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BNA HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan NameBNA HEALTH AND WELFARE BENEFIT PLAN
Plan identification number 503

BNA HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

BLOOMBERG INDUSTRY GROUP, INC has sponsored the creation of one or more 401k plans.

Company Name:BLOOMBERG INDUSTRY GROUP, INC
Employer identification number (EIN):530040540
NAIC Classification:511120
NAIC Description:Periodical Publishers

Additional information about BLOOMBERG INDUSTRY GROUP, INC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 0409113

More information about BLOOMBERG INDUSTRY GROUP, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BNA HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-01-01
5032022-01-01
5032021-01-01
5032020-01-01
5032019-01-01
5032018-01-01
5032017-01-01DEBORAH SHEPHERD DEBORAH SHEPHERD2018-10-15
5032016-01-01SABRINA TANNER
5032015-01-01SABRINA TANNER
5032014-01-01SABRINA HENDERSON
5032014-01-01SABRINA TANNER
5032013-01-01SABRINA HENDERSON
5032012-01-01SABRINA HENDERSON PAUL WOJCIK2013-10-15
5032011-01-01CHRISTOPHER MARLIN PAUL WOJCIK2012-10-12
5032009-01-01CHRISTOPHER MARLIN PAUL WOJCIK2010-10-14

Plan Statistics for BNA HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for BNA HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2023: BNA HEALTH AND WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01913
Total number of active participants reported on line 7a of the Form 55002023-01-01145
Number of retired or separated participants receiving benefits2023-01-01738
Total of all active and inactive participants2023-01-01883
Total participants2023-01-01883
2022: BNA HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,912
Total number of active participants reported on line 7a of the Form 55002022-01-011,277
Number of retired or separated participants receiving benefits2022-01-01751
Total of all active and inactive participants2022-01-012,028
Total participants2022-01-012,028
2021: BNA HEALTH AND WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,004
Total number of active participants reported on line 7a of the Form 55002021-01-011,185
Number of retired or separated participants receiving benefits2021-01-01727
Total of all active and inactive participants2021-01-011,912
Total participants2021-01-011,912
2020: BNA HEALTH AND WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,893
Total number of active participants reported on line 7a of the Form 55002020-01-011,267
Number of retired or separated participants receiving benefits2020-01-01737
Total of all active and inactive participants2020-01-012,004
Total participants2020-01-012,004
2019: BNA HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,038
Total number of active participants reported on line 7a of the Form 55002019-01-011,158
Number of retired or separated participants receiving benefits2019-01-01735
Total of all active and inactive participants2019-01-011,893
Total participants2019-01-011,893
2018: BNA HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,293
Total number of active participants reported on line 7a of the Form 55002018-01-011,287
Number of retired or separated participants receiving benefits2018-01-01751
Total of all active and inactive participants2018-01-012,038
Total participants2018-01-012,038
2017: BNA HEALTH AND WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,239
Total number of active participants reported on line 7a of the Form 55002017-01-011,498
Number of retired or separated participants receiving benefits2017-01-01795
Total of all active and inactive participants2017-01-012,293
Total participants2017-01-012,293
2016: BNA HEALTH AND WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,186
Total number of active participants reported on line 7a of the Form 55002016-01-011,519
Number of retired or separated participants receiving benefits2016-01-01720
Total of all active and inactive participants2016-01-012,239
Total participants2016-01-012,239
2015: BNA HEALTH AND WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,987
Total number of active participants reported on line 7a of the Form 55002015-01-011,506
Number of retired or separated participants receiving benefits2015-01-01680
Total of all active and inactive participants2015-01-012,186
Total participants2015-01-012,186
2014: BNA HEALTH AND WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,601
Total number of active participants reported on line 7a of the Form 55002014-01-011,320
Number of retired or separated participants receiving benefits2014-01-01658
Total of all active and inactive participants2014-01-011,978
Total participants2014-01-011,978
2013: BNA HEALTH AND WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,808
Total number of active participants reported on line 7a of the Form 55002013-01-011,192
Number of retired or separated participants receiving benefits2013-01-01672
Total of all active and inactive participants2013-01-011,864
Total participants2013-01-011,864
2012: BNA HEALTH AND WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,701
Total number of active participants reported on line 7a of the Form 55002012-01-011,192
Number of retired or separated participants receiving benefits2012-01-01543
Number of other retired or separated participants entitled to future benefits2012-01-0143
Total of all active and inactive participants2012-01-011,778
Total participants2012-01-011,778
2011: BNA HEALTH AND WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,669
Total number of active participants reported on line 7a of the Form 55002011-01-011,160
Number of retired or separated participants receiving benefits2011-01-01517
Number of other retired or separated participants entitled to future benefits2011-01-0124
Total of all active and inactive participants2011-01-011,701
Total participants2011-01-011,701
2009: BNA HEALTH AND WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,717
Total number of active participants reported on line 7a of the Form 55002009-01-011,211
Number of retired or separated participants receiving benefits2009-01-01441
Number of other retired or separated participants entitled to future benefits2009-01-0168
Total of all active and inactive participants2009-01-011,720
Total participants2009-01-011,720

Financial Data on BNA HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2023 : BNA HEALTH AND WELFARE BENEFIT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$2,747,124
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$2,873,235
Total income from all sources (including contributions)2023-12-31$26,330,818
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$24,697,417
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$24,649,033
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$24,775,144
Value of total assets at end of year2023-12-31$11,144,111
Value of total assets at beginning of year2023-12-31$9,636,821
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$48,384
Total interest from all sources2023-12-31$13,642
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$275,350
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$275,350
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$1,000,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$2,317,068
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$0
Total non interest bearing cash at end of year2023-12-31$137,410
Total non interest bearing cash at beginning of year2023-12-31$107,232
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$1,633,401
Value of net assets at end of year (total assets less liabilities)2023-12-31$8,396,987
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$6,763,586
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$22,464
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$10,745,894
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$9,233,908
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$260,807
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$295,681
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$295,681
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$13,642
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$24,649,033
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$1,266,682
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$22,458,076
Liabilities. Value of benefit claims payable at end of year2023-12-31$2,747,124
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$2,873,235
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Aggregate proceeds on sale of assets2023-12-31$47,397
Aggregate carrying amount (costs) on sale of assets2023-12-31$47,397
Opinion of an independent qualified public accountant for this plan2023-12-31Disclaimer
Accountancy firm name2023-12-31APRIO LLP
Accountancy firm EIN2023-12-31571157523
2022 : BNA HEALTH AND WELFARE BENEFIT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,873,235
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$6,008,085
Total income from all sources (including contributions)2022-12-31$21,607,051
Total loss/gain on sale of assets2022-12-31$-202,631
Total of all expenses incurred2022-12-31$24,011,518
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$23,940,533
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$23,675,383
Value of total assets at end of year2022-12-31$9,636,821
Value of total assets at beginning of year2022-12-31$15,176,138
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$70,985
Total interest from all sources2022-12-31$5,054
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$215,098
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$215,098
Administrative expenses professional fees incurred2022-12-31$47,750
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$2,529,076
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$3,400,000
Total non interest bearing cash at end of year2022-12-31$107,232
Total non interest bearing cash at beginning of year2022-12-31$161,162
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,404,467
Value of net assets at end of year (total assets less liabilities)2022-12-31$6,763,586
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$9,168,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$23,235
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$9,233,908
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$14,652,336
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$295,681
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$362,640
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$362,640
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$5,054
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,085,853
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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$21,146,307
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$23,940,533
Liabilities. Value of benefit claims payable at end of year2022-12-31$2,873,235
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$2,608,085
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$10,589,028
Aggregate carrying amount (costs) on sale of assets2022-12-31$10,791,659
Opinion of an independent qualified public accountant for this plan2022-12-31Disclaimer
Accountancy firm name2022-12-31APRIO LLP
Accountancy firm EIN2022-12-31571157523
2021 : BNA HEALTH AND WELFARE BENEFIT PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-12
Total unrealized appreciation/depreciation of assets2021-12-31$-12
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$3,400,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,460,000
Total income from all sources (including contributions)2021-12-31$22,567,443
Total loss/gain on sale of assets2021-12-31$977,357
Total of all expenses incurred2021-12-31$24,220,741
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$24,180,498
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$20,780,498
Value of total assets at end of year2021-12-31$15,176,138
Value of total assets at beginning of year2021-12-31$15,889,436
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$40,243
Total interest from all sources2021-12-31$15,856
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$286,034
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$247,761
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
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$2,447,025
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$3,400,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$2,460,000
Administrative expenses (other) incurred2021-12-31$29,172
Total non interest bearing cash at end of year2021-12-31$161,162
Total non interest bearing cash at beginning of year2021-12-31$12,701
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-1,653,298
Value of net assets at end of year (total assets less liabilities)2021-12-31$11,776,138
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$13,429,436
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$11,071
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$14,652,336
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$7,073,611
Interest earned on other investments2021-12-31$2,628
Income. Interest from US Government securities2021-12-31$13,135
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$362,640
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$286,533
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$286,533
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$93
Asset value of US Government securities at beginning of year2021-12-31$668,687
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$507,710
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$18,333,473
Income. Dividends from common stock2021-12-31$38,273
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$24,180,498
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$7,847,904
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$31,115,138
Aggregate carrying amount (costs) on sale of assets2021-12-31$30,137,781
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31ARONSON LLC
Accountancy firm EIN2021-12-31371611326
2020 : BNA HEALTH AND WELFARE BENEFIT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$1,225,556
Total unrealized appreciation/depreciation of assets2020-12-31$1,225,556
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,460,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,990,000
Total income from all sources (including contributions)2020-12-31$22,849,770
Total loss/gain on sale of assets2020-12-31$-178,937
Total of all expenses incurred2020-12-31$23,342,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$23,306,142
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$20,846,143
Value of total assets at end of year2020-12-31$15,889,436
Value of total assets at beginning of year2020-12-31$15,912,134
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$36,326
Total interest from all sources2020-12-31$32,294
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$212,131
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$94,816
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
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$2,588,214
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$12,701
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$14,645
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$2,460,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$1,990,000
Administrative expenses (other) incurred2020-12-31$26,391
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-492,698
Value of net assets at end of year (total assets less liabilities)2020-12-31$13,429,436
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$13,922,134
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$9,935
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$7,073,611
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$7,065,561
Income. Interest from US Government securities2020-12-31$30,867
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$286,533
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$367,842
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$367,842
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$1,427
Asset value of US Government securities at end of year2020-12-31$668,687
Asset value of US Government securities at beginning of year2020-12-31$656,895
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$712,583
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
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$18,257,929
Income. Dividends from common stock2020-12-31$117,315
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$23,306,142
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$7,847,904
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$7,807,191
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$6,156,347
Aggregate carrying amount (costs) on sale of assets2020-12-31$6,335,284
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31ARONSON LLC
Accountancy firm EIN2020-12-31371611326
2019 : BNA HEALTH AND WELFARE BENEFIT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$1,801,940
Total unrealized appreciation/depreciation of assets2019-12-31$1,801,940
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,990,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,755,000
Total income from all sources (including contributions)2019-12-31$26,376,268
Total loss/gain on sale of assets2019-12-31$146,383
Total of all expenses incurred2019-12-31$25,235,448
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$25,184,855
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$23,360,782
Value of total assets at end of year2019-12-31$15,912,134
Value of total assets at beginning of year2019-12-31$14,536,314
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$50,593
Total interest from all sources2019-12-31$38,926
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$269,896
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$139,466
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
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$2,262,812
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$14,645
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$14,283
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1,990,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$1,755,000
Other income not declared elsewhere2019-12-31$758,341
Administrative expenses (other) incurred2019-12-31$40,611
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$1,140,820
Value of net assets at end of year (total assets less liabilities)2019-12-31$13,922,134
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$12,781,314
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
Investment advisory and management fees2019-12-31$9,982
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$7,065,561
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$6,520,407
Income. Interest from US Government securities2019-12-31$31,990
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$367,842
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$657,892
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$657,892
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$6,936
Asset value of US Government securities at end of year2019-12-31$656,895
Asset value of US Government securities at beginning of year2019-12-31$652,946
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
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$21,097,970
Income. Dividends from common stock2019-12-31$130,430
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$25,184,855
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$7,807,191
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$6,690,786
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$3,504,744
Aggregate carrying amount (costs) on sale of assets2019-12-31$3,358,361
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31ARONSON LLC
Accountancy firm EIN2019-12-31371611326
2018 : BNA HEALTH AND WELFARE BENEFIT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-30,167
Total unrealized appreciation/depreciation of assets2018-12-31$-30,167
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,755,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,625,000
Total income from all sources (including contributions)2018-12-31$27,276,890
Total loss/gain on sale of assets2018-12-31$100,462
Total of all expenses incurred2018-12-31$29,086,514
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$29,046,504
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$27,565,080
Value of total assets at end of year2018-12-31$14,536,314
Value of total assets at beginning of year2018-12-31$16,215,938
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$40,010
Total interest from all sources2018-12-31$55,222
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$252,586
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$117,420
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
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$4,755,799
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$14,283
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$19,996
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$1,755,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$1,625,000
Other income not declared elsewhere2018-12-31$-666,293
Administrative expenses (other) incurred2018-12-31$29,005
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,809,624
Value of net assets at end of year (total assets less liabilities)2018-12-31$12,781,314
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$14,590,938
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$11,005
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$6,520,407
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$6,084,709
Income. Interest from US Government securities2018-12-31$42,523
Income. Interest from corporate debt instruments2018-12-31$1,874
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$657,892
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,029,216
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,029,216
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$10,825
Asset value of US Government securities at end of year2018-12-31$652,946
Asset value of US Government securities at beginning of year2018-12-31$1,084,618
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
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$22,809,281
Income. Dividends from common stock2018-12-31$135,166
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$29,046,504
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$91,172
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$6,690,786
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$7,906,227
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$8,059,646
Aggregate carrying amount (costs) on sale of assets2018-12-31$7,959,184
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31ARONSON LLC
Accountancy firm EIN2018-12-31371611326
2017 : BNA HEALTH AND WELFARE BENEFIT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$1,499,603
Total unrealized appreciation/depreciation of assets2017-12-31$1,499,603
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,625,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,285,000
Total income from all sources (including contributions)2017-12-31$29,841,777
Total loss/gain on sale of assets2017-12-31$27,517
Total of all expenses incurred2017-12-31$28,986,527
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$28,900,518
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$27,456,361
Value of total assets at end of year2017-12-31$16,215,938
Value of total assets at beginning of year2017-12-31$16,020,688
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$86,009
Total interest from all sources2017-12-31$92,892
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$242,475
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$94,441
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$3,890,842
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$19,996
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$41,507
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$1,625,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$2,285,000
Administrative expenses (other) incurred2017-12-31$74,052
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$855,250
Value of net assets at end of year (total assets less liabilities)2017-12-31$14,590,938
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$13,735,688
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$11,957
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$6,084,709
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$5,795,397
Income. Interest from US Government securities2017-12-31$79,912
Income. Interest from corporate debt instruments2017-12-31$8,515
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,029,216
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$360,526
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$360,526
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$4,465
Asset value of US Government securities at end of year2017-12-31$1,084,618
Asset value of US Government securities at beginning of year2017-12-31$1,893,694
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$522,929
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
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$23,565,519
Income. Dividends from common stock2017-12-31$148,034
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$28,900,518
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$91,172
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$255,011
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$7,906,227
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$7,674,553
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$7,751,072
Aggregate carrying amount (costs) on sale of assets2017-12-31$7,723,555
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ARONSON LLC
Accountancy firm EIN2017-12-31371611326
2016 : BNA HEALTH AND WELFARE BENEFIT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$581,308
Total unrealized appreciation/depreciation of assets2016-12-31$581,308
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,285,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,325,000
Total income from all sources (including contributions)2016-12-31$27,366,413
Total loss/gain on sale of assets2016-12-31$-74,715
Total of all expenses incurred2016-12-31$28,415,451
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$28,346,427
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$26,061,427
Value of total assets at end of year2016-12-31$16,020,688
Value of total assets at beginning of year2016-12-31$17,109,726
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$69,024
Total interest from all sources2016-12-31$205,349
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$153,336
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,240,490
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$41,507
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$42,111
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$2,285,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$2,325,000
Administrative expenses (other) incurred2016-12-31$55,980
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-1,049,038
Value of net assets at end of year (total assets less liabilities)2016-12-31$13,735,688
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$14,784,726
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$13,044
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$5,795,397
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$5,820,895
Interest earned on other investments2016-12-31$77,607
Income. Interest from US Government securities2016-12-31$113,087
Income. Interest from corporate debt instruments2016-12-31$13,224
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$360,526
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,199,467
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,199,467
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,431
Asset value of US Government securities at end of year2016-12-31$1,893,694
Asset value of US Government securities at beginning of year2016-12-31$2,180,808
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$439,708
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
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$23,820,937
Income. Dividends from common stock2016-12-31$153,336
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$28,346,427
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$255,011
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$257,819
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$7,674,553
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$7,608,626
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$4,974,400
Aggregate carrying amount (costs) on sale of assets2016-12-31$5,049,115
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ARONSON LLC
Accountancy firm EIN2016-12-31371611326
2015 : BNA HEALTH AND WELFARE BENEFIT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$139,566
Total unrealized appreciation/depreciation of assets2015-12-31$139,566
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$4,305,241
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$4,644,937
Total income from all sources (including contributions)2015-12-31$23,345,485
Total loss/gain on sale of assets2015-12-31$-39,095
Total of all expenses incurred2015-12-31$24,012,056
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$23,943,272
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$22,895,968
Value of total assets at end of year2015-12-31$17,109,726
Value of total assets at beginning of year2015-12-31$18,115,993
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$68,784
Total interest from all sources2015-12-31$136,934
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$163,170
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,288,452
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$42,111
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$48,703
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$2,325,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$1,387,000
Administrative expenses (other) incurred2015-12-31$54,848
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-666,571
Value of net assets at end of year (total assets less liabilities)2015-12-31$12,804,485
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$13,471,056
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
Investment advisory and management fees2015-12-31$13,936
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$5,820,895
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$5,917,459
Income. Interest from US Government securities2015-12-31$121,595
Income. Interest from corporate debt instruments2015-12-31$14,796
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,199,467
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,026,684
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,026,684
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$543
Asset value of US Government securities at end of year2015-12-31$2,180,808
Asset value of US Government securities at beginning of year2015-12-31$2,670,934
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$48,942
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$20,607,516
Income. Dividends from common stock2015-12-31$163,170
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$23,943,272
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$257,819
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$344,733
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$7,608,626
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$8,107,480
Liabilities. Value of benefit claims payable at end of year2015-12-31$1,980,241
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$3,257,937
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$10,261,974
Aggregate carrying amount (costs) on sale of assets2015-12-31$10,301,069
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ARONSON LLC
Accountancy firm EIN2015-12-31371611326
2014 : BNA HEALTH AND WELFARE BENEFIT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$810,099
Total unrealized appreciation/depreciation of assets2014-12-31$810,099
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$4,644,937
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$3,214,747
Total income from all sources (including contributions)2014-12-31$21,872,700
Total loss/gain on sale of assets2014-12-31$-9,920
Total of all expenses incurred2014-12-31$23,099,381
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$23,037,358
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$20,307,169
Value of total assets at end of year2014-12-31$18,115,993
Value of total assets at beginning of year2014-12-31$17,912,484
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$62,023
Total interest from all sources2014-12-31$172,678
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$155,320
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,872,736
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$48,703
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$49,011
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$1,387,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$1,300,000
Other income not declared elsewhere2014-12-31$0
Administrative expenses (other) incurred2014-12-31$51,076
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-1,226,681
Value of net assets at end of year (total assets less liabilities)2014-12-31$13,471,056
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$14,697,737
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
Investment advisory and management fees2014-12-31$10,947
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$5,917,459
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$5,105,105
Income. Interest from US Government securities2014-12-31$149,566
Income. Interest from corporate debt instruments2014-12-31$22,894
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,026,684
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,335,467
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,335,467
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$218
Asset value of US Government securities at end of year2014-12-31$2,670,934
Asset value of US Government securities at beginning of year2014-12-31$3,102,097
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$437,354
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$18,434,433
Employer contributions (assets) at end of year2014-12-31$230,010
Income. Dividends from common stock2014-12-31$155,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$23,037,358
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$344,733
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$565,023
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$8,107,480
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$7,755,781
Liabilities. Value of benefit claims payable at end of year2014-12-31$3,257,937
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,914,747
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$5,784,048
Aggregate carrying amount (costs) on sale of assets2014-12-31$5,793,968
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ARONSON LLC
Accountancy firm EIN2014-12-31371611326
2013 : BNA HEALTH AND WELFARE BENEFIT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$1,626,826
Total unrealized appreciation/depreciation of assets2013-12-31$1,626,826
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$3,214,747
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$3,046,651
Total income from all sources (including contributions)2013-12-31$21,383,081
Total loss/gain on sale of assets2013-12-31$7,466
Total of all expenses incurred2013-12-31$20,135,963
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$20,102,840
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$18,726,745
Value of total assets at end of year2013-12-31$17,912,484
Value of total assets at beginning of year2013-12-31$16,497,270
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$33,123
Total interest from all sources2013-12-31$190,743
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$142,728
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,300,013
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$49,011
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$109,369
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$1,300,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$1,208,000
Other income not declared elsewhere2013-12-31$1,493
Administrative expenses (other) incurred2013-12-31$19,489
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$1,247,118
Value of net assets at end of year (total assets less liabilities)2013-12-31$14,697,737
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$13,450,619
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
Investment advisory and management fees2013-12-31$13,634
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$5,105,105
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$3,656,194
Income. Interest from US Government securities2013-12-31$160,055
Income. Interest from corporate debt instruments2013-12-31$30,419
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,335,467
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$2,475,129
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$2,475,129
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$269
Asset value of US Government securities at end of year2013-12-31$3,102,097
Asset value of US Government securities at beginning of year2013-12-31$3,574,838
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$687,080
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$17,426,732
Income. Dividends from common stock2013-12-31$142,728
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$20,102,840
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$565,023
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$790,710
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$7,755,781
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$5,891,030
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,914,747
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,838,651
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$5,492,079
Aggregate carrying amount (costs) on sale of assets2013-12-31$5,484,613
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31ARONSON LLC
Accountancy firm EIN2013-12-31371611326
2012 : BNA HEALTH AND WELFARE BENEFIT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$568,119
Total unrealized appreciation/depreciation of assets2012-12-31$568,119
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$3,046,651
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,484,130
Total income from all sources (including contributions)2012-12-31$19,643,126
Total loss/gain on sale of assets2012-12-31$-35,324
Total of all expenses incurred2012-12-31$20,002,946
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$19,968,013
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$18,205,492
Value of total assets at end of year2012-12-31$16,497,270
Value of total assets at beginning of year2012-12-31$16,294,569
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$34,933
Total interest from all sources2012-12-31$253,610
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$131,565
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,232,088
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$109,369
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$81,698
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$1,208,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$1,205,767
Other income not declared elsewhere2012-12-31$32,892
Administrative expenses (other) incurred2012-12-31$20,342
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-359,820
Value of net assets at end of year (total assets less liabilities)2012-12-31$13,450,619
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$13,810,439
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
Investment advisory and management fees2012-12-31$14,591
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$3,656,194
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$2,217,179
Income. Interest from US Government securities2012-12-31$193,186
Income. Interest from corporate debt instruments2012-12-31$60,117
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$2,475,129
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$2,273,683
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$2,273,683
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$307
Asset value of US Government securities at end of year2012-12-31$3,574,838
Asset value of US Government securities at beginning of year2012-12-31$4,346,695
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$486,772
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$16,973,404
Income. Dividends from common stock2012-12-31$131,565
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$19,968,013
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$790,710
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$2,300,266
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$5,891,030
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$5,075,048
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,838,651
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,278,363
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$7,665,870
Aggregate carrying amount (costs) on sale of assets2012-12-31$7,701,194
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31ARONSON LLC
Accountancy firm EIN2012-12-31371611326
2011 : BNA HEALTH AND WELFARE BENEFIT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$211,381
Total unrealized appreciation/depreciation of assets2011-12-31$211,381
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,484,130
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,843,648
Total income from all sources (including contributions)2011-12-31$17,285,770
Total loss/gain on sale of assets2011-12-31$-42,580
Total of all expenses incurred2011-12-31$17,763,651
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$17,725,888
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$16,885,406
Value of total assets at end of year2011-12-31$16,294,569
Value of total assets at beginning of year2011-12-31$17,131,968
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$37,763
Total interest from all sources2011-12-31$337,092
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$103,849
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$926,372
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$81,698
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$111,058
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$1,205,767
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$1,231,837
Other income not declared elsewhere2011-12-31$14,848
Administrative expenses (other) incurred2011-12-31$21,951
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-477,881
Value of net assets at end of year (total assets less liabilities)2011-12-31$13,810,439
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$14,288,320
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
Investment advisory and management fees2011-12-31$15,812
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$2,217,179
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$2,087,082
Income. Interest from US Government securities2011-12-31$222,489
Income. Interest from corporate debt instruments2011-12-31$114,137
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$2,273,683
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,283,361
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,283,361
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$466
Asset value of US Government securities at end of year2011-12-31$4,346,695
Asset value of US Government securities at beginning of year2011-12-31$6,114,611
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-224,226
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$15,959,034
Income. Dividends from common stock2011-12-31$103,849
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$17,725,888
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$2,300,266
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$3,558,561
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$5,075,048
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$3,977,295
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,278,363
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,611,811
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$9,479,996
Aggregate carrying amount (costs) on sale of assets2011-12-31$9,522,576
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31ARONSON LLC
Accountancy firm EIN2011-12-31371611326
2010 : BNA HEALTH AND WELFARE BENEFIT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$524,795
Total unrealized appreciation/depreciation of assets2010-12-31$524,795
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,843,648
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,673,744
Total income from all sources (including contributions)2010-12-31$20,519,992
Total loss/gain on sale of assets2010-12-31$2,921
Total of all expenses incurred2010-12-31$21,035,807
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$20,997,024
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$19,127,120
Value of total assets at end of year2010-12-31$17,131,968
Value of total assets at beginning of year2010-12-31$16,477,879
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$38,783
Total interest from all sources2010-12-31$526,364
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$84,637
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$35,379
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$455,806
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$111,058
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$123,238
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$1,231,837
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$307,543
Other income not declared elsewhere2010-12-31$12,816
Administrative expenses (other) incurred2010-12-31$20,464
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-515,815
Value of net assets at end of year (total assets less liabilities)2010-12-31$14,288,320
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$14,804,135
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
Investment advisory and management fees2010-12-31$18,319
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$2,087,082
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$535,930
Income. Interest from US Government securities2010-12-31$355,367
Income. Interest from corporate debt instruments2010-12-31$170,641
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,283,361
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$581,189
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$581,189
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$356
Asset value of US Government securities at end of year2010-12-31$6,114,611
Asset value of US Government securities at beginning of year2010-12-31$8,908,001
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$241,339
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$18,671,314
Income. Dividends from common stock2010-12-31$49,258
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$20,997,024
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$3,558,561
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$4,345,282
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$3,977,295
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$1,984,239
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,611,811
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,366,201
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$9,411,624
Aggregate carrying amount (costs) on sale of assets2010-12-31$9,408,703
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31ARONSON LLC
Accountancy firm EIN2010-12-31371611326

Form 5500 Responses for BNA HEALTH AND WELFARE BENEFIT PLAN

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

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberGF3-830-510520-
Policy instance 1
Insurance contract or identification numberGF3-830-510520-
Number of Individuals Covered1360
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $8,060
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $415,462
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberGF383051052001
Policy instance 1
Insurance contract or identification numberGF383051052001
Number of Individuals Covered1273
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $5,350
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $478,534
Amount paid for insurance broker fees19706
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberGF383051052001
Policy instance 2
Insurance contract or identification numberGF383051052001
Number of Individuals Covered1190
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $18,706
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $574,621
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees761
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberAF1103071
Policy instance 1
Insurance contract or identification numberAF1103071
Number of Individuals Covered1912
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-830-510520-
Policy instance 1
Insurance contract or identification numberGF3-830-510520-
Number of Individuals Covered1258
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $18,381
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $610,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,381
Amount paid for insurance broker fees0
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-83051052001
Policy instance 1
Insurance contract or identification numberGF3-83051052001
Number of Individuals Covered1307
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $23,508
Total amount of fees paid to insurance companyUSD $5,824
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $662,836
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,508
Amount paid for insurance broker fees5824
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number003330134
Policy instance 2
Insurance contract or identification number003330134
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-83051052001
Policy instance 3
Insurance contract or identification numberGF3-83051052001
Number of Individuals Covered1464
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $17,560
Total amount of fees paid to insurance companyUSD $10,694
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $17,560
Amount paid for insurance broker fees10694
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12021314
Policy instance 4
Insurance contract or identification number12021314
Number of Individuals Covered1698
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of fees paid to insurance companyUSD $25,641
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number32483-G
Policy instance 2
Insurance contract or identification number32483-G
Number of Individuals Covered521
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,203
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Amount paid for insurance broker fees4203
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number32483-G
Policy instance 1
Insurance contract or identification number32483-G
Number of Individuals Covered2321
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of fees paid to insurance companyUSD $17,873
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Amount paid for insurance broker fees17873
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGS3-830510520NY
Policy instance 1
Insurance contract or identification numberGS3-830510520NY
Number of Individuals Covered68
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $89
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedNEW YORK DBL STATUTORY
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,775
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees89
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameWILLIS OF MARYLAND INC.
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-83051052001
Policy instance 2
Insurance contract or identification numberGF3-83051052001
Number of Individuals Covered1393
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $15,822
Total amount of fees paid to insurance companyUSD $41,643
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $632,689
Commission paid to Insurance BrokerUSD $15,822
Amount paid for insurance broker fees11643
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameWILLIS OF MARYLAND INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12021314
Policy instance 3
Insurance contract or identification number12021314
Number of Individuals Covered1832
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $26,088
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
HEALTH AND HUMAN RESOURCES CENTER, INC. (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number595239
Policy instance 3
Insurance contract or identification number595239
Number of Individuals Covered29
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number
Policy instance 2
Number of Individuals Covered1505
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $123,101
Total amount of fees paid to insurance companyUSD $16,008
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $745,665
Amount paid for insurance broker fees15970
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION AND ADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $123,101
Insurance broker nameMERCER HEALTH & BENEFITS LLC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12021314
Policy instance 5
Insurance contract or identification number12021314
Number of Individuals Covered1803
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $181,501
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 number
Policy instance 1
Number of Individuals Covered1677
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $291,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number32483-G
Policy instance 4
Insurance contract or identification number32483-G
Number of Individuals Covered2157
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $15,634
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $695,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees15634
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS LLC
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number32483-G
Policy instance 1
Insurance contract or identification number32483-G
Number of Individuals Covered1961
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $14,806
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $633,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number6973
Policy instance 2
Insurance contract or identification number6973
Number of Individuals Covered147
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $827,029
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12021314
Policy instance 4
Insurance contract or identification number12021314
Number of Individuals Covered1710
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $176,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number157707
Policy instance 3
Insurance contract or identification number157707
Number of Individuals Covered1347
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $9,275
Total amount of fees paid to insurance companyUSD $19
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $425,438
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0116437
Policy instance 3
Insurance contract or identification number0116437
Number of Individuals Covered1188
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $11,330
Total amount of fees paid to insurance companyUSD $20
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $358,822
Commission paid to Insurance BrokerUSD $11,330
Amount paid for insurance broker fees20
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS LLC
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number6973
Policy instance 1
Insurance contract or identification number6973
Number of Individuals Covered152
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $768,712
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number32483-G
Policy instance 2
Insurance contract or identification number32483-G
Number of Individuals Covered1788
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $12,854
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $560,300
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees12854
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS LLC
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number6973-0 & 6973-5
Policy instance 1
Insurance contract or identification number6973-0 & 6973-5
Number of Individuals Covered61
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Welfare Benefit Premiums Paid to CarrierUSD $753,834
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number116437-1-G
Policy instance 3
Insurance contract or identification number116437-1-G
Number of Individuals Covered1162
Total amount of commissions paid to insurance brokerUSD $8,076
Total amount of fees paid to insurance companyUSD $52
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $294,113
Commission paid to Insurance BrokerUSD $8,076
Amount paid for insurance broker fees52
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS, LLC
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number32483-G
Policy instance 2
Insurance contract or identification number32483-G
Number of Individuals Covered1711
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $526,014
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number116437-1-G
Policy instance 3
Insurance contract or identification number116437-1-G
Number of Individuals Covered1160
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $9,535
Total amount of fees paid to insurance companyUSD $24
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $300,836
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number32483-G
Policy instance 2
Insurance contract or identification number32483-G
Number of Individuals Covered1685
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $500,454
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number6973-0 & 6973-5
Policy instance 1
Insurance contract or identification number6973-0 & 6973-5
Number of Individuals Covered63
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Welfare Benefit Premiums Paid to CarrierUSD $723,390
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number116437-1-G
Policy instance 2
Insurance contract or identification number116437-1-G
Number of Individuals Covered1142
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $8,033
Total amount of fees paid to insurance companyUSD $11
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $295,753
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number6973-0 & 6973-5
Policy instance 1
Insurance contract or identification number6973-0 & 6973-5
Number of Individuals Covered84
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $13
Welfare Benefit Premiums Paid to CarrierUSD $989,111
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number32483-G
Policy instance 3
Insurance contract or identification number32483-G
Number of Individuals Covered1627
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $489,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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