 |
Liabilities. Value of operating payables at end of year | 2012-02-29 | $9,447 |
Liabilities. Value of operating payables at beginning of year | 2012-02-29 | $6,186 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-02-29 | No |
Value of net income/loss | 2012-02-29 | $-88,075 |
Value of net assets at end of year (total assets less liabilities) | 2012-02-29 | $4,152,920 |
Value of net assets at beginning of year (total assets less liabilities) | 2012-02-29 | $4,240,995 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-02-29 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2012-02-29 | No |
Were any leases to which the plan was party in default or uncollectible | 2012-02-29 | No |
Investment advisory and management fees | 2012-02-29 | $8,063 |
Income. Interest from US Government securities | 2012-02-29 | $31,039 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-02-29 | $1,982,061 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-02-29 | $368,334 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-02-29 | $368,334 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-02-29 | $1,192 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2012-02-29 | $1,445,766 |
Asset value of US Government securities at end of year | 2012-02-29 | $2,176,085 |
Asset value of US Government securities at beginning of year | 2012-02-29 | $3,804,534 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-02-29 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2012-02-29 | No |
Has the plan failed to provide any benefit when due under the plan | 2012-02-29 | No |
Contributions received in cash from employer | 2012-02-29 | $1,431,833 |
Employer contributions (assets) at end of year | 2012-02-29 | $108,475 |
Employer contributions (assets) at beginning of year | 2012-02-29 | $103,099 |
Contract administrator fees | 2012-02-29 | $52,335 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-02-29 | No |
Liabilities. Value of benefit claims payable at end of year | 2012-02-29 | $119,161 |
Liabilities. Value of benefit claims payable at beginning of year | 2012-02-29 | $35,661 |
Did the plan have assets held for investment | 2012-02-29 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-02-29 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-02-29 | No |
Aggregate proceeds on sale of assets | 2012-02-29 | $6,717,403 |
Aggregate carrying amount (costs) on sale of assets | 2012-02-29 | $6,726,213 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-02-29 | No |
Opinion of an independent qualified public accountant for this plan | 2012-02-29 | Unqualified |
Accountancy firm name | 2012-02-29 | LEMKE, CHINEN & TANAKA, C.P.A., INC |
Accountancy firm EIN | 2012-02-29 | 990155373 |
2011 : CARPET, LINOLEUM & SOFT TILE LOCAL UNION 1926 HEALTH AND WELFARE TRUST FUND 2011 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2011-02-28 | $-769 |
Total unrealized appreciation/depreciation of assets | 2011-02-28 | $-769 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-02-28 | $41,847 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-02-28 | $17,750 |
Total income from all sources (including contributions) | 2011-02-28 | $1,263,272 |
Total loss/gain on sale of assets | 2011-02-28 | $0 |
Total of all expenses incurred | 2011-02-28 | $1,171,002 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-02-28 | $1,046,566 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-02-28 | $1,248,457 |
Value of total assets at end of year | 2011-02-28 | $4,282,842 |
Value of total assets at beginning of year | 2011-02-28 | $4,166,475 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-02-28 | $124,436 |
Total interest from all sources | 2011-02-28 | $14,977 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-02-28 | No |
Administrative expenses professional fees incurred | 2011-02-28 | $48,851 |
Was this plan covered by a fidelity bond | 2011-02-28 | Yes |
Value of fidelity bond cover | 2011-02-28 | $500,000 |
If this is an individual account plan, was there a blackout period | 2011-02-28 | No |
Were there any nonexempt tranactions with any party-in-interest | 2011-02-28 | No |
Contributions received from participants | 2011-02-28 | $27,991 |
Assets. Other investments not covered elsewhere at beginning of year | 2011-02-28 | $802,310 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-02-28 | $6,875 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-02-28 | $38,566 |
Other income not declared elsewhere | 2011-02-28 | $607 |
Administrative expenses (other) incurred | 2011-02-28 | $15,000 |
Liabilities. Value of operating payables at end of year | 2011-02-28 | $6,186 |
Liabilities. Value of operating payables at beginning of year | 2011-02-28 | $6,963 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-02-28 | No |
Value of net income/loss | 2011-02-28 | $92,270 |
Value of net assets at end of year (total assets less liabilities) | 2011-02-28 | $4,240,995 |
Value of net assets at beginning of year (total assets less liabilities) | 2011-02-28 | $4,148,725 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-02-28 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2011-02-28 | No |
Were any leases to which the plan was party in default or uncollectible | 2011-02-28 | No |
Investment advisory and management fees | 2011-02-28 | $8,250 |
Income. Interest from US Government securities | 2011-02-28 | $14,760 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-02-28 | $368,334 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-02-28 | $203,290 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-02-28 | $203,290 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-02-28 | $217 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2011-02-28 | $1,046,566 |
Asset value of US Government securities at end of year | 2011-02-28 | $3,804,534 |
Asset value of US Government securities at beginning of year | 2011-02-28 | $3,048,630 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-02-28 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2011-02-28 | No |
Has the plan failed to provide any benefit when due under the plan | 2011-02-28 | No |
Contributions received in cash from employer | 2011-02-28 | $1,220,466 |
Employer contributions (assets) at end of year | 2011-02-28 | $103,099 |
Employer contributions (assets) at beginning of year | 2011-02-28 | $73,679 |
Contract administrator fees | 2011-02-28 | $52,335 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-02-28 | No |
Liabilities. Value of benefit claims payable at end of year | 2011-02-28 | $35,661 |
Liabilities. Value of benefit claims payable at beginning of year | 2011-02-28 | $10,787 |
Did the plan have assets held for investment | 2011-02-28 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-02-28 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-02-28 | No |
Aggregate proceeds on sale of assets | 2011-02-28 | $6,236,348 |
Aggregate carrying amount (costs) on sale of assets | 2011-02-28 | $6,236,348 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-02-28 | No |
Opinion of an independent qualified public accountant for this plan | 2011-02-28 | Unqualified |
Accountancy firm name | 2011-02-28 | LEMKE, CHINEN & TANAKA, C.P.A., INC |
Accountancy firm EIN | 2011-02-28 | 990155373 |
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 185 |
Policy instance | 4 |
Insurance contract or identification number | 185 | Number of Individuals Covered | 192 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $4,368 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,368 | Insurance broker organization code? | 3 |
|
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) |
Policy contract number | 20592 |
Policy instance | 3 |
Insurance contract or identification number | 20592 | Number of Individuals Covered | 211 | Insurance policy start date | 2022-03-01 | Insurance policy end date | 2023-02-28 | Total amount of commissions paid to insurance broker | USD $1,644 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D | Welfare Benefit Premiums Paid to Carrier | USD $36,791 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,644 | Insurance broker organization code? | 3 |
|
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 ) |
Policy contract number | 2918,117,203,94 |
Policy instance | 2 |
Insurance contract or identification number | 2918,117,203,94 | Number of Individuals Covered | 521 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Were dividends or retroactive rate refunds paid in cash? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 184 |
Policy instance | 1 |
Insurance contract or identification number | 184 | Number of Individuals Covered | 47 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Welfare Benefit Premiums Paid to Carrier | USD $233,681 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 184 |
Policy instance | 1 |
Insurance contract or identification number | 184 | Number of Individuals Covered | 49 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 ) |
Policy contract number | 2918,117,203,94 |
Policy instance | 2 |
Insurance contract or identification number | 2918,117,203,94 | Number of Individuals Covered | 484 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Were dividends or retroactive rate refunds paid in cash? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) |
Policy contract number | 20592 |
Policy instance | 3 |
Insurance contract or identification number | 20592 | Number of Individuals Covered | 192 | Insurance policy start date | 2021-03-01 | Insurance policy end date | 2022-02-28 | Total amount of commissions paid to insurance broker | USD $1,563 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD & D | Welfare Benefit Premiums Paid to Carrier | USD $33,959 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,563 | Insurance broker organization code? | 3 |
|
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 185 |
Policy instance | 4 |
Insurance contract or identification number | 185 | Number of Individuals Covered | 182 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $4,318 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,318 | Insurance broker organization code? | 3 |
|
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 184 |
Policy instance | 1 |
Insurance contract or identification number | 184 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 ) |
Policy contract number | 2918,117,94,203 |
Policy instance | 2 |
Insurance contract or identification number | 2918,117,94,203 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) |
Policy contract number | 20592-100 |
Policy instance | 3 |
Insurance contract or identification number | 20592-100 | Insurance policy start date | 2020-03-01 | Insurance policy end date | 2021-02-28 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 185 |
Policy instance | 4 |
Insurance contract or identification number | 185 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 184 |
Policy instance | 1 |
Insurance contract or identification number | 184 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) |
Policy contract number | 20592-100 |
Policy instance | 3 |
Insurance contract or identification number | 20592-100 | Insurance policy start date | 2019-03-01 | Insurance policy end date | 2020-02-28 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 ) |
Policy contract number | 2918,117,94,203 |
Policy instance | 2 |
Insurance contract or identification number | 2918,117,94,203 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 185 |
Policy instance | 4 |
Insurance contract or identification number | 185 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 184 |
Policy instance | 1 |
Insurance contract or identification number | 184 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 ) |
Policy contract number | 2918,117,94,203 |
Policy instance | 2 |
Insurance contract or identification number | 2918,117,94,203 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) |
Policy contract number | 20592-100 |
Policy instance | 3 |
Insurance contract or identification number | 20592-100 | Insurance policy start date | 2018-03-01 | Insurance policy end date | 2019-02-28 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 185 |
Policy instance | 4 |
Insurance contract or identification number | 185 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 185 |
Policy instance | 4 |
Insurance contract or identification number | 185 | Number of Individuals Covered | 510 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $4,778 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $187,046 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,778 | Insurance broker organization code? | 3 | Insurance broker name | GROUP PLAN ADMINISTRATORS |
|
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) |
Policy contract number | 20592-100 |
Policy instance | 3 |
Insurance contract or identification number | 20592-100 | Number of Individuals Covered | 180 | Insurance policy start date | 2017-03-01 | Insurance policy end date | 2018-02-28 | Total amount of commissions paid to insurance broker | USD $1,698 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $38,496 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,698 | Insurance broker organization code? | 3 | Insurance broker name | GROUP PLAN ADMINISTRATORS |
|
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 ) |
Policy contract number | 2918,117,94,203 |
Policy instance | 2 |
Insurance contract or identification number | 2918,117,94,203 | Number of Individuals Covered | 568 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Were dividends or retroactive rate refunds paid in cash? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Insurance broker name | NONE |
|
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 184 |
Policy instance | 1 |
Insurance contract or identification number | 184 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | Insurance broker name | NONE |
|
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) |
Policy contract number | GL-20592-100 |
Policy instance | 1 |
Insurance contract or identification number | GL-20592-100 | Number of Individuals Covered | 157 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $1,463 | Total amount of fees paid to insurance company | USD $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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | 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 Carrier | USD $30,359 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,463 | Amount paid for insurance broker fees | 0 | Insurance broker organization code? | 3 | Insurance broker name | GROUP PLAN ADMINISTRATORS, INC |
|
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 ) |
Policy contract number | 2918,117,94,203 |
Policy instance | 2 |
Insurance contract or identification number | 2918,117,94,203 | Number of Individuals Covered | 432 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | Yes | 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 |
|
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 184 |
Policy instance | 3 |
Insurance contract or identification number | 184 | Number of Individuals Covered | 54 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $143,775 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 185 |
Policy instance | 4 |
Insurance contract or identification number | 185 | Number of Individuals Covered | 425 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $3,242 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Broker | USD $3,242 | Insurance broker organization code? | 3 | Insurance broker name | GROUP PLAN ADMINISTRATIONS, INC |
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KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 184 |
Policy instance | 1 |
Insurance contract or identification number | 184 | Number of Individuals Covered | 58 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $157,635 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 ) |
Policy contract number | 2918 |
Policy instance | 2 |
Insurance contract or identification number | 2918 | Number of Individuals Covered | 394 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | Yes | 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 |
|
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 185 |
Policy instance | 3 |
Insurance contract or identification number | 185 | Number of Individuals Covered | 394 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $2,861 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Broker | USD $2,861 | Insurance broker organization code? | 3 | Insurance broker name | GROUP PLAN ADMINISTRATORS, INC |
|
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) |
Policy contract number | GL-20592-100 |
Policy instance | 4 |
Insurance contract or identification number | GL-20592-100 | Number of Individuals Covered | 141 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $1,326 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | 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 Carrier | USD $26,466 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,326 | Insurance broker organization code? | 3 | Insurance broker name | GROUP PLAN ADMINISTRATORS, INC |
|
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) |
Policy contract number | GL-20592-100 |
Policy instance | 4 |
Insurance contract or identification number | GL-20592-100 | Number of Individuals Covered | 130 | Insurance policy start date | 2013-03-01 | Insurance policy end date | 2014-02-28 | Total amount of commissions paid to insurance broker | USD $1,369 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $27,782 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,369 | Insurance broker organization code? | 3 | Insurance broker name | GROUP PLAN ADMINISTRATORS |
|
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 184 |
Policy instance | 1 |
Insurance contract or identification number | 184 | Number of Individuals Covered | 49 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $156,030 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 ) |
Policy contract number | 2918 |
Policy instance | 2 |
Insurance contract or identification number | 2918 | Number of Individuals Covered | 344 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Were dividends or retroactive rate refunds paid in cash? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 185 |
Policy instance | 3 |
Insurance contract or identification number | 185 | Number of Individuals Covered | 304 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $2,631 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Were dividends or retroactive rate refunds paid as a credit? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,631 | Insurance broker organization code? | 3 | Insurance broker name | GROUP PLAN ADMINISTRATOR |
|
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 ) |
Policy contract number | 2918 |
Policy instance | 2 |
Insurance contract or identification number | 2918 | Number of Individuals Covered | 371 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Were dividends or retroactive rate refunds paid in cash? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 185 |
Policy instance | 3 |
Insurance contract or identification number | 185 | Number of Individuals Covered | 353 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $2,889 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,889 | Insurance broker organization code? | 3 | Insurance broker name | GROUP PLAN ADMINISTRATOR |
|
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 184/12 |
Policy instance | 1 |
Insurance contract or identification number | 184/12 | Number of Individuals Covered | 57 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $152,818 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) |
Policy contract number | GL-20592-100 |
Policy instance | 4 |
Insurance contract or identification number | GL-20592-100 | Number of Individuals Covered | 141 | Insurance policy start date | 2012-03-01 | Insurance policy end date | 2013-02-28 | Total amount of commissions paid to insurance broker | USD $1,380 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $30,443 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,380 | Insurance broker organization code? | 3 | Insurance broker name | GROUP PLAN ADMINISTRATORS |
|
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) |
Policy contract number | GL-20592-100 |
Policy instance | 4 |
Insurance contract or identification number | GL-20592-100 | Number of Individuals Covered | 161 | Insurance policy start date | 2011-03-01 | Insurance policy end date | 2012-02-29 | Total amount of commissions paid to insurance broker | USD $1,503 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $31,845 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 185 |
Policy instance | 3 |
Insurance contract or identification number | 185 | Number of Individuals Covered | 425 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $2,876 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 ) |
Policy contract number | 2918 |
Policy instance | 2 |
Insurance contract or identification number | 2918 | Number of Individuals Covered | 409 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Were dividends or retroactive rate refunds paid in cash? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 184/12 |
Policy instance | 1 |
Insurance contract or identification number | 184/12 | Number of Individuals Covered | 57 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $148,642 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 ) |
Policy contract number | GL-20592-100 |
Policy instance | 4 |
Insurance contract or identification number | GL-20592-100 | Number of Individuals Covered | 158 | Insurance policy start date | 2010-03-01 | Insurance policy end date | 2011-02-28 | Total amount of commissions paid to insurance broker | USD $1,293 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | Welfare Benefit Premiums Paid to Carrier | USD $25,526 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 ) |
Policy contract number | 2918 |
Policy instance | 2 |
Insurance contract or identification number | 2918 | Number of Individuals Covered | 338 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Were dividends or retroactive rate refunds paid in cash? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 185 |
Policy instance | 3 |
Insurance contract or identification number | 185 | Number of Individuals Covered | 361 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $1,986 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 184/12 |
Policy instance | 1 |
Insurance contract or identification number | 184/12 | Number of Individuals Covered | 50 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $99,710 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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