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CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 401k Plan overview

Plan NameCENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN
Plan identification number 501

CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

CENTRAL SUPPLY COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:CENTRAL SUPPLY COMPANY, INC.
Employer identification number (EIN):351358209
NAIC Classification:423700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01JOSEPH D HUGHES2024-07-15
5012022-01-01JOSEPH D HUGHES2023-09-13
5012021-01-01JOSEPH D HUGHES2022-07-18
5012020-01-01JOSEPH D HUGHES2021-07-26
5012019-01-01
5012018-01-01JOSEPH D HUGHES
5012017-01-01JOSEPH D HUGHES
5012016-01-01JOSEPH D HUGHES
5012015-01-01JOSEPH D HUGHES
5012014-01-01JOSEPH D HUGHES
5012013-01-01DAVID HUGHES
5012012-01-01DAVID HUGHES
5012011-01-01DAVID HUGHES
5012010-01-01DAVID HUGHES
5012009-01-01DAVID HUGHES

Plan Statistics for CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN

401k plan membership statisitcs for CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN

Measure Date Value
2023: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01164
Total number of active participants reported on line 7a of the Form 55002023-01-01167
Total of all active and inactive participants2023-01-01167
Total participants2023-01-01167
2022: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01131
Total number of active participants reported on line 7a of the Form 55002022-01-01164
Total of all active and inactive participants2022-01-01164
Total participants2022-01-01164
2021: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01131
Total number of active participants reported on line 7a of the Form 55002021-01-01130
Number of retired or separated participants receiving benefits2021-01-011
Total of all active and inactive participants2021-01-01131
Total participants2021-01-01131
2020: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01118
Total number of active participants reported on line 7a of the Form 55002020-01-01130
Number of retired or separated participants receiving benefits2020-01-011
Total of all active and inactive participants2020-01-01131
Total participants2020-01-01131
2019: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01150
Total number of active participants reported on line 7a of the Form 55002019-01-01117
Number of retired or separated participants receiving benefits2019-01-011
Total of all active and inactive participants2019-01-01118
Total participants2019-01-01118
Number of participants with account balances2019-01-010
2018: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01137
Total number of active participants reported on line 7a of the Form 55002018-01-01149
Number of retired or separated participants receiving benefits2018-01-011
Total of all active and inactive participants2018-01-01150
Total participants2018-01-01150
2017: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01125
Total number of active participants reported on line 7a of the Form 55002017-01-01136
Number of retired or separated participants receiving benefits2017-01-011
Total of all active and inactive participants2017-01-01137
Total participants2017-01-01137
2016: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01118
Total number of active participants reported on line 7a of the Form 55002016-01-01124
Number of retired or separated participants receiving benefits2016-01-011
Total of all active and inactive participants2016-01-01125
Total participants2016-01-01125
2015: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01118
Total number of active participants reported on line 7a of the Form 55002015-01-01118
Total of all active and inactive participants2015-01-01118
Total participants2015-01-010
2014: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01111
Total number of active participants reported on line 7a of the Form 55002014-01-01118
Total of all active and inactive participants2014-01-01118
Total participants2014-01-010
2013: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01107
Total number of active participants reported on line 7a of the Form 55002013-01-01111
Total of all active and inactive participants2013-01-01111
Total participants2013-01-010
2012: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01106
Total number of active participants reported on line 7a of the Form 55002012-01-01107
Total of all active and inactive participants2012-01-01107
Total participants2012-01-010
2011: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01103
Total number of active participants reported on line 7a of the Form 55002011-01-01106
Total of all active and inactive participants2011-01-01106
Total participants2011-01-01106
2010: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01105
Total number of active participants reported on line 7a of the Form 55002010-01-01103
Total of all active and inactive participants2010-01-01103
Total participants2010-01-01103
2009: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01113
Total number of active participants reported on line 7a of the Form 55002009-01-01105
Total of all active and inactive participants2009-01-01105
Total participants2009-01-01105

Financial Data on CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN

Measure Date Value
2023 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$265,621
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$126,252
Total income from all sources (including contributions)2023-12-31$3,541,528
Total of all expenses incurred2023-12-31$3,230,450
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$2,914,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$2,684,725
Value of total assets at end of year2023-12-31$760,453
Value of total assets at beginning of year2023-12-31$310,006
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$315,713
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$600,000
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$304,708
Assets. Other investments not covered elsewhere at end of year2023-12-31$37,642
Assets. Other investments not covered elsewhere at beginning of year2023-12-31$36,768
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$284,301
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$10,756
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$2,318
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$473
Other income not declared elsewhere2023-12-31$856,803
Administrative expenses (other) incurred2023-12-31$180,801
Total non interest bearing cash at end of year2023-12-31$438,510
Total non interest bearing cash at beginning of year2023-12-31$262,482
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$311,078
Value of net assets at end of year (total assets less liabilities)2023-12-31$494,832
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$183,754
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
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$549,471
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$2,380,017
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$2,365,266
Contract administrator fees2023-12-31$134,912
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
Liabilities. Value of benefit claims payable at end of year2023-12-31$263,303
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$125,779
Did the plan have assets held for investment2023-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2023-12-31PILE CPAS
Accountancy firm EIN2023-12-31350865680
2022 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$126,252
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$68,460
Total income from all sources (including contributions)2022-12-31$1,803,133
Total of all expenses incurred2022-12-31$2,085,983
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,801,492
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,706,106
Value of total assets at end of year2022-12-31$310,006
Value of total assets at beginning of year2022-12-31$535,064
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$284,491
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$119,309
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$600,000
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$263,216
Assets. Other investments not covered elsewhere at end of year2022-12-31$36,768
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$28,285
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$10,756
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$345,614
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$473
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$1,416
Other income not declared elsewhere2022-12-31$97,027
Administrative expenses (other) incurred2022-12-31$165,182
Total non interest bearing cash at end of year2022-12-31$262,482
Total non interest bearing cash at beginning of year2022-12-31$161,165
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-282,850
Value of net assets at end of year (total assets less liabilities)2022-12-31$183,754
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$466,604
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
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$554,516
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$1,442,890
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,246,976
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
Liabilities. Value of benefit claims payable at end of year2022-12-31$125,779
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$67,044
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2022-12-31PILE CPAS
Accountancy firm EIN2022-12-31350865680
2021 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$68,460
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$90,763
Total income from all sources (including contributions)2021-12-31$3,000,168
Total of all expenses incurred2021-12-31$2,696,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,422,258
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,447,177
Value of total assets at end of year2021-12-31$535,064
Value of total assets at beginning of year2021-12-31$253,917
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$274,460
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$115,513
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$600,000
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$233,364
Assets. Other investments not covered elsewhere at end of year2021-12-31$28,285
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$35,806
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$345,614
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$1,416
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$2,623
Other income not declared elsewhere2021-12-31$552,991
Administrative expenses (other) incurred2021-12-31$158,947
Total non interest bearing cash at end of year2021-12-31$161,165
Total non interest bearing cash at beginning of year2021-12-31$218,111
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$303,450
Value of net assets at end of year (total assets less liabilities)2021-12-31$466,604
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$163,154
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
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$491,969
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
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$2,213,813
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,930,289
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
Liabilities. Value of benefit claims payable at end of year2021-12-31$67,044
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$88,140
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2021-12-31PILE CPAS
Accountancy firm EIN2021-12-31350865680
2020 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$90,763
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$83,718
Total income from all sources (including contributions)2020-12-31$1,439,303
Total of all expenses incurred2020-12-31$1,419,476
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,223,519
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,428,421
Value of total assets at end of year2020-12-31$253,917
Value of total assets at beginning of year2020-12-31$227,045
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$195,957
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$67,331
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$600,000
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$224,633
Assets. Other investments not covered elsewhere at end of year2020-12-31$35,806
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$28,447
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$2,623
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$3,165
Other income not declared elsewhere2020-12-31$10,882
Administrative expenses (other) incurred2020-12-31$128,626
Total non interest bearing cash at end of year2020-12-31$218,111
Total non interest bearing cash at beginning of year2020-12-31$198,598
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$19,827
Value of net assets at end of year (total assets less liabilities)2020-12-31$163,154
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$143,327
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
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$458,670
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$1,203,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$764,849
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
Liabilities. Value of benefit claims payable at end of year2020-12-31$88,140
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$80,553
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2020-12-31PILE CPAS
Accountancy firm EIN2020-12-31350865680
2019 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$83,718
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$89,679
Total income from all sources (including contributions)2019-12-31$1,997,476
Total of all expenses incurred2019-12-31$1,965,622
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,724,246
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,944,053
Value of total assets at end of year2019-12-31$227,045
Value of total assets at beginning of year2019-12-31$201,152
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$241,376
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$94,308
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$600,000
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
Contributions received from participants2019-12-31$241,644
Assets. Other investments not covered elsewhere at end of year2019-12-31$28,447
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$27,501
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$3,165
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$5,119
Other income not declared elsewhere2019-12-31$53,423
Administrative expenses (other) incurred2019-12-31$147,068
Total non interest bearing cash at end of year2019-12-31$198,598
Total non interest bearing cash at beginning of year2019-12-31$173,651
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$31,854
Value of net assets at end of year (total assets less liabilities)2019-12-31$143,327
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$111,473
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 leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$542,837
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,702,409
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,181,409
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
Liabilities. Value of benefit claims payable at end of year2019-12-31$80,553
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$84,560
Did the plan have assets held for investment2019-12-31No
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
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
Accountancy firm name2019-12-31PILE CPAS
Accountancy firm EIN2019-12-31350865680
2018 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$89,679
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$60,637
Total income from all sources (including contributions)2018-12-31$1,467,008
Total of all expenses incurred2018-12-31$1,643,852
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,416,058
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,429,834
Value of total assets at end of year2018-12-31$201,152
Value of total assets at beginning of year2018-12-31$348,954
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$227,794
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$93,096
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$600,000
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$241,713
Assets. Other investments not covered elsewhere at end of year2018-12-31$27,501
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$25,497
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$88,462
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$5,119
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$3,500
Other income not declared elsewhere2018-12-31$37,174
Administrative expenses (other) incurred2018-12-31$134,698
Total non interest bearing cash at end of year2018-12-31$173,651
Total non interest bearing cash at beginning of year2018-12-31$234,995
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-176,844
Value of net assets at end of year (total assets less liabilities)2018-12-31$111,473
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$288,317
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
Value of interest in pooled separate accounts at end of year2018-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$541,360
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$1,188,121
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$874,698
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
Liabilities. Value of benefit claims payable at end of year2018-12-31$84,560
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$57,137
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2018-12-31PILE CPAS
Accountancy firm EIN2018-12-31350865680
2017 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$60,637
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$85,948
Total income from all sources (including contributions)2017-12-31$2,266,956
Total of all expenses incurred2017-12-31$2,068,448
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,878,921
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,127,142
Value of total assets at end of year2017-12-31$348,954
Value of total assets at beginning of year2017-12-31$175,757
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$189,527
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$71,730
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$600,000
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$202,086
Assets. Other investments not covered elsewhere at end of year2017-12-31$25,497
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$22,989
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$88,462
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$2,815
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$3,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$13,836
Other income not declared elsewhere2017-12-31$139,814
Administrative expenses (other) incurred2017-12-31$117,797
Total non interest bearing cash at end of year2017-12-31$234,995
Total non interest bearing cash at beginning of year2017-12-31$149,953
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$198,508
Value of net assets at end of year (total assets less liabilities)2017-12-31$288,317
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$89,809
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
Value of interest in common/collective trusts at end of year2017-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$468,042
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$1,925,056
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,410,879
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
Liabilities. Value of benefit claims payable at end of year2017-12-31$57,137
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$72,112
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2017-12-31PILE CPAS
Accountancy firm EIN2017-12-31350865680
2016 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$85,948
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$106,719
Total income from all sources (including contributions)2016-12-31$1,183,971
Total of all expenses incurred2016-12-31$1,321,433
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,137,680
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,153,471
Value of total assets at end of year2016-12-31$175,757
Value of total assets at beginning of year2016-12-31$333,990
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$183,753
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$69,205
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$600,000
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$174,965
Assets. Other investments not covered elsewhere at end of year2016-12-31$22,989
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$22,758
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$2,815
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$13,836
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$8,580
Other income not declared elsewhere2016-12-31$30,500
Administrative expenses (other) incurred2016-12-31$114,548
Total non interest bearing cash at end of year2016-12-31$149,953
Total non interest bearing cash at beginning of year2016-12-31$311,232
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-137,462
Value of net assets at end of year (total assets less liabilities)2016-12-31$89,809
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$227,271
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
Value of interest in common/collective trusts at end of year2016-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$398,087
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$978,506
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$739,593
Liabilities. Value of benefit claims payable at end of year2016-12-31$72,112
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$98,139
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2016-12-31PILE CPAS
Accountancy firm EIN2016-12-31350865680
2015 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$106,719
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$101,139
Total income from all sources (including contributions)2015-12-31$1,766,182
Total of all expenses incurred2015-12-31$1,648,580
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,446,840
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,516,256
Value of total assets at end of year2015-12-31$333,990
Value of total assets at beginning of year2015-12-31$210,808
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$201,740
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$95,378
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$600,000
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$141,249
Assets. Other investments not covered elsewhere at end of year2015-12-31$22,758
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$24,444
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$8,580
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$12,537
Other income not declared elsewhere2015-12-31$249,926
Administrative expenses (other) incurred2015-12-31$106,362
Total non interest bearing cash at end of year2015-12-31$311,232
Total non interest bearing cash at beginning of year2015-12-31$186,364
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$117,602
Value of net assets at end of year (total assets less liabilities)2015-12-31$227,271
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$109,669
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
Value of interest in common/collective trusts at end of year2015-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$349,792
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$1,375,007
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,097,048
Liabilities. Value of benefit claims payable at end of year2015-12-31$98,139
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$88,602
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 name2015-12-31PILE CPAS
Accountancy firm EIN2015-12-31350865680
2014 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$101,139
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$96,528
Total income from all sources (including contributions)2014-12-31$1,097,111
Total of all expenses incurred2014-12-31$1,183,682
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,029,246
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,097,049
Value of total assets at end of year2014-12-31$210,808
Value of total assets at beginning of year2014-12-31$292,768
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$154,436
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$57,501
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$600,000
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$125,175
Assets. Other investments not covered elsewhere at end of year2014-12-31$24,444
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$12,768
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$9,608
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$12,537
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$25,284
Other income not declared elsewhere2014-12-31$62
Administrative expenses (other) incurred2014-12-31$96,935
Total non interest bearing cash at end of year2014-12-31$186,364
Total non interest bearing cash at beginning of year2014-12-31$280,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-86,571
Value of net assets at end of year (total assets less liabilities)2014-12-31$109,669
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$196,240
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
Value of interest in common/collective trusts at end of year2014-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$312,752
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$962,266
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$716,494
Liabilities. Value of benefit claims payable at end of year2014-12-31$88,602
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$71,244
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 name2014-12-31PILE CPAS
Accountancy firm EIN2014-12-31350865680
2013 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$96,528
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$91,105
Total income from all sources (including contributions)2013-12-31$1,684,596
Total of all expenses incurred2013-12-31$1,597,251
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,471,982
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,550,104
Value of total assets at end of year2013-12-31$292,768
Value of total assets at beginning of year2013-12-31$200,000
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$125,269
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$65,493
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$600,000
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$102,080
Assets. Other investments not covered elsewhere at end of year2013-12-31$12,768
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$15,331
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$25,284
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$14,601
Other income not declared elsewhere2013-12-31$134,492
Administrative expenses (other) incurred2013-12-31$59,776
Total non interest bearing cash at end of year2013-12-31$280,000
Total non interest bearing cash at beginning of year2013-12-31$200,000
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$87,345
Value of net assets at end of year (total assets less liabilities)2013-12-31$196,240
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$108,895
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
Value of interest in common/collective trusts at end of year2013-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$363,791
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$1,432,693
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,108,191
Liabilities. Value of benefit claims payable at end of year2013-12-31$71,244
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$76,504
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 name2013-12-31PILE CPAS
Accountancy firm EIN2013-12-31350865680
2012 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$91,105
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$194,223
Total income from all sources (including contributions)2012-12-31$1,253,247
Total of all expenses incurred2012-12-31$1,144,352
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,075,496
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,134,901
Value of total assets at end of year2012-12-31$200,000
Value of total assets at beginning of year2012-12-31$194,223
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$68,856
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$62,923
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$600,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$98,070
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$7,743
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$14,601
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$40,350
Other income not declared elsewhere2012-12-31$118,346
Administrative expenses (other) incurred2012-12-31$5,933
Total non interest bearing cash at end of year2012-12-31$200,000
Total non interest bearing cash at beginning of year2012-12-31$170,000
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$108,895
Value of net assets at end of year (total assets less liabilities)2012-12-31$108,895
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
Value of interest in common/collective trusts at end of year2012-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$339,152
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
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$1,029,088
Employer contributions (assets) at beginning of year2012-12-31$24,223
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$736,344
Liabilities. Value of benefit claims payable at end of year2012-12-31$76,504
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$153,873
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
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 name2012-12-31R J PILE, LLC
Accountancy firm EIN2012-12-31350865680
2011 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$194,223
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$81,882
Total income from all sources (including contributions)2011-12-31$1,387,065
Total of all expenses incurred2011-12-31$1,513,837
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,450,616
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,096,299
Value of total assets at end of year2011-12-31$194,223
Value of total assets at beginning of year2011-12-31$208,654
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$63,221
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$61,012
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$600,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$98,231
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$7,789
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$3,654
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$40,350
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$27,116
Other income not declared elsewhere2011-12-31$290,766
Administrative expenses (other) incurred2011-12-31$2,209
Total non interest bearing cash at end of year2011-12-31$170,000
Total non interest bearing cash at beginning of year2011-12-31$205,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-126,772
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$126,772
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
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$299,909
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$990,279
Employer contributions (assets) at end of year2011-12-31$24,223
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,150,707
Liabilities. Value of benefit claims payable at end of year2011-12-31$153,873
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$54,766
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 name2011-12-31R J PILE, LLC
Accountancy firm EIN2011-12-31350865680
2010 : CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$81,882
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$186,923
Total income from all sources (including contributions)2010-12-31$1,239,662
Total of all expenses incurred2010-12-31$1,171,917
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,113,718
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,141,533
Value of total assets at end of year2010-12-31$208,654
Value of total assets at beginning of year2010-12-31$245,950
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$58,199
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$56,614
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$600,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$96,129
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$5,685
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$3,654
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$950
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$27,116
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$62,669
Other income not declared elsewhere2010-12-31$98,129
Administrative expenses (other) incurred2010-12-31$1,585
Total non interest bearing cash at end of year2010-12-31$205,000
Total non interest bearing cash at beginning of year2010-12-31$245,000
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$67,745
Value of net assets at end of year (total assets less liabilities)2010-12-31$126,772
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$59,027
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
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$243,305
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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$1,039,719
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$870,413
Liabilities. Value of benefit claims payable at end of year2010-12-31$54,766
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$124,254
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2010-12-31R J PILE, LLC
Accountancy firm EIN2010-12-31350865680

Form 5500 Responses for CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN

2023: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
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: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
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: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
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: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
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: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
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: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
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: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
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: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CENTRAL SUPPLY CO., INC. GROUP WEEKLY DISABILITY INCOME AND MEDICAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
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

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16015968000
Policy instance 2
Insurance contract or identification number16015968000
Number of Individuals Covered167
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $69,006
Total amount of fees paid to insurance companyUSD $12,106
Welfare Benefit Premiums Paid to CarrierUSD $530,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number417005411685
Policy instance 1
Insurance contract or identification number417005411685
Number of Individuals Covered167
Insurance policy start date2023-01-01
Insurance policy end date2024-01-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $18,235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number417005411685
Policy instance 2
Insurance contract or identification number417005411685
Number of Individuals Covered164
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $15,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number417008411685
Policy instance 1
Insurance contract or identification number417008411685
Number of Individuals Covered164
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $70,013
Total amount of fees paid to insurance companyUSD $17,355
Welfare Benefit Premiums Paid to CarrierUSD $538,966
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $70,013
Amount paid for insurance broker fees14666
Additional information about fees paid to insurance brokerBONUSES
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417007411685
Policy instance 1
Insurance contract or identification number417007411685
Number of Individuals Covered131
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $62,014
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $477,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $62,014
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number417005411685
Policy instance 2
Insurance contract or identification number417005411685
Number of Individuals Covered131
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $14,298
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number417005411685
Policy instance 2
Insurance contract or identification number417005411685
Number of Individuals Covered131
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $13,729
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417007411685
Policy instance 1
Insurance contract or identification number417007411685
Number of Individuals Covered131
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $61,865
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $446,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $57,990
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number417003411685
Policy instance 2
Insurance contract or identification number417003411685
Number of Individuals Covered118
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $14,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 3086 )
Policy contract numberUNI-202382
Policy instance 1
Insurance contract or identification numberUNI-202382
Number of Individuals Covered118
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $78,968
Welfare Benefit Premiums Paid to CarrierUSD $526,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $78,968
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number417003411685
Policy instance 2
Insurance contract or identification number417003411685
Number of Individuals Covered150
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $15,018
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number417004411685
Policy instance 1
Insurance contract or identification number417004411685
Number of Individuals Covered150
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Total amount of commissions paid to insurance brokerUSD $78,779
Total amount of fees paid to insurance companyUSD $16,760
Welfare Benefit Premiums Paid to CarrierUSD $526,684
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $78,779
Amount paid for insurance broker fees16760
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number417003411685
Policy instance 2
Insurance contract or identification number417003411685
Number of Individuals Covered137
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $14,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number417004411685
Policy instance 1
Insurance contract or identification number417004411685
Number of Individuals Covered137
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $68,105
Total amount of fees paid to insurance companyUSD $15,558
Welfare Benefit Premiums Paid to CarrierUSD $451,663
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,105
Amount paid for insurance broker fees15558
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker organization code?3
Insurance broker nameAPEX BENEFITS GROUP INC
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number417002411685
Policy instance 1
Insurance contract or identification number417002411685
Number of Individuals Covered118
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $50,125
Welfare Benefit Premiums Paid to CarrierUSD $334,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,125
Insurance broker organization code?3
Insurance broker nameAPEX BENEFITS GROUP INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number417003411685
Policy instance 2
Insurance contract or identification number417003411685
Number of Individuals Covered118
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $15,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number417002411685
Policy instance 2
Insurance contract or identification number417002411685
Number of Individuals Covered118
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $46,912
Welfare Benefit Premiums Paid to CarrierUSD $312,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,853
Insurance broker organization code?3
Insurance broker nameAPEX BENEFITS GROUP INC
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number00104521
Policy instance 1
Insurance contract or identification number00104521
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,688
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number00104521
Policy instance 1
Insurance contract or identification number00104521
Number of Individuals Covered111
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $53,668
Welfare Benefit Premiums Paid to CarrierUSD $363,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,668
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number00104521
Policy instance 1
Insurance contract or identification number00104521
Number of Individuals Covered107
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $45,140
Welfare Benefit Premiums Paid to CarrierUSD $288,061
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,347
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number00104521
Policy instance 1
Insurance contract or identification number00104521
Number of Individuals Covered106
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $44,713
Welfare Benefit Premiums Paid to CarrierUSD $302,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number00104521
Policy instance 1
Insurance contract or identification number00104521
Number of Individuals Covered103
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $35,894
Welfare Benefit Premiums Paid to CarrierUSD $243,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,894
Insurance broker organization code?3
Insurance broker nameAGIS INDIANA AGENCY, LLC

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