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MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 401k Plan overview

Plan NameMIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND
Plan identification number 501

MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND
Employer identification number (EIN):237194891
NAIC Classification:484110
NAIC Description:General Freight Trucking, Local

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-03-01MICHAEL NEUDECKER
5012015-03-01MICHAEL NEUDECKER
5012014-03-01SCOTT ALEXANDER
5012013-03-01SCOTT ALEXANDER
5012012-03-01EDWARD BRENNAN
5012011-03-01EDWARD BRENNAN
5012010-03-01MICHAEL NEUDECKER
5012009-03-01JOHN SANEW

Plan Statistics for MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND

401k plan membership statisitcs for MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND

Measure Date Value
2016: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-03-010
Total number of active participants reported on line 7a of the Form 55002016-03-010
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-03-010
Number of employers contributing to the scheme2016-03-010
2015: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-03-01368
Total number of active participants reported on line 7a of the Form 55002015-03-010
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-03-010
Number of employers contributing to the scheme2015-03-0140
2014: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-03-01418
Total number of active participants reported on line 7a of the Form 55002014-03-01274
Number of retired or separated participants receiving benefits2014-03-0194
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-01368
Number of employers contributing to the scheme2014-03-0142
2013: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-03-01375
Total number of active participants reported on line 7a of the Form 55002013-03-01316
Number of retired or separated participants receiving benefits2013-03-01102
Number of other retired or separated participants entitled to future benefits2013-03-010
Total of all active and inactive participants2013-03-01418
2012: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-03-01428
Total number of active participants reported on line 7a of the Form 55002012-03-01266
Number of retired or separated participants receiving benefits2012-03-01109
Number of other retired or separated participants entitled to future benefits2012-03-010
Total of all active and inactive participants2012-03-01375
2011: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-03-01457
Total number of active participants reported on line 7a of the Form 55002011-03-01314
Number of retired or separated participants receiving benefits2011-03-01114
Number of other retired or separated participants entitled to future benefits2011-03-010
Total of all active and inactive participants2011-03-01428
2010: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-03-01507
Total number of active participants reported on line 7a of the Form 55002010-03-01336
Number of retired or separated participants receiving benefits2010-03-01121
Number of other retired or separated participants entitled to future benefits2010-03-010
Total of all active and inactive participants2010-03-01457
2009: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-03-01596
Total number of active participants reported on line 7a of the Form 55002009-03-01372
Number of retired or separated participants receiving benefits2009-03-01135
Number of other retired or separated participants entitled to future benefits2009-03-010
Total of all active and inactive participants2009-03-01507

Financial Data on MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND

Measure Date Value
2017 : MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2017 401k financial data
Total plan liabilities at end of year2017-02-28$0
Total plan liabilities at beginning of year2017-02-28$75,104
Total income from all sources2017-02-28$0
Expenses. Total of all expenses incurred2017-02-28$0
Total plan assets at end of year2017-02-28$0
Total plan assets at beginning of year2017-02-28$75,104
Net income (gross income less expenses)2017-02-28$0
Net plan assets at end of year (total assets less liabilities)2017-02-28$0
Net plan assets at beginning of year (total assets less liabilities)2017-02-28$0
2016 : MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-02-29$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$75,104
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$843,074
Total income from all sources (including contributions)2016-02-29$1,270,593
Total loss/gain on sale of assets2016-02-29$0
Total of all expenses incurred2016-02-29$1,369,651
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-02-29$1,055,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-02-29$1,241,851
Value of total assets at end of year2016-02-29$75,104
Value of total assets at beginning of year2016-02-29$942,132
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-02-29$314,467
Total interest from all sources2016-02-29$48
Total dividends received (eg from common stock, registered investment company shares)2016-02-29$979
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-02-29Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-02-29$0
Total dividends received from registered investment company shares (eg mutual funds)2016-02-29$979
Administrative expenses professional fees incurred2016-02-29$122,720
Was this plan covered by a fidelity bond2016-02-29Yes
Value of fidelity bond cover2016-02-29$1,000,000
Were there any nonexempt tranactions with any party-in-interest2016-02-29No
Contributions received from participants2016-02-29$118,456
Participant contributions at end of year2016-02-29$0
Participant contributions at beginning of year2016-02-29$1,574
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-02-29$985,250
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-02-29$3,296
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-02-29$23,177
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-02-29$27,511
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-02-29$131,779
Other income not declared elsewhere2016-02-29$28,636
Administrative expenses (other) incurred2016-02-29$76,130
Liabilities. Value of operating payables at end of year2016-02-29$47,593
Liabilities. Value of operating payables at beginning of year2016-02-29$23,245
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Value of net income/loss2016-02-29$-99,058
Value of net assets at end of year (total assets less liabilities)2016-02-29$0
Value of net assets at beginning of year (total assets less liabilities)2016-02-29$99,058
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2016-02-29No
Were any leases to which the plan was party in default or uncollectible2016-02-29No
Investment advisory and management fees2016-02-29$8,333
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-02-29$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-02-29$467,106
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-02-29$71,808
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-02-29$256,927
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-02-29$256,927
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-02-29$48
Expenses. Payments to insurance carriers foe the provision of benefits2016-02-29$60,118
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-02-29$-921
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-02-29Yes
Was there a failure to transmit to the plan any participant contributions2016-02-29No
Has the plan failed to provide any benefit when due under the plan2016-02-29No
Contributions received in cash from employer2016-02-29$1,123,395
Employer contributions (assets) at end of year2016-02-29$0
Employer contributions (assets) at beginning of year2016-02-29$193,348
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-02-29$9,816
Contract administrator fees2016-02-29$107,284
Liabilities. Value of benefit claims payable at end of year2016-02-29$0
Liabilities. Value of benefit claims payable at beginning of year2016-02-29$688,050
Did the plan have assets held for investment2016-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-02-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-02-29No
Opinion of an independent qualified public accountant for this plan2016-02-29Unqualified
Accountancy firm name2016-02-29BANSLEY & KIENER. LLP
Accountancy firm EIN2016-02-29362152389
2015 : MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-02-28$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$843,074
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$831,851
Total income from all sources (including contributions)2015-02-28$3,861,215
Total loss/gain on sale of assets2015-02-28$0
Total of all expenses incurred2015-02-28$4,512,522
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-02-28$3,820,950
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-02-28$3,808,317
Value of total assets at end of year2015-02-28$942,132
Value of total assets at beginning of year2015-02-28$1,582,216
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-02-28$691,572
Total interest from all sources2015-02-28$42
Total dividends received (eg from common stock, registered investment company shares)2015-02-28$8,445
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2015-02-28$8,445
Administrative expenses professional fees incurred2015-02-28$135,617
Was this plan covered by a fidelity bond2015-02-28Yes
Value of fidelity bond cover2015-02-28$1,000,000
Were there any nonexempt tranactions with any party-in-interest2015-02-28No
Contributions received from participants2015-02-28$304,728
Participant contributions at end of year2015-02-28$1,574
Participant contributions at beginning of year2015-02-28$480
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-02-28$3,642,976
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-02-28$23,177
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-02-28$18,050
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-02-28$131,779
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-02-28$110,532
Other income not declared elsewhere2015-02-28$33,756
Administrative expenses (other) incurred2015-02-28$91,955
Liabilities. Value of operating payables at end of year2015-02-28$23,245
Liabilities. Value of operating payables at beginning of year2015-02-28$17,919
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Value of net income/loss2015-02-28$-651,307
Value of net assets at end of year (total assets less liabilities)2015-02-28$99,058
Value of net assets at beginning of year (total assets less liabilities)2015-02-28$750,365
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2015-02-28No
Were any leases to which the plan was party in default or uncollectible2015-02-28No
Investment advisory and management fees2015-02-28$10,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-02-28$467,106
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-02-28$1,073,003
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-02-28$256,927
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-02-28$299,588
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-02-28$299,588
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-02-28$42
Expenses. Payments to insurance carriers foe the provision of benefits2015-02-28$162,196
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-02-28$10,655
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-02-28Yes
Was there a failure to transmit to the plan any participant contributions2015-02-28No
Has the plan failed to provide any benefit when due under the plan2015-02-28No
Contributions received in cash from employer2015-02-28$3,503,589
Employer contributions (assets) at end of year2015-02-28$193,348
Employer contributions (assets) at beginning of year2015-02-28$191,095
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-02-28$15,778
Contract administrator fees2015-02-28$454,000
Liabilities. Value of benefit claims payable at end of year2015-02-28$688,050
Liabilities. Value of benefit claims payable at beginning of year2015-02-28$703,400
Did the plan have assets held for investment2015-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-02-28No
Opinion of an independent qualified public accountant for this plan2015-02-28Unqualified
Accountancy firm name2015-02-28BANSLEY & KIENER, LLP
Accountancy firm EIN2015-02-28362152389
2014 : MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-02-28$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$831,851
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$859,213
Total income from all sources (including contributions)2014-02-28$3,937,294
Total loss/gain on sale of assets2014-02-28$0
Total of all expenses incurred2014-02-28$4,529,489
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-02-28$3,786,666
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-02-28$3,894,363
Value of total assets at end of year2014-02-28$1,582,216
Value of total assets at beginning of year2014-02-28$2,201,773
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-02-28$742,823
Total interest from all sources2014-02-28$144
Total dividends received (eg from common stock, registered investment company shares)2014-02-28$1,923
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2014-02-28$1,923
Administrative expenses professional fees incurred2014-02-28$101,635
Was this plan covered by a fidelity bond2014-02-28Yes
Value of fidelity bond cover2014-02-28$500,000
Were there any nonexempt tranactions with any party-in-interest2014-02-28No
Contributions received from participants2014-02-28$297,887
Participant contributions at end of year2014-02-28$480
Participant contributions at beginning of year2014-02-28$462
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-02-28$3,706,105
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-02-28$18,050
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-02-28$17,982
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-02-28$110,532
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-02-28$72,421
Other income not declared elsewhere2014-02-28$29,608
Administrative expenses (other) incurred2014-02-28$29,313
Liabilities. Value of operating payables at end of year2014-02-28$17,919
Liabilities. Value of operating payables at beginning of year2014-02-28$26,592
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Value of net income/loss2014-02-28$-592,195
Value of net assets at end of year (total assets less liabilities)2014-02-28$750,365
Value of net assets at beginning of year (total assets less liabilities)2014-02-28$1,342,560
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2014-02-28No
Were any leases to which the plan was party in default or uncollectible2014-02-28No
Investment advisory and management fees2014-02-28$1,875
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-02-28$1,073,003
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-02-28$856,203
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-02-28$299,588
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-02-28$1,107,706
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-02-28$1,107,706
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-02-28$144
Expenses. Payments to insurance carriers foe the provision of benefits2014-02-28$53,494
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-02-28$11,256
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-02-28Yes
Was there a failure to transmit to the plan any participant contributions2014-02-28No
Has the plan failed to provide any benefit when due under the plan2014-02-28No
Contributions received in cash from employer2014-02-28$3,596,476
Employer contributions (assets) at end of year2014-02-28$191,095
Employer contributions (assets) at beginning of year2014-02-28$219,420
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-02-28$27,067
Contract administrator fees2014-02-28$610,000
Liabilities. Value of benefit claims payable at end of year2014-02-28$703,400
Liabilities. Value of benefit claims payable at beginning of year2014-02-28$760,200
Did the plan have assets held for investment2014-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-02-28No
Opinion of an independent qualified public accountant for this plan2014-02-28Unqualified
Accountancy firm name2014-02-28BANSLEY & KIENER, LLP
Accountancy firm EIN2014-02-28362152389
2013 : MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-02-28$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$859,213
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$770,567
Total income from all sources (including contributions)2013-02-28$3,944,991
Total loss/gain on sale of assets2013-02-28$0
Total of all expenses incurred2013-02-28$4,602,051
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-02-28$3,859,294
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-02-28$3,891,814
Value of total assets at end of year2013-02-28$2,201,773
Value of total assets at beginning of year2013-02-28$2,770,187
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-02-28$742,757
Total interest from all sources2013-02-28$823
Total dividends received (eg from common stock, registered investment company shares)2013-02-28$98
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2013-02-28$98
Administrative expenses professional fees incurred2013-02-28$96,062
Was this plan covered by a fidelity bond2013-02-28Yes
Value of fidelity bond cover2013-02-28$500,000
Were there any nonexempt tranactions with any party-in-interest2013-02-28No
Contributions received from participants2013-02-28$310,331
Participant contributions at end of year2013-02-28$462
Participant contributions at beginning of year2013-02-28$480
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-02-28$3,766,430
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-02-28$17,982
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-02-28$13,939
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-02-28$72,421
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-02-28$104,677
Other income not declared elsewhere2013-02-28$52,256
Administrative expenses (other) incurred2013-02-28$36,695
Liabilities. Value of operating payables at end of year2013-02-28$26,592
Liabilities. Value of operating payables at beginning of year2013-02-28$12,990
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Value of net income/loss2013-02-28$-657,060
Value of net assets at end of year (total assets less liabilities)2013-02-28$1,342,560
Value of net assets at beginning of year (total assets less liabilities)2013-02-28$1,999,620
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2013-02-28No
Were any leases to which the plan was party in default or uncollectible2013-02-28No
Investment advisory and management fees2013-02-28$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-02-28$856,203
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-02-28$1,006,105
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-02-28$1,107,706
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-02-28$1,468,503
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-02-28$1,468,503
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-02-28$823
Expenses. Payments to insurance carriers foe the provision of benefits2013-02-28$63,448
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-02-28Yes
Was there a failure to transmit to the plan any participant contributions2013-02-28No
Has the plan failed to provide any benefit when due under the plan2013-02-28No
Contributions received in cash from employer2013-02-28$3,581,483
Employer contributions (assets) at end of year2013-02-28$219,420
Employer contributions (assets) at beginning of year2013-02-28$281,160
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-02-28$29,416
Contract administrator fees2013-02-28$610,000
Liabilities. Value of benefit claims payable at end of year2013-02-28$760,200
Liabilities. Value of benefit claims payable at beginning of year2013-02-28$652,900
Did the plan have assets held for investment2013-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-02-28No
Opinion of an independent qualified public accountant for this plan2013-02-28Unqualified
Accountancy firm name2013-02-28BANSLEY & KIENER, LLP
Accountancy firm EIN2013-02-28362152389
2012 : MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-02-29$-95
Total unrealized appreciation/depreciation of assets2012-02-29$-95
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$770,567
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$896,378
Total income from all sources (including contributions)2012-02-29$4,638,959
Total loss/gain on sale of assets2012-02-29$0
Total of all expenses incurred2012-02-29$4,638,749
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-02-29$3,891,635
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-02-29$4,591,611
Value of total assets at end of year2012-02-29$2,770,187
Value of total assets at beginning of year2012-02-29$2,895,788
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-02-29$747,114
Total interest from all sources2012-02-29$890
Total dividends received (eg from common stock, registered investment company shares)2012-02-29$110
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-02-29No
Total dividends received from registered investment company shares (eg mutual funds)2012-02-29$110
Administrative expenses professional fees incurred2012-02-29$90,013
Was this plan covered by a fidelity bond2012-02-29Yes
Value of fidelity bond cover2012-02-29$500,000
Were there any nonexempt tranactions with any party-in-interest2012-02-29No
Contributions received from participants2012-02-29$348,035
Participant contributions at end of year2012-02-29$480
Participant contributions at beginning of year2012-02-29$960
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-02-29$3,805,840
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-02-29$13,939
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-02-29$27,721
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-02-29$104,677
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-02-29$149,853
Other income not declared elsewhere2012-02-29$46,443
Administrative expenses (other) incurred2012-02-29$35,477
Liabilities. Value of operating payables at end of year2012-02-29$12,990
Liabilities. Value of operating payables at beginning of year2012-02-29$17,525
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Value of net income/loss2012-02-29$210
Value of net assets at end of year (total assets less liabilities)2012-02-29$1,999,620
Value of net assets at beginning of year (total assets less liabilities)2012-02-29$1,999,410
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2012-02-29No
Were any leases to which the plan was party in default or uncollectible2012-02-29No
Investment advisory and management fees2012-02-29$1,624
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-02-29$1,006,105
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-02-29$1,205,994
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-02-29$1,468,503
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-02-29$1,298,601
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-02-29$1,298,601
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-02-29$890
Expenses. Payments to insurance carriers foe the provision of benefits2012-02-29$70,322
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-02-29Yes
Was there a failure to transmit to the plan any participant contributions2012-02-29No
Has the plan failed to provide any benefit when due under the plan2012-02-29No
Contributions received in cash from employer2012-02-29$4,243,576
Employer contributions (assets) at end of year2012-02-29$281,160
Employer contributions (assets) at beginning of year2012-02-29$362,512
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-02-29$15,473
Contract administrator fees2012-02-29$620,000
Liabilities. Value of benefit claims payable at end of year2012-02-29$652,900
Liabilities. Value of benefit claims payable at beginning of year2012-02-29$729,000
Did the plan have assets held for investment2012-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-02-29No
Aggregate proceeds on sale of assets2012-02-29$445,000
Aggregate carrying amount (costs) on sale of assets2012-02-29$445,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-02-29No
Opinion of an independent qualified public accountant for this plan2012-02-29Unqualified
Accountancy firm name2012-02-29BANSLEY & KIENER, L.L.P.
Accountancy firm EIN2012-02-29362152389
2011 : MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-02-28$1,404
Total unrealized appreciation/depreciation of assets2011-02-28$1,404
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$896,378
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$966,884
Total income from all sources (including contributions)2011-02-28$5,191,830
Total loss/gain on sale of assets2011-02-28$0
Total of all expenses incurred2011-02-28$5,417,805
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-02-28$4,656,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-02-28$5,139,111
Value of total assets at end of year2011-02-28$2,895,788
Value of total assets at beginning of year2011-02-28$3,192,269
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-02-28$760,812
Total interest from all sources2011-02-28$4,969
Total dividends received (eg from common stock, registered investment company shares)2011-02-28$117
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2011-02-28$117
Administrative expenses professional fees incurred2011-02-28$57,967
Was this plan covered by a fidelity bond2011-02-28Yes
Value of fidelity bond cover2011-02-28$500,000
Were there any nonexempt tranactions with any party-in-interest2011-02-28No
Contributions received from participants2011-02-28$363,032
Participant contributions at end of year2011-02-28$960
Participant contributions at beginning of year2011-02-28$929
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-02-28$4,551,728
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-02-28$27,721
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-02-28$41,844
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-02-28$149,853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-02-28$76,507
Other income not declared elsewhere2011-02-28$46,229
Administrative expenses (other) incurred2011-02-28$49,635
Liabilities. Value of operating payables at end of year2011-02-28$17,525
Liabilities. Value of operating payables at beginning of year2011-02-28$16,692
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Value of net income/loss2011-02-28$-225,975
Value of net assets at end of year (total assets less liabilities)2011-02-28$1,999,410
Value of net assets at beginning of year (total assets less liabilities)2011-02-28$2,225,385
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2011-02-28No
Were any leases to which the plan was party in default or uncollectible2011-02-28No
Investment advisory and management fees2011-02-28$3,710
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-02-28$1,205,994
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-02-28$1,280,837
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-02-28$1,298,601
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-02-28$1,529,440
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-02-28$1,529,440
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-02-28$4,969
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-02-28$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-02-28$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-02-28$74,082
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-02-28Yes
Was there a failure to transmit to the plan any participant contributions2011-02-28No
Has the plan failed to provide any benefit when due under the plan2011-02-28No
Contributions received in cash from employer2011-02-28$4,776,079
Employer contributions (assets) at end of year2011-02-28$362,512
Employer contributions (assets) at beginning of year2011-02-28$339,219
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-02-28$31,183
Contract administrator fees2011-02-28$649,500
Liabilities. Value of benefit claims payable at end of year2011-02-28$729,000
Liabilities. Value of benefit claims payable at beginning of year2011-02-28$873,685
Did the plan have assets held for investment2011-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-02-28No
Opinion of an independent qualified public accountant for this plan2011-02-28Unqualified
Accountancy firm name2011-02-28BANSLEY & KIENER, L.L.P.
Accountancy firm EIN2011-02-28362152389

Form 5500 Responses for MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND

2016: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2016 form 5500 responses
2016-03-01Type of plan entityMulti-employer plan
2016-03-01Submission has been amendedNo
2016-03-01This submission is the final filingYes
2016-03-01This return/report is a short plan year return/report (less than 12 months)No
2016-03-01Plan is a collectively bargained planYes
2016-03-01Plan funding arrangement – TrustYes
2016-03-01Plan benefit arrangement - TrustYes
2015: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2015 form 5500 responses
2015-03-01Type of plan entityMulti-employer plan
2015-03-01Submission has been amendedNo
2015-03-01This submission is the final filingNo
2015-03-01This return/report is a short plan year return/report (less than 12 months)No
2015-03-01Plan is a collectively bargained planYes
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan funding arrangement – TrustYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement - TrustYes
2014: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2014 form 5500 responses
2014-03-01Type of plan entityMulti-employer plan
2014-03-01Submission has been amendedNo
2014-03-01This submission is the final filingNo
2014-03-01This return/report is a short plan year return/report (less than 12 months)No
2014-03-01Plan is a collectively bargained planYes
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan funding arrangement – TrustYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement - TrustYes
2013: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2013 form 5500 responses
2013-03-01Type of plan entityMulti-employer plan
2013-03-01Submission has been amendedNo
2013-03-01This submission is the final filingNo
2013-03-01This return/report is a short plan year return/report (less than 12 months)No
2013-03-01Plan is a collectively bargained planYes
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan funding arrangement – TrustYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement - TrustYes
2012: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2012 form 5500 responses
2012-03-01Type of plan entityMulti-employer plan
2012-03-01Submission has been amendedNo
2012-03-01This submission is the final filingNo
2012-03-01This return/report is a short plan year return/report (less than 12 months)No
2012-03-01Plan is a collectively bargained planYes
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan funding arrangement – TrustYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement - TrustYes
2011: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2011 form 5500 responses
2011-03-01Type of plan entityMulti-employer plan
2011-03-01Submission has been amendedNo
2011-03-01This submission is the final filingNo
2011-03-01This return/report is a short plan year return/report (less than 12 months)No
2011-03-01Plan is a collectively bargained planYes
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – TrustYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement - TrustYes
2010: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2010 form 5500 responses
2010-03-01Type of plan entityMulti-employer plan
2010-03-01Submission has been amendedNo
2010-03-01This submission is the final filingNo
2010-03-01This return/report is a short plan year return/report (less than 12 months)No
2010-03-01Plan is a collectively bargained planYes
2010-03-01Plan funding arrangement – InsuranceYes
2010-03-01Plan funding arrangement – TrustYes
2010-03-01Plan benefit arrangement – InsuranceYes
2010-03-01Plan benefit arrangement - TrustYes
2009: MIDWESTERN TEAMSTERS HEALTH AND WELFARE FUND 2009 form 5500 responses
2009-03-01Type of plan entityMulti-employer plan
2009-03-01Submission has been amendedNo
2009-03-01This submission is the final filingNo
2009-03-01This return/report is a short plan year return/report (less than 12 months)No
2009-03-01Plan is a collectively bargained planYes
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan funding arrangement – TrustYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number376519G
Policy instance 1
Insurance contract or identification number376519G
Number of Individuals Covered699
Insurance policy start date2015-03-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $31,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10197
Policy instance 2
Insurance contract or identification numberSL10197
Number of Individuals Covered208
Insurance policy start date2015-03-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $30,117
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number376519G
Policy instance 1
Insurance contract or identification number376519G
Number of Individuals Covered790
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $67,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10197
Policy instance 2
Insurance contract or identification numberSL10197
Number of Individuals Covered247
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $94,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number376519G
Policy instance 1
Insurance contract or identification number376519G
Number of Individuals Covered692
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $54,720
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number376519G
Policy instance 1
Insurance contract or identification number376519G
Number of Individuals Covered727
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $63,490
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number376519G
Policy instance 1
Insurance contract or identification number376519G
Number of Individuals Covered904
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $84,307
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number376519G
Policy instance 1
Insurance contract or identification number376519G
Number of Individuals Covered1060
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $70,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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