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INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 401k Plan overview

Plan NameINTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN
Plan identification number 501

INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN Benefits

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

401k Sponsoring company profile

INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & has sponsored the creation of one or more 401k plans.

Company Name:INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH &
Employer identification number (EIN):264269448
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE 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
5012018-01-01BRUCE EASTMAN
5012017-01-01BRUCE EASTMAN
5012016-01-01BRUCE EASTMAN
5012015-01-01BRUCE EASTMAN
5012014-01-01BRUCE EASTMAN
5012013-01-01BRUCE EASTMAN
5012012-01-01BRUCE EASTMAN
5012011-01-01BRUCE EASTMAN
5012009-01-01BRUCE EASTMAN AND NORBERT MONGEON
5012007-01-01BRUCE EASTMAN
5012006-01-01BRUCE EASTMAN

Plan Statistics for INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN

401k plan membership statisitcs for INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN

Measure Date Value
2023: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-010
Total number of active participants reported on line 7a of the Form 55002023-01-010
Total of all active and inactive participants2023-01-010
Number of employers contributing to the scheme2023-01-010
2022: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0134
Total number of active participants reported on line 7a of the Form 55002022-01-010
Total of all active and inactive participants2022-01-010
Number of employers contributing to the scheme2022-01-010
2021: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0146
Total number of active participants reported on line 7a of the Form 55002021-01-0134
Total of all active and inactive participants2021-01-0134
Number of employers contributing to the scheme2021-01-016
2020: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0137
Total number of active participants reported on line 7a of the Form 55002020-01-0146
Total of all active and inactive participants2020-01-0146
Number of employers contributing to the scheme2020-01-015
2019: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0137
Total number of active participants reported on line 7a of the Form 55002019-01-0136
Number of retired or separated participants receiving benefits2019-01-011
Total of all active and inactive participants2019-01-0137
Number of employers contributing to the scheme2019-01-015
2018: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0132
Total number of active participants reported on line 7a of the Form 55002018-01-0136
Number of retired or separated participants receiving benefits2018-01-011
Total of all active and inactive participants2018-01-0137
Number of employers contributing to the scheme2018-01-015
2017: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0131
Total number of active participants reported on line 7a of the Form 55002017-01-0132
Total of all active and inactive participants2017-01-0132
Number of employers contributing to the scheme2017-01-015
2016: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0128
Total number of active participants reported on line 7a of the Form 55002016-01-0131
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0131
Number of employers contributing to the scheme2016-01-015
2015: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0132
Total number of active participants reported on line 7a of the Form 55002015-01-0128
Total of all active and inactive participants2015-01-0128
Number of employers contributing to the scheme2015-01-015
2014: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0170
Total number of active participants reported on line 7a of the Form 55002014-01-0132
Total of all active and inactive participants2014-01-0132
Number of employers contributing to the scheme2014-01-016
2013: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0172
Total number of active participants reported on line 7a of the Form 55002013-01-0170
Total of all active and inactive participants2013-01-0170
Number of employers contributing to the scheme2013-01-016
2012: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0160
Total number of active participants reported on line 7a of the Form 55002012-01-0172
Total of all active and inactive participants2012-01-0172
Number of employers contributing to the scheme2012-01-017
2011: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0146
Total number of active participants reported on line 7a of the Form 55002011-01-0160
Total of all active and inactive participants2011-01-0160
Number of employers contributing to the scheme2011-01-015
2009: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0144
Total number of active participants reported on line 7a of the Form 55002009-01-0146
Total of all active and inactive participants2009-01-0146
Number of employers contributing to the scheme2009-01-014
2007: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-0144
Total number of active participants reported on line 7a of the Form 55002007-01-0144
Total of all active and inactive participants2007-01-0144
Number of employers contributing to the scheme2007-01-014
2006: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2006 401k membership
Total participants, beginning-of-year2006-01-010
Total number of active participants reported on line 7a of the Form 55002006-01-0144
Total of all active and inactive participants2006-01-0144
Number of employers contributing to the scheme2006-01-014

Financial Data on INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN

Measure Date Value
2022 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2022 401k financial data
Total income from all sources2022-12-31$2
Expenses. Total of all expenses incurred2022-12-31$22,006
Benefits paid (including direct rollovers)2022-12-31$13,200
Total plan assets at end of year2022-12-31$3,587
Total plan assets at beginning of year2022-12-31$25,591
Value of fidelity bond covering the plan2022-12-31$500,000
Expenses. Other expenses not covered elsewhere2022-12-31$3,430
Other income received2022-12-31$2
Net income (gross income less expenses)2022-12-31$-22,004
Net plan assets at end of year (total assets less liabilities)2022-12-31$3,587
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$25,591
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$5,376
2021 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2021 401k financial data
Total income from all sources2021-12-31$42,019
Expenses. Total of all expenses incurred2021-12-31$325,951
Benefits paid (including direct rollovers)2021-12-31$313,226
Total plan assets at end of year2021-12-31$25,591
Total plan assets at beginning of year2021-12-31$309,523
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$379
Expenses. Other expenses not covered elsewhere2021-12-31$1,897
Other income received2021-12-31$85
Net income (gross income less expenses)2021-12-31$-283,932
Net plan assets at end of year (total assets less liabilities)2021-12-31$25,591
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$309,523
Total contributions received or receivable from employer(s)2021-12-31$41,555
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$10,828
2020 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2020 401k financial data
Total income from all sources2020-12-31$112,003
Expenses. Total of all expenses incurred2020-12-31$403,592
Benefits paid (including direct rollovers)2020-12-31$397,811
Total plan assets at end of year2020-12-31$309,523
Total plan assets at beginning of year2020-12-31$601,112
Value of fidelity bond covering the plan2020-12-31$500,000
Expenses. Other expenses not covered elsewhere2020-12-31$1,201
Other income received2020-12-31$47
Net income (gross income less expenses)2020-12-31$-291,589
Net plan assets at end of year (total assets less liabilities)2020-12-31$309,523
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$601,112
Total contributions received or receivable from employer(s)2020-12-31$111,956
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$4,580
2019 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2019 401k financial data
Total income from all sources2019-12-31$458,685
Expenses. Total of all expenses incurred2019-12-31$316,307
Benefits paid (including direct rollovers)2019-12-31$304,574
Total plan assets at end of year2019-12-31$601,112
Total plan assets at beginning of year2019-12-31$458,734
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$1,358
Expenses. Other expenses not covered elsewhere2019-12-31$1,267
Other income received2019-12-31$428
Net income (gross income less expenses)2019-12-31$142,378
Net plan assets at end of year (total assets less liabilities)2019-12-31$601,112
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$458,734
Total contributions received or receivable from employer(s)2019-12-31$456,899
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$10,466
2018 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2018 401k financial data
Total income from all sources2018-12-31$335,192
Expenses. Total of all expenses incurred2018-12-31$310,622
Benefits paid (including direct rollovers)2018-12-31$298,474
Total plan assets at end of year2018-12-31$458,734
Total plan assets at beginning of year2018-12-31$434,164
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$1,976
Expenses. Other expenses not covered elsewhere2018-12-31$637
Other income received2018-12-31$87
Net income (gross income less expenses)2018-12-31$24,570
Net plan assets at end of year (total assets less liabilities)2018-12-31$458,734
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$434,164
Total contributions received or receivable from employer(s)2018-12-31$333,129
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$11,511
2017 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2017 401k financial data
Total income from all sources2017-12-31$329,463
Expenses. Total of all expenses incurred2017-12-31$262,691
Benefits paid (including direct rollovers)2017-12-31$257,740
Total plan assets at end of year2017-12-31$434,164
Total plan assets at beginning of year2017-12-31$367,392
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$1,264
Expenses. Other expenses not covered elsewhere2017-12-31$241
Other income received2017-12-31$40
Net income (gross income less expenses)2017-12-31$66,772
Net plan assets at end of year (total assets less liabilities)2017-12-31$434,164
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$367,392
Total contributions received or receivable from employer(s)2017-12-31$328,159
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$4,710
2016 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2016 401k financial data
Total income from all sources2016-12-31$327,920
Expenses. Total of all expenses incurred2016-12-31$263,644
Benefits paid (including direct rollovers)2016-12-31$255,807
Total plan assets at end of year2016-12-31$367,392
Total plan assets at beginning of year2016-12-31$303,116
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$1,335
Expenses. Other expenses not covered elsewhere2016-12-31$178
Other income received2016-12-31$39
Net income (gross income less expenses)2016-12-31$64,276
Net plan assets at end of year (total assets less liabilities)2016-12-31$367,392
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$303,116
Total contributions received or receivable from employer(s)2016-12-31$326,546
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$7,659
2015 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2015 401k financial data
Total income from all sources2015-12-31$279,941
Expenses. Total of all expenses incurred2015-12-31$221,483
Benefits paid (including direct rollovers)2015-12-31$215,489
Total plan assets at end of year2015-12-31$303,116
Total plan assets at beginning of year2015-12-31$244,658
Value of fidelity bond covering the plan2015-12-31$1,000,000
Total contributions received or receivable from participants2015-12-31$6,834
Expenses. Other expenses not covered elsewhere2015-12-31$185
Other income received2015-12-31$26
Net income (gross income less expenses)2015-12-31$58,458
Net plan assets at end of year (total assets less liabilities)2015-12-31$303,116
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$244,658
Total contributions received or receivable from employer(s)2015-12-31$273,081
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$5,809
2014 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2014 401k financial data
Total income from all sources2014-12-31$327,771
Expenses. Total of all expenses incurred2014-12-31$240,235
Benefits paid (including direct rollovers)2014-12-31$227,942
Total plan assets at end of year2014-12-31$244,658
Total plan assets at beginning of year2014-12-31$157,122
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$2,525
Expenses. Other expenses not covered elsewhere2014-12-31$438
Other income received2014-12-31$36,846
Net income (gross income less expenses)2014-12-31$87,536
Net plan assets at end of year (total assets less liabilities)2014-12-31$244,658
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$157,122
Total contributions received or receivable from employer(s)2014-12-31$288,400
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$11,855
2013 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2013 401k financial data
Total income from all sources2013-12-31$276,179
Expenses. Total of all expenses incurred2013-12-31$214,400
Benefits paid (including direct rollovers)2013-12-31$205,394
Total plan assets at end of year2013-12-31$157,122
Total plan assets at beginning of year2013-12-31$95,343
Value of fidelity bond covering the plan2013-12-31$100,000
Total contributions received or receivable from participants2013-12-31$1,200
Expenses. Other expenses not covered elsewhere2013-12-31$315
Other income received2013-12-31$9
Net income (gross income less expenses)2013-12-31$61,779
Net plan assets at end of year (total assets less liabilities)2013-12-31$157,122
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$95,343
Total contributions received or receivable from employer(s)2013-12-31$274,970
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$8,691
2012 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2012 401k financial data
Total income from all sources2012-12-31$217,436
Expenses. Total of all expenses incurred2012-12-31$291,560
Benefits paid (including direct rollovers)2012-12-31$283,018
Total plan assets at end of year2012-12-31$95,343
Total plan assets at beginning of year2012-12-31$169,467
Value of fidelity bond covering the plan2012-12-31$100,000
Total contributions received or receivable from participants2012-12-31$18,529
Expenses. Other expenses not covered elsewhere2012-12-31$572
Other income received2012-12-31$47
Net income (gross income less expenses)2012-12-31$-74,124
Net plan assets at end of year (total assets less liabilities)2012-12-31$95,343
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$169,467
Total contributions received or receivable from employer(s)2012-12-31$198,860
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$7,970
2011 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2011 401k financial data
Total income from all sources2011-12-31$243,953
Expenses. Total of all expenses incurred2011-12-31$314,191
Benefits paid (including direct rollovers)2011-12-31$309,121
Total plan assets at end of year2011-12-31$169,467
Total plan assets at beginning of year2011-12-31$239,705
Value of fidelity bond covering the plan2011-12-31$100,000
Total contributions received or receivable from participants2011-12-31$9,311
Net income (gross income less expenses)2011-12-31$-70,238
Net plan assets at end of year (total assets less liabilities)2011-12-31$169,467
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$239,705
Total contributions received or receivable from employer(s)2011-12-31$234,642
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$5,070
2010 : INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2010 401k financial data
Total income from all sources2010-12-31$202,760
Expenses. Total of all expenses incurred2010-12-31$253,269
Benefits paid (including direct rollovers)2010-12-31$249,057
Total plan assets at end of year2010-12-31$239,705
Total plan assets at beginning of year2010-12-31$290,214
Value of fidelity bond covering the plan2010-12-31$100,000
Net income (gross income less expenses)2010-12-31$-50,509
Net plan assets at end of year (total assets less liabilities)2010-12-31$239,705
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$290,214
Total contributions received or receivable from employer(s)2010-12-31$202,760
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$4,212

Form 5500 Responses for INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN

2023: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE 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 – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE 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 – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE 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 – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE 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 – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE 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 – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE 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 – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE 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 – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2007: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2007 form 5500 responses
2007-01-01Type of plan entityMulti-employer plan
2007-01-01This submission is the final filingNo
2007-01-01Plan is a collectively bargained planYes
2007-01-01Plan funding arrangement – TrustYes
2007-01-01Plan benefit arrangement – InsuranceYes
2007-01-01Plan benefit arrangement - TrustYes
2006: INTERNATIONAL ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 23 HEALTH & WELFARE PLAN 2006 form 5500 responses
2006-01-01Type of plan entityMulti-employer plan
2006-01-01This submission is the final filingNo
2006-01-01Plan is a collectively bargained planYes
2006-01-01Plan funding arrangement – TrustYes
2006-01-01Plan benefit arrangement – InsuranceYes
2006-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6837
Policy instance 1
Insurance contract or identification number6837
Number of Individuals Covered34
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $12,075
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $286,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,075
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30056452
Policy instance 4
Insurance contract or identification number30056452
Number of Individuals Covered45
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $428
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,012
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $428
Insurance broker organization code?3
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 )
Policy contract number6382-1
Policy instance 3
Insurance contract or identification number6382-1
Number of Individuals Covered47
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,342
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,342
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ARU-7
Policy instance 2
Insurance contract or identification numberG000ARU-7
Number of Individuals Covered48
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,919
Total amount of fees paid to insurance companyUSD $656
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $14,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,919
Insurance broker organization code?3
Amount paid for insurance broker fees656
Additional information about fees paid to insurance brokerOTHER COMPENSATION
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6837
Policy instance 1
Insurance contract or identification number6837
Number of Individuals Covered45
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $12,775
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $379,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,775
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6837
Policy instance 1
Insurance contract or identification number6837
Number of Individuals Covered34
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $9,350
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $297,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,350
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ARU-7
Policy instance 2
Insurance contract or identification numberG000ARU-7
Number of Individuals Covered35
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,601
Total amount of fees paid to insurance companyUSD $700
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,971
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,601
Amount paid for insurance broker fees700
Insurance broker organization code?3
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 )
Policy contract number6382-1
Policy instance 3
Insurance contract or identification number6382-1
Number of Individuals Covered35
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,126
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,519
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,126
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30056452
Policy instance 4
Insurance contract or identification number30056452
Number of Individuals Covered34
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $305
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $305
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30056452
Policy instance 4
Insurance contract or identification number30056452
Number of Individuals Covered35
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $300
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,005
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $300
Insurance broker organization code?3
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 )
Policy contract number6382-1
Policy instance 3
Insurance contract or identification number6382-1
Number of Individuals Covered36
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,097
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,097
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ARU-7
Policy instance 2
Insurance contract or identification numberG000ARU-7
Number of Individuals Covered36
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,561
Total amount of fees paid to insurance companyUSD $274
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,561
Amount paid for insurance broker fees274
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6837
Policy instance 1
Insurance contract or identification number6837
Number of Individuals Covered34
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $9,650
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $265,872
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,650
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30056452
Policy instance 4
Insurance contract or identification number30056452
Number of Individuals Covered28
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $255
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $255
Insurance broker organization code?5
Insurance broker nameCORNERSTONE FINANCIAL GROUP
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 )
Policy contract number6382-1
Policy instance 3
Insurance contract or identification number6382-1
Number of Individuals Covered30
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $972
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $972
Insurance broker organization code?5
Insurance broker nameHILB GROUP OF NEW ENGLAND, LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ARU-7
Policy instance 2
Insurance contract or identification numberG000ARU-7
Number of Individuals Covered32
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $318
Total amount of fees paid to insurance companyUSD $61
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $8,386
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $318
Amount paid for insurance broker fees61
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameTHE HILB GROUP OF NEW ENGLAND
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6837
Policy instance 1
Insurance contract or identification number6837
Number of Individuals Covered28
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $8,625
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $235,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,625
Insurance broker organization code?3
Insurance broker nameTHE HILB GROUP OF NEW ENGLAND
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6837
Policy instance 1
Insurance contract or identification number6837
Number of Individuals Covered27
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $7,355
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $203,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,355
Insurance broker organization code?3
Insurance broker nameCORNERSTONE FINANCIAL GROUP, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ARU7
Policy instance 2
Insurance contract or identification numberG000ARU7
Number of Individuals Covered27
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $205
Total amount of fees paid to insurance companyUSD $74
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,052
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $205
Amount paid for insurance broker fees74
Insurance broker organization code?3
Insurance broker nameCORNERSTONE FINANCIAL GROUP, INC.
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 )
Policy contract number6382-1
Policy instance 3
Insurance contract or identification number6382-1
Number of Individuals Covered28
Insurance policy start date2015-03-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $739
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $739
Insurance broker nameHILB GROUP OF NEW ENGLAND, LLC
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6837
Policy instance 1
Insurance contract or identification number6837
Number of Individuals Covered27
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $225,875
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000ARU7
Policy instance 2
Insurance contract or identification numberG000ARU7
Number of Individuals Covered32
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,067
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG 0019
Policy instance 2
Insurance contract or identification numberG 0019
Number of Individuals Covered42
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,407
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6837
Policy instance 1
Insurance contract or identification number6837
Number of Individuals Covered28
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $202,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG 0019
Policy instance 2
Insurance contract or identification numberG 0019
Number of Individuals Covered45
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,117
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6837
Policy instance 1
Insurance contract or identification number6837
Number of Individuals Covered27
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $280,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG 0019
Policy instance 2
Insurance contract or identification numberG 0019
Number of Individuals Covered46
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6837
Policy instance 1
Insurance contract or identification number6837
Number of Individuals Covered30
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $305,594
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG 0019
Policy instance 2
Insurance contract or identification numberG 0019
Number of Individuals Covered46
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number6837
Policy instance 1
Insurance contract or identification number6837
Number of Individuals Covered28
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $247,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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