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STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 401k Plan overview

Plan NameSTEAMFITTERS 449 MEDICAL AND BENEFIT PLAN
Plan identification number 501

STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision

401k Sponsoring company profile

BOARD OF TRUSTEES, STEAMFITTERS LOCAL #449 MEDICAL & BENEFIT FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES, STEAMFITTERS LOCAL #449 MEDICAL & BENEFIT FUND
Employer identification number (EIN):256032450
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012019-01-01
5012018-01-01
5012017-01-01JOSEPH LITTLE REGIS CLAUS2018-10-15
5012016-01-01
5012015-01-01
5012014-01-01JOSEPH M. LITTLE
5012013-01-01JOSEPH M. LITTLE
5012012-01-01JOSEPH M. LITTLE
5012011-01-01JOSEPH M. LITTLE
5012009-01-01JOSEPH M. LITTLE

Plan Statistics for STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN

401k plan membership statisitcs for STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN

Measure Date Value
2023: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-012,641
Total number of active participants reported on line 7a of the Form 55002023-01-011,716
Number of retired or separated participants receiving benefits2023-01-01739
Number of other retired or separated participants entitled to future benefits2023-01-0129
Total of all active and inactive participants2023-01-012,484
Number of employers contributing to the scheme2023-01-01158
2022: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,565
Total number of active participants reported on line 7a of the Form 55002022-01-011,686
Number of retired or separated participants receiving benefits2022-01-01750
Number of other retired or separated participants entitled to future benefits2022-01-0130
Total of all active and inactive participants2022-01-012,466
Number of employers contributing to the scheme2022-01-01144
2021: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,652
Total number of active participants reported on line 7a of the Form 55002021-01-011,643
Number of retired or separated participants receiving benefits2021-01-01726
Number of other retired or separated participants entitled to future benefits2021-01-0116
Total of all active and inactive participants2021-01-012,385
Number of employers contributing to the scheme2021-01-01127
2020: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,623
Total number of active participants reported on line 7a of the Form 55002020-01-011,738
Number of retired or separated participants receiving benefits2020-01-01704
Number of other retired or separated participants entitled to future benefits2020-01-0129
Total of all active and inactive participants2020-01-012,471
Number of employers contributing to the scheme2020-01-01133
2019: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,611
Total number of active participants reported on line 7a of the Form 55002019-01-011,742
Number of retired or separated participants receiving benefits2019-01-01683
Number of other retired or separated participants entitled to future benefits2019-01-0123
Total of all active and inactive participants2019-01-012,448
Number of employers contributing to the scheme2019-01-01143
2018: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,507
Total number of active participants reported on line 7a of the Form 55002018-01-011,716
Number of retired or separated participants receiving benefits2018-01-01685
Number of other retired or separated participants entitled to future benefits2018-01-0116
Total of all active and inactive participants2018-01-012,417
Number of employers contributing to the scheme2018-01-01136
2017: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,334
Total number of active participants reported on line 7a of the Form 55002017-01-011,611
Number of retired or separated participants receiving benefits2017-01-01688
Number of other retired or separated participants entitled to future benefits2017-01-0112
Total of all active and inactive participants2017-01-012,311
Number of employers contributing to the scheme2017-01-01142
2016: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013,332
Total number of active participants reported on line 7a of the Form 55002016-01-013,049
Number of retired or separated participants receiving benefits2016-01-01605
Number of other retired or separated participants entitled to future benefits2016-01-01337
Total of all active and inactive participants2016-01-013,991
Number of employers contributing to the scheme2016-01-01101
2015: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,515
Total number of active participants reported on line 7a of the Form 55002015-01-011,537
Number of retired or separated participants receiving benefits2015-01-01582
Number of other retired or separated participants entitled to future benefits2015-01-01275
Total of all active and inactive participants2015-01-012,394
Number of employers contributing to the scheme2015-01-01104
2014: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,459
Total number of active participants reported on line 7a of the Form 55002014-01-01979
Number of retired or separated participants receiving benefits2014-01-01347
Number of other retired or separated participants entitled to future benefits2014-01-01189
Total of all active and inactive participants2014-01-011,515
Number of employers contributing to the scheme2014-01-0176
2013: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,447
Total number of active participants reported on line 7a of the Form 55002013-01-01986
Number of retired or separated participants receiving benefits2013-01-01297
Number of other retired or separated participants entitled to future benefits2013-01-01176
Total of all active and inactive participants2013-01-011,459
Number of employers contributing to the scheme2013-01-0171
2012: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,413
Total number of active participants reported on line 7a of the Form 55002012-01-01936
Number of retired or separated participants receiving benefits2012-01-01311
Number of other retired or separated participants entitled to future benefits2012-01-01200
Total of all active and inactive participants2012-01-011,447
Number of employers contributing to the scheme2012-01-0170
2011: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,420
Total number of active participants reported on line 7a of the Form 55002011-01-01896
Number of retired or separated participants receiving benefits2011-01-01317
Number of other retired or separated participants entitled to future benefits2011-01-01200
Total of all active and inactive participants2011-01-011,413
Number of employers contributing to the scheme2011-01-0181
2009: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,418
Total number of active participants reported on line 7a of the Form 55002009-01-01956
Number of retired or separated participants receiving benefits2009-01-01325
Number of other retired or separated participants entitled to future benefits2009-01-01178
Total of all active and inactive participants2009-01-011,459
Number of employers contributing to the scheme2009-01-0168

Financial Data on STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN

Measure Date Value
2023 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-12-31$3,237,241
Total unrealized appreciation/depreciation of assets2023-12-31$3,237,241
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$3,090,976
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$4,066,069
Total income from all sources (including contributions)2023-12-31$47,049,653
Total of all expenses incurred2023-12-31$38,095,971
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$37,562,719
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$41,819,646
Value of total assets at end of year2023-12-31$92,815,380
Value of total assets at beginning of year2023-12-31$84,836,791
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$533,252
Total interest from all sources2023-12-31$1,992,766
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$2,000,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$4,656,264
Participant contributions at end of year2023-12-31$96,305
Participant contributions at beginning of year2023-12-31$74,008
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$5,920,805
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$4,140,416
Administrative expenses (other) incurred2023-12-31$406,697
Liabilities. Value of operating payables at end of year2023-12-31$189,469
Liabilities. Value of operating payables at beginning of year2023-12-31$121,358
Total non interest bearing cash at end of year2023-12-31$26,777,086
Total non interest bearing cash at beginning of year2023-12-31$26,568,275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$8,953,682
Value of net assets at end of year (total assets less liabilities)2023-12-31$89,724,404
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$80,770,722
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$90,926
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$32,368,750
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$29,955,428
Interest earned on other investments2023-12-31$1,992,766
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$1,906,520
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$1,427,589
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$1,427,589
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$33,664,481
Asset value of US Government securities at end of year2023-12-31$4,446,114
Asset value of US Government securities at beginning of year2023-12-31$3,648,639
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$37,163,382
Employer contributions (assets) at end of year2023-12-31$3,583,607
Employer contributions (assets) at beginning of year2023-12-31$2,800,536
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$3,898,238
Asset. Corporate debt instrument debt (other) at end of year2023-12-31$9,285,157
Asset. Corporate debt instrument debt (other) at beginning of year2023-12-31$9,409,508
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2023-12-31$8,431,036
Assets. Corporate common stocks other than exployer securities at beginning of year2023-12-31$6,812,392
Liabilities. Value of benefit claims payable at end of year2023-12-31$2,901,507
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$3,944,711
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31HENRY ROSSI & CO., LLP
Accountancy firm EIN2023-12-31251698043
2022 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-7,335,253
Total unrealized appreciation/depreciation of assets2022-12-31$-7,335,253
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$4,066,069
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$5,367,174
Total income from all sources (including contributions)2022-12-31$33,756,431
Total of all expenses incurred2022-12-31$36,970,420
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$36,421,338
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$39,833,246
Value of total assets at end of year2022-12-31$84,836,791
Value of total assets at beginning of year2022-12-31$89,351,885
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$549,082
Total interest from all sources2022-12-31$1,258,438
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$105,679
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$4,314,700
Participant contributions at end of year2022-12-31$74,008
Participant contributions at beginning of year2022-12-31$59,414
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$4,140,416
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$6,055,669
Administrative expenses (other) incurred2022-12-31$352,127
Liabilities. Value of operating payables at end of year2022-12-31$121,358
Liabilities. Value of operating payables at beginning of year2022-12-31$2,815,592
Total non interest bearing cash at end of year2022-12-31$26,568,275
Total non interest bearing cash at beginning of year2022-12-31$19,920,628
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,213,989
Value of net assets at end of year (total assets less liabilities)2022-12-31$80,770,722
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$83,984,711
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$91,276
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$29,955,428
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$33,600,229
Interest earned on other investments2022-12-31$1,258,438
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,427,589
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,620,301
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,620,301
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$32,510,624
Asset value of US Government securities at end of year2022-12-31$3,648,639
Asset value of US Government securities at beginning of year2022-12-31$3,139,374
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$35,518,546
Employer contributions (assets) at end of year2022-12-31$2,800,536
Employer contributions (assets) at beginning of year2022-12-31$5,933,464
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,910,714
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$9,409,508
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$10,848,503
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$6,812,392
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$8,174,303
Liabilities. Value of benefit claims payable at end of year2022-12-31$3,944,711
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$2,551,582
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31HENRY ROSSI & CO.,LLP
Accountancy firm EIN2022-12-31251698043
2021 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$1,834,320
Total unrealized appreciation/depreciation of assets2021-12-31$1,834,320
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$5,367,174
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$4,776,508
Total income from all sources (including contributions)2021-12-31$44,512,937
Total of all expenses incurred2021-12-31$32,823,227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$32,310,171
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$41,753,404
Value of total assets at end of year2021-12-31$89,351,885
Value of total assets at beginning of year2021-12-31$77,071,509
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$513,056
Total interest from all sources2021-12-31$925,213
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$94,464
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$4,407,489
Participant contributions at end of year2021-12-31$59,414
Participant contributions at beginning of year2021-12-31$192,517
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$6,055,669
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$7,353,697
Administrative expenses (other) incurred2021-12-31$335,797
Liabilities. Value of operating payables at end of year2021-12-31$2,815,592
Liabilities. Value of operating payables at beginning of year2021-12-31$3,600,087
Total non interest bearing cash at end of year2021-12-31$19,920,628
Total non interest bearing cash at beginning of year2021-12-31$18,708,165
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$11,689,710
Value of net assets at end of year (total assets less liabilities)2021-12-31$83,984,711
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$72,295,001
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$82,795
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$33,600,229
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$23,809,097
Interest earned on other investments2021-12-31$925,213
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,620,301
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,291,372
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,291,372
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$28,250,900
Asset value of US Government securities at end of year2021-12-31$3,139,374
Asset value of US Government securities at beginning of year2021-12-31$2,757,893
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$37,345,915
Employer contributions (assets) at end of year2021-12-31$5,933,464
Employer contributions (assets) at beginning of year2021-12-31$6,161,970
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$4,059,271
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$10,848,503
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$8,162,052
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$8,174,303
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$8,634,746
Liabilities. Value of benefit claims payable at end of year2021-12-31$2,551,582
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$1,176,421
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31HENRY ROSSI & CO., LLP
Accountancy firm EIN2021-12-31251698043
2020 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$2,096,699
Total unrealized appreciation/depreciation of assets2020-12-31$2,096,699
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$4,776,508
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$7,776,421
Total income from all sources (including contributions)2020-12-31$43,469,119
Total of all expenses incurred2020-12-31$30,880,706
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$30,380,927
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$40,418,883
Value of total assets at end of year2020-12-31$77,071,509
Value of total assets at beginning of year2020-12-31$67,483,009
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$499,779
Total interest from all sources2020-12-31$953,537
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$107,764
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$4,449,922
Participant contributions at end of year2020-12-31$192,517
Participant contributions at beginning of year2020-12-31$42,632
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$7,353,697
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$9,548,951
Administrative expenses (other) incurred2020-12-31$317,871
Liabilities. Value of operating payables at end of year2020-12-31$3,600,087
Liabilities. Value of operating payables at beginning of year2020-12-31$5,358,654
Total non interest bearing cash at end of year2020-12-31$18,708,165
Total non interest bearing cash at beginning of year2020-12-31$13,391,999
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$12,588,413
Value of net assets at end of year (total assets less liabilities)2020-12-31$72,295,001
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$59,706,588
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$74,144
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$23,809,097
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$20,834,094
Interest earned on other investments2020-12-31$953,537
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,291,372
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,003,762
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,003,762
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$26,739,017
Asset value of US Government securities at end of year2020-12-31$2,757,893
Asset value of US Government securities at beginning of year2020-12-31$2,904,262
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$35,968,961
Employer contributions (assets) at end of year2020-12-31$6,161,970
Employer contributions (assets) at beginning of year2020-12-31$7,838,363
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$3,641,910
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$8,162,052
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$5,321,236
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$8,634,746
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$6,597,710
Liabilities. Value of benefit claims payable at end of year2020-12-31$1,176,421
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$2,417,767
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31HENRY ROSSI & CO., LLP
Accountancy firm EIN2020-12-31251698043
2019 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$1,814,507
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$1,814,507
Total unrealized appreciation/depreciation of assets2019-12-31$1,814,507
Total unrealized appreciation/depreciation of assets2019-12-31$1,814,507
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$7,776,421
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$7,776,421
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,688,404
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,688,404
Total income from all sources (including contributions)2019-12-31$54,301,426
Total income from all sources (including contributions)2019-12-31$54,301,426
Total of all expenses incurred2019-12-31$31,962,468
Total of all expenses incurred2019-12-31$31,962,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$31,496,053
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$31,496,053
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$51,668,732
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$51,668,732
Value of total assets at end of year2019-12-31$67,483,009
Value of total assets at end of year2019-12-31$67,483,009
Value of total assets at beginning of year2019-12-31$40,056,034
Value of total assets at beginning of year2019-12-31$40,056,034
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$466,415
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$466,415
Total interest from all sources2019-12-31$818,187
Total interest from all sources2019-12-31$818,187
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$107,985
Administrative expenses professional fees incurred2019-12-31$107,985
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$3,880,086
Contributions received from participants2019-12-31$3,880,086
Participant contributions at end of year2019-12-31$42,632
Participant contributions at end of year2019-12-31$42,632
Participant contributions at beginning of year2019-12-31$29,794
Participant contributions at beginning of year2019-12-31$29,794
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$11,272,357
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$9,548,951
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$9,548,951
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$3,535,149
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$3,535,149
Administrative expenses (other) incurred2019-12-31$313,018
Administrative expenses (other) incurred2019-12-31$313,018
Liabilities. Value of operating payables at end of year2019-12-31$5,358,654
Liabilities. Value of operating payables at end of year2019-12-31$5,358,654
Liabilities. Value of operating payables at beginning of year2019-12-31$459,512
Liabilities. Value of operating payables at beginning of year2019-12-31$459,512
Total non interest bearing cash at end of year2019-12-31$13,391,999
Total non interest bearing cash at end of year2019-12-31$13,391,999
Total non interest bearing cash at beginning of year2019-12-31$6,785,173
Total non interest bearing cash at beginning of year2019-12-31$6,785,173
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$22,338,958
Value of net income/loss2019-12-31$22,338,958
Value of net assets at end of year (total assets less liabilities)2019-12-31$59,706,588
Value of net assets at end of year (total assets less liabilities)2019-12-31$59,706,588
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$37,367,630
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$37,367,630
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$45,412
Investment advisory and management fees2019-12-31$45,412
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$20,834,094
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$20,834,094
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$16,731,758
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$16,731,758
Interest earned on other investments2019-12-31$818,187
Interest earned on other investments2019-12-31$818,187
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,003,762
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,003,762
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$921,264
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$921,264
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$921,264
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$921,264
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$27,902,720
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$27,902,720
Asset value of US Government securities at end of year2019-12-31$2,904,262
Asset value of US Government securities at end of year2019-12-31$2,904,262
Asset value of US Government securities at beginning of year2019-12-31$1,082,680
Asset value of US Government securities at beginning of year2019-12-31$1,082,680
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$47,788,646
Contributions received in cash from employer2019-12-31$47,788,646
Employer contributions (assets) at end of year2019-12-31$7,838,363
Employer contributions (assets) at end of year2019-12-31$7,838,363
Employer contributions (assets) at beginning of year2019-12-31$3,636,697
Employer contributions (assets) at beginning of year2019-12-31$3,636,697
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,593,333
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,593,333
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$5,321,236
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$5,321,236
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$3,450,033
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$3,450,033
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$6,597,710
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$6,597,710
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$3,883,486
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$3,883,486
Liabilities. Value of benefit claims payable at end of year2019-12-31$2,417,767
Liabilities. Value of benefit claims payable at end of year2019-12-31$2,417,767
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$2,228,892
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$2,228,892
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31HENRY ROSSI & CO., LLP
Accountancy firm name2019-12-31HENRY ROSSI & CO., LLP
Accountancy firm EIN2019-12-31251698043
Accountancy firm EIN2019-12-31251698043
2018 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-989,147
Total unrealized appreciation/depreciation of assets2018-12-31$-989,147
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$459,512
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$113,610
Total income from all sources (including contributions)2018-12-31$36,724,872
Total of all expenses incurred2018-12-31$30,996,561
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$30,523,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$37,060,772
Value of total assets at end of year2018-12-31$40,056,034
Value of total assets at beginning of year2018-12-31$33,981,821
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$473,238
Total interest from all sources2018-12-31$653,247
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$130,024
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$3,970,840
Participant contributions at end of year2018-12-31$29,794
Participant contributions at beginning of year2018-12-31$61,955
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$5,013,978
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$3,535,149
Administrative expenses (other) incurred2018-12-31$301,113
Liabilities. Value of operating payables at end of year2018-12-31$459,512
Liabilities. Value of operating payables at beginning of year2018-12-31$113,610
Total non interest bearing cash at end of year2018-12-31$6,785,173
Total non interest bearing cash at beginning of year2018-12-31$2,434,387
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$5,728,311
Value of net assets at end of year (total assets less liabilities)2018-12-31$39,596,522
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$33,868,211
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$42,101
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$16,731,758
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$16,316,873
Interest earned on other investments2018-12-31$653,247
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$921,264
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$725,396
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$725,396
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$30,523,323
Asset value of US Government securities at end of year2018-12-31$1,082,680
Asset value of US Government securities at beginning of year2018-12-31$1,001,234
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$28,075,954
Employer contributions (assets) at end of year2018-12-31$3,636,697
Employer contributions (assets) at beginning of year2018-12-31$2,431,122
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$3,450,033
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$3,452,425
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$3,883,486
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$4,593,647
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$2,964,782
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31HENRY ROSSI & CO., LLP
Accountancy firm EIN2018-12-31251698043
2017 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$1,087,593
Total unrealized appreciation/depreciation of assets2017-12-31$1,087,593
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$113,610
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,469,023
Total income from all sources (including contributions)2017-12-31$31,578,209
Total of all expenses incurred2017-12-31$32,999,501
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$32,430,278
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$29,905,834
Value of total assets at end of year2017-12-31$33,981,821
Value of total assets at beginning of year2017-12-31$37,758,526
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$569,223
Total interest from all sources2017-12-31$584,782
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$242,653
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$3,933,401
Participant contributions at end of year2017-12-31$61,955
Participant contributions at beginning of year2017-12-31$15,949
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$5,143,688
Administrative expenses (other) incurred2017-12-31$283,564
Liabilities. Value of operating payables at end of year2017-12-31$113,610
Liabilities. Value of operating payables at beginning of year2017-12-31$2,469,023
Total non interest bearing cash at end of year2017-12-31$2,434,387
Total non interest bearing cash at beginning of year2017-12-31$2,881,543
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-1,421,292
Value of net assets at end of year (total assets less liabilities)2017-12-31$33,868,211
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$35,289,503
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$43,006
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$16,316,873
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$18,899,106
Interest earned on other investments2017-12-31$584,782
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$725,396
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,307,415
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,307,415
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$32,430,278
Asset value of US Government securities at end of year2017-12-31$1,001,234
Asset value of US Government securities at beginning of year2017-12-31$1,601,146
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$20,828,745
Employer contributions (assets) at end of year2017-12-31$2,431,122
Employer contributions (assets) at beginning of year2017-12-31$1,888,040
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$3,452,425
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$4,375,844
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$4,593,647
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$5,100,701
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$2,964,782
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$1,688,782
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31HENRY ROSSI & CO., LLP
Accountancy firm EIN2017-12-31251698043
2016 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$644,776
Total unrealized appreciation/depreciation of assets2016-12-31$644,776
Total transfer of assets to this plan2016-12-31$14,928
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,469,023
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$121,119
Total income from all sources (including contributions)2016-12-31$26,250,697
Total of all expenses incurred2016-12-31$32,937,720
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$32,391,533
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$24,703,136
Value of total assets at end of year2016-12-31$37,758,526
Value of total assets at beginning of year2016-12-31$42,082,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$546,187
Total interest from all sources2016-12-31$902,785
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$176,517
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$3,373,958
Participant contributions at end of year2016-12-31$15,949
Participant contributions at beginning of year2016-12-31$168,394
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$4,427,837
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$596,061
Administrative expenses (other) incurred2016-12-31$328,228
Liabilities. Value of operating payables at end of year2016-12-31$2,469,023
Liabilities. Value of operating payables at beginning of year2016-12-31$121,119
Total non interest bearing cash at end of year2016-12-31$2,881,543
Total non interest bearing cash at beginning of year2016-12-31$1,990,807
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-6,687,023
Value of net assets at end of year (total assets less liabilities)2016-12-31$35,289,503
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$41,961,598
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$41,442
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$18,899,106
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$20,372,758
Interest earned on other investments2016-12-31$902,785
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,307,415
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$681,551
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$681,551
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$32,391,533
Asset value of US Government securities at end of year2016-12-31$1,601,146
Asset value of US Government securities at beginning of year2016-12-31$2,589,326
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$16,901,341
Employer contributions (assets) at end of year2016-12-31$1,888,040
Employer contributions (assets) at beginning of year2016-12-31$1,589,114
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$4,375,844
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$6,115,010
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$5,100,701
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$7,667,518
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$1,688,782
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$312,178
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31HENRY ROSSI & CO.,LLP
Accountancy firm EIN2016-12-31251698043
2015 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-1,281,664
Total unrealized appreciation/depreciation of assets2015-12-31$-1,281,664
Total transfer of assets to this plan2015-12-31$13,476,414
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,267,466
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$13,036,276
Total income from all sources (including contributions)2015-12-31$25,697,494
Total loss/gain on sale of assets2015-12-31$4,103
Total of all expenses incurred2015-12-31$32,494,832
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$31,968,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$26,109,665
Value of total assets at end of year2015-12-31$42,082,717
Value of total assets at beginning of year2015-12-31$47,172,451
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$526,368
Total interest from all sources2015-12-31$520,403
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$333,623
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$303,263
Administrative expenses professional fees incurred2015-12-31$83,547
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$3,472,312
Participant contributions at end of year2015-12-31$168,394
Participant contributions at beginning of year2015-12-31$195,274
Assets. Other investments not covered elsewhere at end of year2015-12-31$297,620
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$223,553
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$4,163,921
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$596,061
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$1,302,914
Other income not declared elsewhere2015-12-31$244,788
Administrative expenses (other) incurred2015-12-31$112,220
Liabilities. Value of operating payables at end of year2015-12-31$121,119
Liabilities. Value of operating payables at beginning of year2015-12-31$13,005,817
Total non interest bearing cash at end of year2015-12-31$1,990,807
Total non interest bearing cash at beginning of year2015-12-31$1,370,509
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-6,797,338
Value of net assets at end of year (total assets less liabilities)2015-12-31$40,815,251
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$34,136,175
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Assets. partnership/joint venture interests at end of year2015-12-31$0
Assets. partnership/joint venture interests at beginning of year2015-12-31$1,690,595
Investment advisory and management fees2015-12-31$103,976
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$20,372,758
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$15,494,207
Interest earned on other investments2015-12-31$17,182
Income. Interest from US Government securities2015-12-31$63,301
Income. Interest from corporate debt instruments2015-12-31$439,819
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$681,551
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$320,752
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$320,752
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$101
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$26,081,255
Asset value of US Government securities at end of year2015-12-31$2,589,326
Asset value of US Government securities at beginning of year2015-12-31$1,311,991
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-233,424
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$18,473,432
Employer contributions (assets) at end of year2015-12-31$1,589,114
Employer contributions (assets) at beginning of year2015-12-31$1,119,777
Income. Dividends from common stock2015-12-31$30,360
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$5,887,209
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$6,115,010
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$4,540,694
Contract administrator fees2015-12-31$226,625
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$7,667,518
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$6,769,559
Liabilities. Value of benefit claims payable at end of year2015-12-31$1,146,347
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$30,459
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$14,558
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$12,832,626
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$5,730,881
Aggregate carrying amount (costs) on sale of assets2015-12-31$5,726,778
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31MCELHANEY & ASSOCIATES, LLC
Accountancy firm EIN2015-12-31383806684
2014 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$574,768
Total unrealized appreciation/depreciation of assets2014-12-31$574,768
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$13,036,276
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$764,212
Total income from all sources (including contributions)2014-12-31$17,695,158
Total loss/gain on sale of assets2014-12-31$91,693
Total of all expenses incurred2014-12-31$17,985,248
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$17,524,216
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$16,710,895
Value of total assets at end of year2014-12-31$47,172,451
Value of total assets at beginning of year2014-12-31$35,190,477
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$461,032
Total interest from all sources2014-12-31$-270,462
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$370,893
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$267,406
Administrative expenses professional fees incurred2014-12-31$71,145
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,636,853
Participant contributions at end of year2014-12-31$195,274
Participant contributions at beginning of year2014-12-31$0
Assets. Other investments not covered elsewhere at end of year2014-12-31$223,553
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$3,114,882
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$1,302,914
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$1,779,494
Administrative expenses (other) incurred2014-12-31$73,791
Liabilities. Value of operating payables at end of year2014-12-31$13,005,817
Liabilities. Value of operating payables at beginning of year2014-12-31$696,329
Total non interest bearing cash at end of year2014-12-31$1,370,509
Total non interest bearing cash at beginning of year2014-12-31$1,833,377
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-290,090
Value of net assets at end of year (total assets less liabilities)2014-12-31$34,136,175
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$34,426,265
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Assets. partnership/joint venture interests at end of year2014-12-31$1,690,595
Assets. partnership/joint venture interests at beginning of year2014-12-31$4,190,730
Investment advisory and management fees2014-12-31$106,215
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$15,494,207
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$15,957,889
Interest earned on other investments2014-12-31$-448,294
Income. Interest from US Government securities2014-12-31$35,573
Income. Interest from corporate debt instruments2014-12-31$142,245
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$320,752
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$175,996
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$175,996
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$14
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$14,351,224
Asset value of US Government securities at end of year2014-12-31$1,311,991
Asset value of US Government securities at beginning of year2014-12-31$1,151,838
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$217,371
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$11,959,160
Employer contributions (assets) at end of year2014-12-31$1,119,777
Employer contributions (assets) at beginning of year2014-12-31$1,868,512
Income. Dividends from common stock2014-12-31$103,487
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$3,172,992
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$4,540,694
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$990,712
Contract administrator fees2014-12-31$209,881
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$6,769,559
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$6,983,535
Liabilities. Value of benefit claims payable at end of year2014-12-31$30,459
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$67,883
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$12,832,626
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$258,394
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$5,020,049
Aggregate carrying amount (costs) on sale of assets2014-12-31$4,928,356
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MCELHANEY & ASSOCIATES, LLC
Accountancy firm EIN2014-12-31383806684
2013 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$1,604,240
Total unrealized appreciation/depreciation of assets2013-12-31$1,604,240
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$764,212
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$200,700
Total income from all sources (including contributions)2013-12-31$19,150,848
Total loss/gain on sale of assets2013-12-31$20,887
Total of all expenses incurred2013-12-31$15,657,044
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$15,233,362
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$18,120,009
Value of total assets at end of year2013-12-31$35,190,477
Value of total assets at beginning of year2013-12-31$31,133,161
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$423,682
Total interest from all sources2013-12-31$-455,449
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$299,000
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$212,059
Administrative expenses professional fees incurred2013-12-31$66,544
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,378,642
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$3,760,876
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$1,779,494
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$1,445,365
Administrative expenses (other) incurred2013-12-31$56,014
Liabilities. Value of operating payables at end of year2013-12-31$696,329
Liabilities. Value of operating payables at beginning of year2013-12-31$167,758
Total non interest bearing cash at end of year2013-12-31$1,833,377
Total non interest bearing cash at beginning of year2013-12-31$1,901,235
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$3,493,804
Value of net assets at end of year (total assets less liabilities)2013-12-31$34,426,265
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$30,932,461
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Assets. partnership/joint venture interests at end of year2013-12-31$4,190,730
Assets. partnership/joint venture interests at beginning of year2013-12-31$3,709,302
Investment advisory and management fees2013-12-31$91,522
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$15,957,889
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$15,102,829
Interest earned on other investments2013-12-31$-518,572
Income. Interest from US Government securities2013-12-31$33,903
Income. Interest from corporate debt instruments2013-12-31$29,211
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$175,996
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$272,605
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$272,605
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$9
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$12,283,717
Asset value of US Government securities at end of year2013-12-31$1,151,838
Asset value of US Government securities at beginning of year2013-12-31$1,188,053
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$-437,839
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$12,980,491
Employer contributions (assets) at end of year2013-12-31$1,868,512
Employer contributions (assets) at beginning of year2013-12-31$1,317,076
Income. Dividends from common stock2013-12-31$86,941
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$2,949,645
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$990,712
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$1,007,819
Contract administrator fees2013-12-31$209,602
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$6,983,535
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$5,167,700
Liabilities. Value of benefit claims payable at end of year2013-12-31$67,883
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$32,942
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$258,394
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$21,177
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$1,880,040
Aggregate carrying amount (costs) on sale of assets2013-12-31$1,859,153
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31MCELHANEY & ASSOCIATES, LLC
Accountancy firm EIN2013-12-31383806684
2012 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$837,737
Total unrealized appreciation/depreciation of assets2012-12-31$837,737
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$200,700
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$126,871
Total income from all sources (including contributions)2012-12-31$17,466,379
Total loss/gain on sale of assets2012-12-31$12,083
Total of all expenses incurred2012-12-31$13,931,740
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$13,547,178
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$15,802,866
Value of total assets at end of year2012-12-31$31,133,161
Value of total assets at beginning of year2012-12-31$27,524,693
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$384,562
Total interest from all sources2012-12-31$61,813
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$462,025
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$356,169
Administrative expenses professional fees incurred2012-12-31$44,296
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,395,387
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$2,940,543
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$1,445,365
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$1,252,357
Administrative expenses (other) incurred2012-12-31$53,501
Liabilities. Value of operating payables at end of year2012-12-31$167,758
Liabilities. Value of operating payables at beginning of year2012-12-31$41,542
Total non interest bearing cash at end of year2012-12-31$1,901,235
Total non interest bearing cash at beginning of year2012-12-31$623,315
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$3,534,639
Value of net assets at end of year (total assets less liabilities)2012-12-31$30,932,461
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$27,397,822
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Assets. partnership/joint venture interests at end of year2012-12-31$3,709,302
Assets. partnership/joint venture interests at beginning of year2012-12-31$2,859,376
Investment advisory and management fees2012-12-31$82,403
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$15,102,829
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$14,709,921
Interest earned on other investments2012-12-31$-8,868
Income. Interest from US Government securities2012-12-31$42,074
Income. Interest from corporate debt instruments2012-12-31$28,591
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$272,605
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$307,580
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$307,580
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$16
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$10,829,791
Asset value of US Government securities at end of year2012-12-31$1,188,053
Asset value of US Government securities at beginning of year2012-12-31$1,357,717
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$289,855
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$11,466,936
Employer contributions (assets) at end of year2012-12-31$1,317,076
Employer contributions (assets) at beginning of year2012-12-31$1,368,370
Income. Dividends from common stock2012-12-31$105,856
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,717,387
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$1,007,819
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$800,978
Contract administrator fees2012-12-31$204,362
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$5,167,700
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$4,224,106
Liabilities. Value of benefit claims payable at end of year2012-12-31$32,942
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$85,329
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$21,177
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$20,973
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$2,298,140
Aggregate carrying amount (costs) on sale of assets2012-12-31$2,286,057
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31MCELHANEY & ASSOCIATES, LLC
Accountancy firm EIN2012-12-31383806684
2011 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-84,335
Total unrealized appreciation/depreciation of assets2011-12-31$-84,335
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$126,871
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$102,771
Total income from all sources (including contributions)2011-12-31$16,126,582
Total loss/gain on sale of assets2011-12-31$-35,554
Total of all expenses incurred2011-12-31$14,875,161
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$14,502,892
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$15,185,103
Value of total assets at end of year2011-12-31$27,524,693
Value of total assets at beginning of year2011-12-31$26,249,172
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$372,269
Total interest from all sources2011-12-31$367,762
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$430,509
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$361,852
Administrative expenses professional fees incurred2011-12-31$43,329
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,503,564
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$2,291,916
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$1,252,357
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$1,146,575
Administrative expenses (other) incurred2011-12-31$65,940
Liabilities. Value of operating payables at end of year2011-12-31$41,542
Liabilities. Value of operating payables at beginning of year2011-12-31$19,055
Total non interest bearing cash at end of year2011-12-31$623,315
Total non interest bearing cash at beginning of year2011-12-31$383,954
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$1,251,421
Value of net assets at end of year (total assets less liabilities)2011-12-31$27,397,822
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$26,146,401
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Assets. partnership/joint venture interests at end of year2011-12-31$2,859,376
Assets. partnership/joint venture interests at beginning of year2011-12-31$2,569,673
Investment advisory and management fees2011-12-31$75,479
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$14,709,921
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$14,089,198
Interest earned on other investments2011-12-31$289,703
Income. Interest from US Government securities2011-12-31$45,007
Income. Interest from corporate debt instruments2011-12-31$32,946
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$307,580
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$929,981
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$929,981
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$106
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,767,049
Asset value of US Government securities at end of year2011-12-31$1,357,717
Asset value of US Government securities at beginning of year2011-12-31$1,064,493
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$263,097
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$11,389,623
Employer contributions (assets) at end of year2011-12-31$1,368,370
Employer contributions (assets) at beginning of year2011-12-31$1,353,326
Income. Dividends from common stock2011-12-31$68,657
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$11,735,843
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$800,978
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$912,030
Contract administrator fees2011-12-31$187,521
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$4,224,106
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$3,778,689
Liabilities. Value of benefit claims payable at end of year2011-12-31$85,329
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$83,716
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$20,973
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$21,253
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$2,184,207
Aggregate carrying amount (costs) on sale of assets2011-12-31$2,219,761
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31MCELHANEY & ASSOCIATES, LLC
Accountancy firm EIN2011-12-31383806684
2010 : STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$502,488
Total unrealized appreciation/depreciation of assets2010-12-31$502,488
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$102,771
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,015,670
Total income from all sources (including contributions)2010-12-31$15,660,847
Total loss/gain on sale of assets2010-12-31$124,436
Total of all expenses incurred2010-12-31$14,342,143
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$13,959,230
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$13,907,337
Value of total assets at end of year2010-12-31$26,249,172
Value of total assets at beginning of year2010-12-31$25,843,367
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$382,913
Total interest from all sources2010-12-31$351,193
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$471,535
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$403,578
Administrative expenses professional fees incurred2010-12-31$65,036
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,461,579
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$1,615,098
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$1,146,575
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$1,676,121
Administrative expenses (other) incurred2010-12-31$71,319
Liabilities. Value of operating payables at end of year2010-12-31$19,055
Liabilities. Value of operating payables at beginning of year2010-12-31$196,296
Total non interest bearing cash at end of year2010-12-31$383,954
Total non interest bearing cash at beginning of year2010-12-31$2,721,724
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,318,704
Value of net assets at end of year (total assets less liabilities)2010-12-31$26,146,401
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$24,827,697
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Assets. partnership/joint venture interests at end of year2010-12-31$2,569,673
Assets. partnership/joint venture interests at beginning of year2010-12-31$2,281,054
Investment advisory and management fees2010-12-31$66,061
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$14,089,198
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$15,697,302
Interest earned on other investments2010-12-31$288,619
Income. Interest from US Government securities2010-12-31$35,100
Income. Interest from corporate debt instruments2010-12-31$27,273
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$929,981
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$124,978
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$124,978
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$201
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$11,572,914
Asset value of US Government securities at end of year2010-12-31$1,064,493
Asset value of US Government securities at beginning of year2010-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$303,858
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$10,830,660
Employer contributions (assets) at end of year2010-12-31$1,353,326
Employer contributions (assets) at beginning of year2010-12-31$1,286,220
Income. Dividends from common stock2010-12-31$67,957
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$2,386,316
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$912,030
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$0
Contract administrator fees2010-12-31$180,497
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$3,778,689
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$2,033,275
Liabilities. Value of benefit claims payable at end of year2010-12-31$83,716
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$819,374
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$21,253
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$22,693
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$11,315,770
Aggregate carrying amount (costs) on sale of assets2010-12-31$11,191,334
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31MCELHANEY & ASSOCIATES, LLC
Accountancy firm EIN2010-12-31383806684

Form 5500 Responses for STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN

2023: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entityMulti-employer plan
2023-01-01Plan is a collectively bargained planYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedYes
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedYes
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: STEAMFITTERS 449 MEDICAL AND BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number151385
Policy instance 2
Insurance contract or identification number151385
Number of Individuals Covered1706
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 1
Insurance contract or identification number027818 01146502
Number of Individuals Covered1205
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number151385
Policy instance 2
Insurance contract or identification number151385
Number of Individuals Covered1735
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 1
Insurance contract or identification number027818 01146502
Number of Individuals Covered1153
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number151385
Policy instance 2
Insurance contract or identification number151385
Number of Individuals Covered2711
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 1
Insurance contract or identification number027818 01146502
Number of Individuals Covered1133
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number151385
Policy instance 2
Insurance contract or identification number151385
Number of Individuals Covered2617
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 1
Insurance contract or identification number027818 01146502
Number of Individuals Covered1128
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number151385
Policy instance 2
Insurance contract or identification number151385
Number of Individuals Covered1743
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 2
Insurance contract or identification number027818 01146502
Number of Individuals Covered1101
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number151385
Policy instance 3
Insurance contract or identification number151385
Number of Individuals Covered1743
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 1
Insurance contract or identification number027818 01146502
Number of Individuals Covered1101
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Health Insurance Welfare BenefitYes
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number03212
Policy instance 4
Insurance contract or identification number03212
Number of Individuals Covered5850
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 1
Insurance contract or identification number027818 01146502
Number of Individuals Covered1915
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 2
Insurance contract or identification number027818 01146502
Number of Individuals Covered1082
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number151385
Policy instance 3
Insurance contract or identification number151385
Number of Individuals Covered2553
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number03212
Policy instance 4
Insurance contract or identification number03212
Number of Individuals Covered2601
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number151385
Policy instance 3
Insurance contract or identification number151385
Number of Individuals Covered2666
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $20,539
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $746,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,539
Insurance broker name
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 2
Insurance contract or identification number027818 01146502
Number of Individuals Covered1347
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 1
Insurance contract or identification number027818 01146502
Number of Individuals Covered1737
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818/01146502
Policy instance 4
Insurance contract or identification number027818/01146502
Number of Individuals Covered4737
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 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 $4,160,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number151385
Policy instance 3
Insurance contract or identification number151385
Number of Individuals Covered785
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
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 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 $143,565
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 2
Insurance contract or identification number027818 01146502
Number of Individuals Covered1037
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,283,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 1
Insurance contract or identification number027818 01146502
Number of Individuals Covered4738
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $17,340,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818/01146502
Policy instance 4
Insurance contract or identification number027818/01146502
Number of Individuals Covered2782
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,104,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 2
Insurance contract or identification number027818 01146502
Number of Individuals Covered651
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,829,940
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 1
Insurance contract or identification number027818 01146502
Number of Individuals Covered2784
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $9,315,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number151385
Policy instance 3
Insurance contract or identification number151385
Number of Individuals Covered406
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
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 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 $93,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 1
Insurance contract or identification number027818 01146502
Number of Individuals Covered2774
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,810,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGAMAX/GVTL0AMAX
Policy instance 6
Insurance contract or identification numberGAMAX/GVTL0AMAX
Number of Individuals Covered48
Insurance policy start date2012-10-01
Insurance policy end date2013-04-01
Total amount of commissions paid to insurance brokerUSD $1,207
Total amount of fees paid to insurance companyUSD $41
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
Other welfare benefits providedVOLUNTARY LIFE
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 $12,075
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,207
Amount paid for insurance broker fees41
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameMACQUEEN & ASSOCIATES LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGAMAX/GLUG0AMAX
Policy instance 5
Insurance contract or identification numberGAMAX/GLUG0AMAX
Number of Individuals Covered1397
Insurance policy start date2012-10-01
Insurance policy end date2013-04-01
Total amount of commissions paid to insurance brokerUSD $15,059
Total amount of fees paid to insurance companyUSD $1,406
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 $150,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,059
Amount paid for insurance broker fees1406
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameMACQUEEN & ASSOCIATES LLC
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 01146502
Policy instance 2
Insurance contract or identification number027818 01146502
Number of Individuals Covered657
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,627,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number118318
Policy instance 3
Insurance contract or identification number118318
Number of Individuals Covered364
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $4,088
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 $37,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,088
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
Insurance broker nameAMERICAN UNION INS & BENEFITS LLC
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818/01146502
Policy instance 4
Insurance contract or identification number027818/01146502
Number of Individuals Covered2771
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 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 $1,764,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 08841582
Policy instance 1
Insurance contract or identification number027818 08841582
Number of Individuals Covered2661
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,743,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number118318
Policy instance 3
Insurance contract or identification number118318
Number of Individuals Covered352
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $6,873
Total amount of fees paid to insurance companyUSD $21
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 $90,934
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,873
Amount paid for insurance broker fees21
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
Insurance broker nameAMERICAN UNION INS & BENEFITS LLC
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818/08841582
Policy instance 4
Insurance contract or identification number027818/08841582
Number of Individuals Covered2659
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 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 $1,523,680
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 08841582
Policy instance 2
Insurance contract or identification number027818 08841582
Number of Individuals Covered638
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,473,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number118318
Policy instance 5
Insurance contract or identification number118318
Number of Individuals Covered352
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $6,873
Total amount of fees paid to insurance companyUSD $21
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 $90,934
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 08841582
Policy instance 4
Insurance contract or identification number027818 08841582
Number of Individuals Covered470
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,485,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 08841582
Policy instance 3
Insurance contract or identification number027818 08841582
Number of Individuals Covered2802
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,977,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number03212
Policy instance 1
Insurance contract or identification number03212
Number of Individuals Covered1430
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,663
Total amount of fees paid to insurance companyUSD $43,683
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 BenefitYes
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 $732,624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 08841582
Policy instance 2
Insurance contract or identification number027818 08841582
Number of Individuals Covered2801
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,181,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number118318
Policy instance 5
Insurance contract or identification number118318
Number of Individuals Covered1357
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $25,155
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 $105,383
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,155
Insurance broker organization code?3
Insurance broker nameAMERICAN UNION INS & BENEFITS LLC
KEYSTONE HEALTH PLAN WEST, INC (National Association of Insurance Commissioners NAIC id number: 95048 )
Policy contract number027818 08841582
Policy instance 4
Insurance contract or identification number027818 08841582
Number of Individuals Covered320
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 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
Other welfare benefits providedFREEDOM BLUE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,190,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract numberPA3212
Policy instance 1
Insurance contract or identification numberPA3212
Number of Individuals Covered1434
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,527
Total amount of fees paid to insurance companyUSD $44,211
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 BenefitYes
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 $705,417
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,527
Amount paid for insurance broker fees44211
Additional information about fees paid to insurance brokerADMIN FEE
Insurance broker organization code?3
Insurance broker nameDELAWARE VALLEY HEALTH CARE COALITI
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 08841582
Policy instance 3
Insurance contract or identification number027818 08841582
Number of Individuals Covered2977
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,993,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number027818 08841582
Policy instance 2
Insurance contract or identification number027818 08841582
Number of Individuals Covered2976
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,317,988
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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