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MULTI BENEFIT PLANS TRUST 401k Plan overview

Plan NameMULTI BENEFIT PLANS TRUST
Plan identification number 501

MULTI BENEFIT PLANS TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision

401k Sponsoring company profile

MULTI BENEFIT PLANS TRUST has sponsored the creation of one or more 401k plans.

Company Name:MULTI BENEFIT PLANS TRUST
Employer identification number (EIN):330486498
NAIC Classification:525920
NAIC Description:Trusts, Estates, and Agency Accounts

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MULTI BENEFIT PLANS TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012011-01-01GEORGE DELYANNIS
5012010-01-01MICHAEL L COX GERALD KIMMERLE2011-07-28
5012009-01-01MICHAEL L COX GERALD KIMMERLE2010-08-04

Plan Statistics for MULTI BENEFIT PLANS TRUST

401k plan membership statisitcs for MULTI BENEFIT PLANS TRUST

Measure Date Value
2016: MULTI BENEFIT PLANS TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01138
Total number of active participants reported on line 7a of the Form 55002016-01-010
Total of all active and inactive participants2016-01-010
2015: MULTI BENEFIT PLANS TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01148
Total number of active participants reported on line 7a of the Form 55002015-01-01138
Total of all active and inactive participants2015-01-01138
2014: MULTI BENEFIT PLANS TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01186
Total number of active participants reported on line 7a of the Form 55002014-01-01148
Total of all active and inactive participants2014-01-01148
2013: MULTI BENEFIT PLANS TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01275
Total number of active participants reported on line 7a of the Form 55002013-01-01186
Total of all active and inactive participants2013-01-01186
2011: MULTI BENEFIT PLANS TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01742
Total number of active participants reported on line 7a of the Form 55002011-01-01569
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01569
Total participants2011-01-01569
2010: MULTI BENEFIT PLANS TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-01938
Total number of active participants reported on line 7a of the Form 55002010-01-01742
Total of all active and inactive participants2010-01-01742
Total participants2010-01-01742
2009: MULTI BENEFIT PLANS TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-011,258
Total number of active participants reported on line 7a of the Form 55002009-01-01938
Total of all active and inactive participants2009-01-01938
Total participants2009-01-01938

Financial Data on MULTI BENEFIT PLANS TRUST

Measure Date Value
2016 : MULTI BENEFIT PLANS TRUST 2016 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-07-31$1,948
Total income from all sources (including contributions)2016-07-31$76,548
Total of all expenses incurred2016-07-31$119,079
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-07-31$10,534
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-07-31$12,452
Value of total assets at beginning of year2016-07-31$44,479
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-07-31$108,545
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-07-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-07-31$0
Administrative expenses professional fees incurred2016-07-31$85,031
Was this plan covered by a fidelity bond2016-07-31Yes
Value of fidelity bond cover2016-07-31$500,000
If this is an individual account plan, was there a blackout period2016-07-31No
Were there any nonexempt tranactions with any party-in-interest2016-07-31No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-07-31$1,929
Other income not declared elsewhere2016-07-31$64,096
Administrative expenses (other) incurred2016-07-31$15,982
Liabilities. Value of operating payables at beginning of year2016-07-31$19
Total non interest bearing cash at beginning of year2016-07-31$44,479
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-07-31No
Value of net income/loss2016-07-31$-42,531
Value of net assets at beginning of year (total assets less liabilities)2016-07-31$42,531
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-07-31No
Were any leases to which the plan was party in default or uncollectible2016-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-07-31$10,534
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-07-31No
Was there a failure to transmit to the plan any participant contributions2016-07-31No
Has the plan failed to provide any benefit when due under the plan2016-07-31No
Contributions received in cash from employer2016-07-31$12,452
Contract administrator fees2016-07-31$7,532
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-07-31No
Did the plan have assets held for investment2016-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-07-31No
Opinion of an independent qualified public accountant for this plan2016-07-31Unqualified
Accountancy firm name2016-07-31BERNARD KOTKIN & COMPANY LLP
Accountancy firm EIN2016-07-31952556670
2015 : MULTI BENEFIT PLANS TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,948
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,667
Total income from all sources (including contributions)2015-12-31$76,120
Total of all expenses incurred2015-12-31$94,654
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$57,769
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$76,120
Value of total assets at end of year2015-12-31$44,479
Value of total assets at beginning of year2015-12-31$63,732
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$36,885
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$5,800
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,219
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$1,929
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$2,667
Administrative expenses (other) incurred2015-12-31$26,939
Liabilities. Value of operating payables at end of year2015-12-31$19
Total non interest bearing cash at end of year2015-12-31$44,479
Total non interest bearing cash at beginning of year2015-12-31$63,680
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-18,534
Value of net assets at end of year (total assets less liabilities)2015-12-31$42,531
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$61,065
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
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$57,769
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
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$74,901
Contract administrator fees2015-12-31$4,146
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$52
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BERNARD KOTKIN & COMPANY LLP
Accountancy firm EIN2015-12-31952556670
2014 : MULTI BENEFIT PLANS TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,667
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$5,125
Total income from all sources (including contributions)2014-12-31$100,928
Total of all expenses incurred2014-12-31$145,977
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$74,386
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$100,928
Value of total assets at end of year2014-12-31$63,732
Value of total assets at beginning of year2014-12-31$111,239
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$71,591
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$5,724
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$208
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$2,667
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$4,469
Administrative expenses (other) incurred2014-12-31$56,399
Liabilities. Value of operating payables at beginning of year2014-12-31$656
Total non interest bearing cash at end of year2014-12-31$63,680
Total non interest bearing cash at beginning of year2014-12-31$110,976
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-45,049
Value of net assets at end of year (total assets less liabilities)2014-12-31$61,065
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$106,114
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
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$74,386
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
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$100,720
Contract administrator fees2014-12-31$9,468
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$52
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$263
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BERNARD KOTKIN & COMPANY, LLP
Accountancy firm EIN2014-12-31952556670
2013 : MULTI BENEFIT PLANS TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$5,125
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$7,173
Total income from all sources (including contributions)2013-12-31$125,761
Total of all expenses incurred2013-12-31$167,519
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$95,645
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$125,761
Value of total assets at end of year2013-12-31$111,239
Value of total assets at beginning of year2013-12-31$155,045
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$71,874
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$7,500
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$321
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$4,469
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$7,158
Administrative expenses (other) incurred2013-12-31$52,541
Liabilities. Value of operating payables at end of year2013-12-31$656
Liabilities. Value of operating payables at beginning of year2013-12-31$15
Total non interest bearing cash at end of year2013-12-31$110,976
Total non interest bearing cash at beginning of year2013-12-31$154,571
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-41,758
Value of net assets at end of year (total assets less liabilities)2013-12-31$106,114
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$147,872
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
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$95,645
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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$125,440
Contract administrator fees2013-12-31$11,833
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$263
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$474
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BERNARD KOTKIN & COMPANY, LLP
Accountancy firm EIN2013-12-31952556670
2011 : MULTI BENEFIT PLANS TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$14,560
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$13,881
Total income from all sources (including contributions)2011-12-31$352,507
Total of all expenses incurred2011-12-31$364,907
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$256,836
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$352,287
Value of total assets at end of year2011-12-31$183,259
Value of total assets at beginning of year2011-12-31$194,980
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$108,071
Total interest from all sources2011-12-31$220
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$3,800
Was this plan covered by a fidelity bond2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$746
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$1,731
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$14,427
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$13,867
Administrative expenses (other) incurred2011-12-31$93,000
Liabilities. Value of operating payables at end of year2011-12-31$133
Liabilities. Value of operating payables at beginning of year2011-12-31$14
Total non interest bearing cash at end of year2011-12-31$183,259
Total non interest bearing cash at beginning of year2011-12-31$18,236
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-12,400
Value of net assets at end of year (total assets less liabilities)2011-12-31$168,699
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$181,099
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$175,013
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$175,013
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$220
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$256,836
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
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$351,541
Contract administrator fees2011-12-31$11,271
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2011-12-31952036255
2010 : MULTI BENEFIT PLANS TRUST 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$13,881
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$15,414
Total income from all sources (including contributions)2010-12-31$422,457
Total of all expenses incurred2010-12-31$449,561
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$301,332
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$421,700
Value of total assets at end of year2010-12-31$194,980
Value of total assets at beginning of year2010-12-31$223,617
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$148,229
Total interest from all sources2010-12-31$757
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$3,800
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$1,731
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$1,339
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$13,867
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$15,195
Administrative expenses (other) incurred2010-12-31$131,871
Liabilities. Value of operating payables at end of year2010-12-31$14
Liabilities. Value of operating payables at beginning of year2010-12-31$219
Total non interest bearing cash at end of year2010-12-31$18,236
Total non interest bearing cash at beginning of year2010-12-31$122,700
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-27,104
Value of net assets at end of year (total assets less liabilities)2010-12-31$181,099
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$208,203
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$175,013
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$99,578
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$99,578
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$757
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$301,332
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$421,700
Contract administrator fees2010-12-31$12,558
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31JOHNSON, FUJITA, PEAUROI ACCTY CORP
Accountancy firm EIN2010-12-31953052675

Form 5500 Responses for MULTI BENEFIT PLANS TRUST

2016: MULTI BENEFIT PLANS TRUST 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01This submission is the final filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: MULTI BENEFIT PLANS TRUST 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MULTI BENEFIT PLANS TRUST 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MULTI BENEFIT PLANS TRUST 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2011: MULTI BENEFIT PLANS TRUST 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: MULTI BENEFIT PLANS TRUST 2010 form 5500 responses
2010-01-01Type of plan entityMulitple employer plan
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: MULTI BENEFIT PLANS TRUST 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number13882
Policy instance 1
Insurance contract or identification number13882
Number of Individuals Covered0
Insurance policy start date2016-01-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,667
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberMBP-001
Policy instance 2
Insurance contract or identification numberMBP-001
Number of Individuals Covered0
Insurance policy start date2016-01-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $867
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberMBP-001
Policy instance 2
Insurance contract or identification numberMBP-001
Number of Individuals Covered11
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number13882
Policy instance 1
Insurance contract or identification number13882
Number of Individuals Covered112
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $56,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberMBP-001
Policy instance 2
Insurance contract or identification numberMBP-001
Number of Individuals Covered8
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,659
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number13882
Policy instance 1
Insurance contract or identification number13882
Number of Individuals Covered139
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $70,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number13882
Policy instance 1
Insurance contract or identification number13882
Number of Individuals Covered193
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $94,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberMBP-001
Policy instance 2
Insurance contract or identification numberMBP-001
Number of Individuals Covered4
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 $66
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees66
Additional information about fees paid to insurance brokerINSURANCE FEES
Insurance broker organization code?3
Insurance broker nameHM LIFE INSURANCE COMPANY
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number1945
Policy instance 1
Insurance contract or identification number1945
Number of Individuals Covered176
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $133,165
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberMBP-001
Policy instance 2
Insurance contract or identification numberMBP-001
Number of Individuals Covered87
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of fees paid to insurance companyUSD $331
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,344
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 number01571
Policy instance 3
Insurance contract or identification number01571
Number of Individuals Covered416
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $117,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number
Policy instance 1
Number of Individuals Covered69
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,291
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: 52566 )
Policy contract number1571
Policy instance 2
Insurance contract or identification number1571
Number of Individuals Covered470
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $139,581
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 number1945
Policy instance 3
Insurance contract or identification number1945
Number of Individuals Covered203
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $153,460
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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