SENTOSA CARE, LLC has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2021 : MILENIA HEALTH BENEFIT TRUST 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-01-31 | $4,445,047 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-01-31 | $9,680,639 |
| Total income from all sources (including contributions) | 2021-01-31 | $19,617,042 |
| Total of all expenses incurred | 2021-01-31 | $18,453,570 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-01-31 | $15,675,141 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-01-31 | $19,617,042 |
| Value of total assets at end of year | 2021-01-31 | $7,086,217 |
| Value of total assets at beginning of year | 2021-01-31 | $11,158,337 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-01-31 | $2,778,429 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-01-31 | No |
| Administrative expenses professional fees incurred | 2021-01-31 | $19,030 |
| Was this plan covered by a fidelity bond | 2021-01-31 | Yes |
| Value of fidelity bond cover | 2021-01-31 | $150,000 |
| If this is an individual account plan, was there a blackout period | 2021-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-01-31 | No |
| Contributions received from participants | 2021-01-31 | $2,922,941 |
| Administrative expenses (other) incurred | 2021-01-31 | $44,861 |
| Liabilities. Value of operating payables at end of year | 2021-01-31 | $78,227 |
| Liabilities. Value of operating payables at beginning of year | 2021-01-31 | $323,534 |
| Total non interest bearing cash at end of year | 2021-01-31 | $2,060,701 |
| Total non interest bearing cash at beginning of year | 2021-01-31 | $530,404 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-01-31 | No |
| Value of net income/loss | 2021-01-31 | $1,163,472 |
| Value of net assets at end of year (total assets less liabilities) | 2021-01-31 | $2,641,170 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-01-31 | $1,477,698 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-01-31 | No |
| Value of interest in pooled separate accounts at end of year | 2021-01-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-01-31 | $1,390,883 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-01-31 | No |
| Contributions received in cash from employer | 2021-01-31 | $16,694,101 |
| Employer contributions (assets) at end of year | 2021-01-31 | $5,025,516 |
| Employer contributions (assets) at beginning of year | 2021-01-31 | $10,627,933 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-01-31 | $14,284,258 |
| Contract administrator fees | 2021-01-31 | $2,714,538 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2021-01-31 | $4,366,820 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-01-31 | $9,357,105 |
| Did the plan have assets held for investment | 2021-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-01-31 | Unqualified |
| Accountancy firm name | 2021-01-31 | FASTEN HALBERSTAM LLP |
| Accountancy firm EIN | 2021-01-31 | 472319109 |
| 2020 : MILENIA HEALTH BENEFIT TRUST 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-01-31 | $8,709,974 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-01-31 | $8,709,974 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-01-31 | $8,132,930 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-01-31 | $8,132,930 |
| Total income from all sources (including contributions) | 2020-01-31 | $34,827,635 |
| Total income from all sources (including contributions) | 2020-01-31 | $34,827,635 |
| Total of all expenses incurred | 2020-01-31 | $32,452,891 |
| Total of all expenses incurred | 2020-01-31 | $32,452,891 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-01-31 | $29,035,264 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-01-31 | $29,035,264 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-01-31 | $34,827,610 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-01-31 | $34,827,610 |
| Value of total assets at end of year | 2020-01-31 | $11,158,337 |
| Value of total assets at end of year | 2020-01-31 | $11,158,337 |
| Value of total assets at beginning of year | 2020-01-31 | $8,206,549 |
| Value of total assets at beginning of year | 2020-01-31 | $8,206,549 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-01-31 | $3,417,627 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-01-31 | $3,417,627 |
| Total interest from all sources | 2020-01-31 | $25 |
| Total interest from all sources | 2020-01-31 | $25 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-01-31 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-01-31 | No |
| Administrative expenses professional fees incurred | 2020-01-31 | $483,060 |
| Administrative expenses professional fees incurred | 2020-01-31 | $483,060 |
| Was this plan covered by a fidelity bond | 2020-01-31 | Yes |
| Was this plan covered by a fidelity bond | 2020-01-31 | Yes |
| Value of fidelity bond cover | 2020-01-31 | $150,000 |
| Value of fidelity bond cover | 2020-01-31 | $150,000 |
| If this is an individual account plan, was there a blackout period | 2020-01-31 | No |
| If this is an individual account plan, was there a blackout period | 2020-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-01-31 | No |
| Contributions received from participants | 2020-01-31 | $5,093,685 |
| Contributions received from participants | 2020-01-31 | $5,093,685 |
| Administrative expenses (other) incurred | 2020-01-31 | $46,668 |
| Administrative expenses (other) incurred | 2020-01-31 | $46,668 |
| Liabilities. Value of operating payables at end of year | 2020-01-31 | $240,620 |
| Liabilities. Value of operating payables at end of year | 2020-01-31 | $240,620 |
| Liabilities. Value of operating payables at beginning of year | 2020-01-31 | $542,151 |
| Liabilities. Value of operating payables at beginning of year | 2020-01-31 | $542,151 |
| Total non interest bearing cash at end of year | 2020-01-31 | $530,404 |
| Total non interest bearing cash at end of year | 2020-01-31 | $530,404 |
| Total non interest bearing cash at beginning of year | 2020-01-31 | $382,488 |
| Total non interest bearing cash at beginning of year | 2020-01-31 | $382,488 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Value of net income/loss | 2020-01-31 | $2,374,744 |
| Value of net income/loss | 2020-01-31 | $2,374,744 |
| Value of net assets at end of year (total assets less liabilities) | 2020-01-31 | $2,448,363 |
| Value of net assets at end of year (total assets less liabilities) | 2020-01-31 | $2,448,363 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-01-31 | $73,619 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-01-31 | $73,619 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-01-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-01-31 | No |
| Value of interest in pooled separate accounts at end of year | 2020-01-31 | $0 |
| Value of interest in pooled separate accounts at end of year | 2020-01-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-01-31 | $25 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-01-31 | $25 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-01-31 | $1,836,706 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-01-31 | $1,836,706 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-01-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-01-31 | No |
| Contributions received in cash from employer | 2020-01-31 | $29,733,925 |
| Contributions received in cash from employer | 2020-01-31 | $29,733,925 |
| Employer contributions (assets) at end of year | 2020-01-31 | $10,627,933 |
| Employer contributions (assets) at end of year | 2020-01-31 | $10,627,933 |
| Employer contributions (assets) at beginning of year | 2020-01-31 | $7,824,061 |
| Employer contributions (assets) at beginning of year | 2020-01-31 | $7,824,061 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-01-31 | $27,198,558 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-01-31 | $27,198,558 |
| Contract administrator fees | 2020-01-31 | $2,887,899 |
| Contract administrator fees | 2020-01-31 | $2,887,899 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-01-31 | No |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2020-01-31 | $8,469,354 |
| Liabilities. Value of benefit claims payable at end of year | 2020-01-31 | $8,469,354 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-01-31 | $7,590,779 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-01-31 | $7,590,779 |
| Did the plan have assets held for investment | 2020-01-31 | No |
| Did the plan have assets held for investment | 2020-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-01-31 | Unqualified |
| Opinion of an independent qualified public accountant for this plan | 2020-01-31 | Unqualified |
| Accountancy firm name | 2020-01-31 | FASTEN HALBERSTAM LLP |
| Accountancy firm name | 2020-01-31 | FASTEN HALBERSTAM LLP |
| Accountancy firm EIN | 2020-01-31 | 472319109 |
| Accountancy firm EIN | 2020-01-31 | 472319109 |
| 2019 : MILENIA HEALTH BENEFIT TRUST 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-01-31 | $8,132,930 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-01-31 | $8,427,104 |
| Total income from all sources (including contributions) | 2019-01-31 | $36,450,563 |
| Total of all expenses incurred | 2019-01-31 | $33,691,990 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-01-31 | $30,511,291 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-01-31 | $36,450,531 |
| Value of total assets at end of year | 2019-01-31 | $8,206,549 |
| Value of total assets at beginning of year | 2019-01-31 | $5,742,150 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-01-31 | $3,180,699 |
| Total interest from all sources | 2019-01-31 | $32 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-01-31 | No |
| Administrative expenses professional fees incurred | 2019-01-31 | $15,500 |
| Was this plan covered by a fidelity bond | 2019-01-31 | Yes |
| Value of fidelity bond cover | 2019-01-31 | $75,000 |
| If this is an individual account plan, was there a blackout period | 2019-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-01-31 | No |
| Contributions received from participants | 2019-01-31 | $8,018,474 |
| Administrative expenses (other) incurred | 2019-01-31 | $29,444 |
| Liabilities. Value of operating payables at end of year | 2019-01-31 | $542,151 |
| Liabilities. Value of operating payables at beginning of year | 2019-01-31 | $169,104 |
| Total non interest bearing cash at end of year | 2019-01-31 | $382,488 |
| Total non interest bearing cash at beginning of year | 2019-01-31 | $177,067 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-01-31 | No |
| Value of net income/loss | 2019-01-31 | $2,758,573 |
| Value of net assets at end of year (total assets less liabilities) | 2019-01-31 | $73,619 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-01-31 | $-2,684,954 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-01-31 | No |
| Value of interest in pooled separate accounts at end of year | 2019-01-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-01-31 | $32 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-01-31 | $3,902,623 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-01-31 | No |
| Contributions received in cash from employer | 2019-01-31 | $28,432,057 |
| Employer contributions (assets) at end of year | 2019-01-31 | $7,824,061 |
| Employer contributions (assets) at beginning of year | 2019-01-31 | $5,565,083 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-01-31 | $26,608,668 |
| Contract administrator fees | 2019-01-31 | $3,135,755 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2019-01-31 | $7,590,779 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-01-31 | $8,258,000 |
| Did the plan have assets held for investment | 2019-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-01-31 | Unqualified |
| Accountancy firm name | 2019-01-31 | FASTEN HALBERSTAM LLP |
| Accountancy firm EIN | 2019-01-31 | 472319109 |
| 2018 : MILENIA HEALTH BENEFIT TRUST 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-01-31 | $8,427,104 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-01-31 | $1,845,460 |
| Total income from all sources (including contributions) | 2018-01-31 | $32,979,350 |
| Total of all expenses incurred | 2018-01-31 | $36,535,856 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-01-31 | $34,068,855 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-01-31 | $32,978,983 |
| Value of total assets at end of year | 2018-01-31 | $5,742,150 |
| Value of total assets at beginning of year | 2018-01-31 | $2,717,012 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-01-31 | $2,467,001 |
| Total interest from all sources | 2018-01-31 | $367 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-01-31 | No |
| Administrative expenses professional fees incurred | 2018-01-31 | $38,927 |
| Was this plan covered by a fidelity bond | 2018-01-31 | Yes |
| Value of fidelity bond cover | 2018-01-31 | $75,000 |
| If this is an individual account plan, was there a blackout period | 2018-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-01-31 | No |
| Contributions received from participants | 2018-01-31 | $6,833,169 |
| Administrative expenses (other) incurred | 2018-01-31 | $37,242 |
| Liabilities. Value of operating payables at end of year | 2018-01-31 | $169,104 |
| Liabilities. Value of operating payables at beginning of year | 2018-01-31 | $37,708 |
| Total non interest bearing cash at end of year | 2018-01-31 | $177,067 |
| Total non interest bearing cash at beginning of year | 2018-01-31 | $388,461 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-01-31 | No |
| Value of net income/loss | 2018-01-31 | $-3,556,506 |
| Value of net assets at end of year (total assets less liabilities) | 2018-01-31 | $-2,684,954 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-01-31 | $871,552 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-01-31 | No |
| Value of interest in common/collective trusts at end of year | 2018-01-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-01-31 | $367 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-01-31 | $7,605,865 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-01-31 | No |
| Contributions received in cash from employer | 2018-01-31 | $26,145,814 |
| Employer contributions (assets) at end of year | 2018-01-31 | $5,565,083 |
| Employer contributions (assets) at beginning of year | 2018-01-31 | $2,328,551 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-01-31 | $26,462,990 |
| Contract administrator fees | 2018-01-31 | $2,390,832 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2018-01-31 | $8,258,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-01-31 | $1,807,752 |
| Did the plan have assets held for investment | 2018-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-01-31 | Unqualified |
| Accountancy firm name | 2018-01-31 | FASTEN HALBERSTAM LLP |
| Accountancy firm EIN | 2018-01-31 | 472319109 |
| 2017 : MILENIA HEALTH BENEFIT TRUST 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-01-31 | $1,845,460 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-01-31 | $538,925 |
| Total income from all sources (including contributions) | 2017-01-31 | $11,190,034 |
| Total of all expenses incurred | 2017-01-31 | $11,562,034 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-01-31 | $10,634,189 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-01-31 | $11,189,878 |
| Value of total assets at end of year | 2017-01-31 | $2,717,012 |
| Value of total assets at beginning of year | 2017-01-31 | $1,782,477 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-01-31 | $927,845 |
| Total interest from all sources | 2017-01-31 | $156 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-01-31 | No |
| Was this plan covered by a fidelity bond | 2017-01-31 | Yes |
| Value of fidelity bond cover | 2017-01-31 | $75,000 |
| If this is an individual account plan, was there a blackout period | 2017-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-01-31 | No |
| Contributions received from participants | 2017-01-31 | $1,865,169 |
| Administrative expenses (other) incurred | 2017-01-31 | $83,713 |
| Liabilities. Value of operating payables at end of year | 2017-01-31 | $37,708 |
| Liabilities. Value of operating payables at beginning of year | 2017-01-31 | $59,525 |
| Total non interest bearing cash at end of year | 2017-01-31 | $388,461 |
| Total non interest bearing cash at beginning of year | 2017-01-31 | $522,052 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-01-31 | No |
| Value of net income/loss | 2017-01-31 | $-372,000 |
| Value of net assets at end of year (total assets less liabilities) | 2017-01-31 | $871,552 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-01-31 | $1,243,552 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-01-31 | No |
| Value of interest in common/collective trusts at end of year | 2017-01-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-01-31 | $156 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-01-31 | $2,686,627 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-01-31 | No |
| Contributions received in cash from employer | 2017-01-31 | $9,324,709 |
| Employer contributions (assets) at end of year | 2017-01-31 | $2,328,551 |
| Employer contributions (assets) at beginning of year | 2017-01-31 | $1,260,425 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-01-31 | $7,947,562 |
| Contract administrator fees | 2017-01-31 | $844,132 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-01-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2017-01-31 | $1,807,752 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-01-31 | $479,400 |
| Did the plan have assets held for investment | 2017-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-01-31 | Unqualified |
| Accountancy firm name | 2017-01-31 | FASTEN HALBERSTAM LLP |
| Accountancy firm EIN | 2017-01-31 | 472319109 |
| 2016 : MILENIA HEALTH BENEFIT TRUST 2016 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2016-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-01-31 | $538,925 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-01-31 | $0 |
| Total income from all sources (including contributions) | 2016-01-31 | $1,782,477 |
| Total loss/gain on sale of assets | 2016-01-31 | $0 |
| Total of all expenses incurred | 2016-01-31 | $538,925 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-01-31 | $479,400 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-01-31 | $1,782,477 |
| Value of total assets at end of year | 2016-01-31 | $1,782,477 |
| Value of total assets at beginning of year | 2016-01-31 | $0 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-01-31 | $59,525 |
| Total interest from all sources | 2016-01-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-01-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-01-31 | No |
| Was this plan covered by a fidelity bond | 2016-01-31 | Yes |
| Value of fidelity bond cover | 2016-01-31 | $75,000 |
| If this is an individual account plan, was there a blackout period | 2016-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-01-31 | No |
| Contributions received from participants | 2016-01-31 | $82,958 |
| Administrative expenses (other) incurred | 2016-01-31 | $3,043 |
| Liabilities. Value of operating payables at end of year | 2016-01-31 | $59,525 |
| Total non interest bearing cash at end of year | 2016-01-31 | $522,052 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-01-31 | No |
| Value of net income/loss | 2016-01-31 | $1,243,552 |
| Value of net assets at end of year (total assets less liabilities) | 2016-01-31 | $1,243,552 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-01-31 | $0 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-01-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-01-31 | $36,976 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-01-31 | No |
| Contributions received in cash from employer | 2016-01-31 | $1,699,519 |
| Employer contributions (assets) at end of year | 2016-01-31 | $1,260,425 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-01-31 | $442,424 |
| Contract administrator fees | 2016-01-31 | $56,482 |
| Liabilities. Value of benefit claims payable at end of year | 2016-01-31 | $479,400 |
| Did the plan have assets held for investment | 2016-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-01-31 | Unqualified |
| Accountancy firm name | 2016-01-31 | FASTEN HALBERSTAM LLP |
| Accountancy firm EIN | 2016-01-31 | 472319109 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 919434 |
| Policy instance | 5 |
| Insurance contract or identification number | 919434 | | Number of Individuals Covered | 228 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $2,925 | | Total amount of fees paid to insurance company | USD $2,734 | | Welfare Benefit Premiums Paid to Carrier | USD $251,161 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,925 | | Amount paid for insurance broker fees | 2734 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | 938443 |
| Policy instance | 4 |
| Insurance contract or identification number | 938443 | | Number of Individuals Covered | 609 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $36,214 | | Welfare Benefit Premiums Paid to Carrier | USD $410,931 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $36,214 | | Insurance broker organization code? | 3 |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | 824682 |
| Policy instance | 3 |
| Insurance contract or identification number | 824682 | | Number of Individuals Covered | 441 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $37,500 | | Welfare Benefit Premiums Paid to Carrier | USD $343,815 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $37,500 | | Insurance broker organization code? | 3 |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL18318 |
| Policy instance | 2 |
| Insurance contract or identification number | HCL18318 | | Number of Individuals Covered | 103 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $16,020 | | Welfare Benefit Premiums Paid to Carrier | USD $106,800 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,020 | | Insurance broker organization code? | 3 |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | 820160 |
| Policy instance | 1 |
| Insurance contract or identification number | 820160 | | Number of Individuals Covered | 929 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $60,579 | | Total amount of fees paid to insurance company | USD $4,993 | | Welfare Benefit Premiums Paid to Carrier | USD $401,639 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $60,579 | | Amount paid for insurance broker fees | 4993 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 919434 |
| Policy instance | 6 |
| Insurance contract or identification number | 919434 | | Number of Individuals Covered | 607 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $36,810 | | Total amount of fees paid to insurance company | USD $4,830 | | Welfare Benefit Premiums Paid to Carrier | USD $368,101 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $36,810 | | Amount paid for insurance broker fees | 4830 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 904786 |
| Policy instance | 5 |
| Insurance contract or identification number | 904786 | | Number of Individuals Covered | 788 | | Insurance policy start date | 2018-12-01 | | Insurance policy end date | 2019-11-30 | | Total amount of commissions paid to insurance broker | USD $43,906 | | Total amount of fees paid to insurance company | USD $4,418 | | Welfare Benefit Premiums Paid to Carrier | USD $464,417 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $43,906 | | Amount paid for insurance broker fees | 4418 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 902005 |
| Policy instance | 4 |
| Insurance contract or identification number | 902005 | | Number of Individuals Covered | 182 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $65,230 | | Total amount of fees paid to insurance company | USD $4,400 | | Welfare Benefit Premiums Paid to Carrier | USD $551,779 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $65,230 | | Amount paid for insurance broker fees | 4400 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | 824682 |
| Policy instance | 3 |
| Insurance contract or identification number | 824682 | | Number of Individuals Covered | 531 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-01-31 | | Total amount of commissions paid to insurance broker | USD $43,012 | | Welfare Benefit Premiums Paid to Carrier | USD $422,269 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $43,012 | | Insurance broker organization code? | 3 |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL18318 |
| Policy instance | 2 |
| Insurance contract or identification number | HCL18318 | | Number of Individuals Covered | 111 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-01-31 | | Total amount of commissions paid to insurance broker | USD $23,309 | | Welfare Benefit Premiums Paid to Carrier | USD $155,396 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,309 | | Insurance broker organization code? | 3 |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | 820160 |
| Policy instance | 1 |
| Insurance contract or identification number | 820160 | | Number of Individuals Covered | 987 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $71,919 | | Total amount of fees paid to insurance company | USD $6,901 | | Welfare Benefit Premiums Paid to Carrier | USD $440,811 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $71,919 | | Amount paid for insurance broker fees | 6901 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) |
| Policy contract number | US619640 |
| Policy instance | 7 |
| Insurance contract or identification number | US619640 | | Number of Individuals Covered | 648 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $37,520 | | Welfare Benefit Premiums Paid to Carrier | USD $375,195 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $37,520 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 904786 |
| Policy instance | 6 |
| Insurance contract or identification number | 904786 | | Number of Individuals Covered | 868 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $60,724 | | Total amount of fees paid to insurance company | USD $16,719 | | Welfare Benefit Premiums Paid to Carrier | USD $539,771 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $60,724 | | Amount paid for insurance broker fees | 16719 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 902005 |
| Policy instance | 5 |
| Insurance contract or identification number | 902005 | | Number of Individuals Covered | 526 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $49,742 | | Total amount of fees paid to insurance company | USD $12,786 | | Welfare Benefit Premiums Paid to Carrier | USD $539,249 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $49,742 | | Amount paid for insurance broker fees | 12786 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | 824682 |
| Policy instance | 4 |
| Insurance contract or identification number | 824682 | | Number of Individuals Covered | 698 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-01-31 | | Total amount of commissions paid to insurance broker | USD $51,146 | | Welfare Benefit Premiums Paid to Carrier | USD $467,965 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $51,146 | | Insurance broker organization code? | 3 |
|
| CAPITAL SECURITY LTD (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | CSL-PHL-1.1.17 |
| Policy instance | 3 |
| Insurance contract or identification number | CSL-PHL-1.1.17 | | Number of Individuals Covered | 3930 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $1,400,000 | | 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 number | HCL18318 |
| Policy instance | 2 |
| Insurance contract or identification number | HCL18318 | | Number of Individuals Covered | 123 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-01-31 | | Total amount of commissions paid to insurance broker | USD $22,813 | | Welfare Benefit Premiums Paid to Carrier | USD $152,087 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $22,813 | | Insurance broker organization code? | 3 |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | 820160 |
| Policy instance | 1 |
| Insurance contract or identification number | 820160 | | Number of Individuals Covered | 1035 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $58,647 | | Welfare Benefit Premiums Paid to Carrier | USD $429,344 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $58,647 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 904786 |
| Policy instance | 6 |
| Insurance contract or identification number | 904786 | | Number of Individuals Covered | 1056 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-11-30 | | Welfare Benefit Premiums Paid to Carrier | USD $101,580 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) |
| Policy contract number | US619640 |
| Policy instance | 7 |
| Insurance contract or identification number | US619640 | | Number of Individuals Covered | 648 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $37,520 | | Welfare Benefit Premiums Paid to Carrier | USD $375,195 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $37,520 | | Insurance broker organization code? | 3 | | Insurance broker name | HAMPTON CONSULTING CORP. |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 902005 |
| Policy instance | 5 |
| Insurance contract or identification number | 902005 | | Number of Individuals Covered | 526 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $49,742 | | Total amount of fees paid to insurance company | USD $12,786 | | Welfare Benefit Premiums Paid to Carrier | USD $539,249 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $49,742 | | Amount paid for insurance broker fees | 12786 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | WERTZBERGER, BEN-ZION |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | 824682 |
| Policy instance | 4 |
| Insurance contract or identification number | 824682 | | Number of Individuals Covered | 635 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $39,244 | | Welfare Benefit Premiums Paid to Carrier | USD $474,976 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $39,244 | | Insurance broker organization code? | 3 | | Insurance broker name | BEN WERZBERGER & ASSOC LP |
|
| CAPITAL SECURITY LTD (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | CSL-PHL-1.1.17 |
| Policy instance | 3 |
| Insurance contract or identification number | CSL-PHL-1.1.17 | | Number of Individuals Covered | 3976 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2018-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $517,741 | | 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 number | HCL18318 |
| Policy instance | 2 |
| Insurance contract or identification number | HCL18318 | | Number of Individuals Covered | 108 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $20,645 | | Welfare Benefit Premiums Paid to Carrier | USD $137,632 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $20,645 | | Insurance broker organization code? | 3 | | Insurance broker name | SDF ASSOCIATION 1991, LTD |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | 820160 |
| Policy instance | 1 |
| Insurance contract or identification number | 820160 | | Number of Individuals Covered | 1022 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $61,147 | | Welfare Benefit Premiums Paid to Carrier | USD $414,347 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $61,147 | | Insurance broker organization code? | 3 | | Insurance broker name | SDF ASSOCIATION 1991, LTD |
|
