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PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 401k Plan overview

Plan NamePAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND
Plan identification number 501

PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

BOARD OF TRUSTEES OF PAINTERS DC78 HEALTH & WELFARE has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES OF PAINTERS DC78 HEALTH & WELFARE
Employer identification number (EIN):597097019
NAIC Classification:238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-03-01
5012015-03-01
5012014-03-01
5012013-03-01
5012012-03-01WALTER ILCZYSZYN
5012011-03-01JOHN SATTERFIELD NIKITAS MANIAS2012-12-12
5012009-03-01TIM MAITLAND NIKITAS MANIAS2010-12-14

Plan Statistics for PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND

401k plan membership statisitcs for PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND

Measure Date Value
2016: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-03-01906
Total number of active participants reported on line 7a of the Form 55002016-03-010
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-03-010
Total participants2016-03-010
Number of participants with account balances2016-03-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-03-010
Number of employers contributing to the scheme2016-03-0197
2015: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-03-01790
Total number of active participants reported on line 7a of the Form 55002015-03-01866
Number of retired or separated participants receiving benefits2015-03-0140
Total of all active and inactive participants2015-03-01906
Number of employers contributing to the scheme2015-03-01109
2014: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-03-01810
Total number of active participants reported on line 7a of the Form 55002014-03-01749
Number of retired or separated participants receiving benefits2014-03-0141
Total of all active and inactive participants2014-03-01790
Number of employers contributing to the scheme2014-03-01173
2013: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-03-01901
Total number of active participants reported on line 7a of the Form 55002013-03-01769
Number of retired or separated participants receiving benefits2013-03-0141
Number of other retired or separated participants entitled to future benefits2013-03-010
Total of all active and inactive participants2013-03-01810
Number of employers contributing to the scheme2013-03-01180
2012: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-03-011,055
Total number of active participants reported on line 7a of the Form 55002012-03-01861
Number of retired or separated participants receiving benefits2012-03-0140
Number of other retired or separated participants entitled to future benefits2012-03-010
Total of all active and inactive participants2012-03-01901
Number of employers contributing to the scheme2012-03-01128
2011: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-03-011,053
Total number of active participants reported on line 7a of the Form 55002011-03-011,013
Number of retired or separated participants receiving benefits2011-03-0142
Total of all active and inactive participants2011-03-011,055
Number of employers contributing to the scheme2011-03-01150
2009: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-03-011,404
Total number of active participants reported on line 7a of the Form 55002009-03-011,396
Total of all active and inactive participants2009-03-011,396

Financial Data on PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND

Measure Date Value
2017 : PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-02-28$49,275
Total unrealized appreciation/depreciation of assets2017-02-28$49,275
Total transfer of assets from this plan2017-02-28$10,012,964
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$1,587,510
Total income from all sources (including contributions)2017-02-28$6,686,969
Total loss/gain on sale of assets2017-02-28$86,808
Total of all expenses incurred2017-02-28$5,946,461
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-02-28$5,180,327
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-02-28$6,232,452
Value of total assets at end of year2017-02-28$0
Value of total assets at beginning of year2017-02-28$10,859,966
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-02-28$766,134
Total interest from all sources2017-02-28$103,171
Total dividends received (eg from common stock, registered investment company shares)2017-02-28$104,164
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-02-28Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-02-28$0
Total dividends received from registered investment company shares (eg mutual funds)2017-02-28$71,027
Administrative expenses professional fees incurred2017-02-28$195,065
Was this plan covered by a fidelity bond2017-02-28Yes
Value of fidelity bond cover2017-02-28$500,000
If this is an individual account plan, was there a blackout period2017-02-28No
Were there any nonexempt tranactions with any party-in-interest2017-02-28No
Contributions received from participants2017-02-28$133,648
Assets. Other investments not covered elsewhere at beginning of year2017-02-28$71,125
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-02-28$128,652
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-02-28$135,572
Other income not declared elsewhere2017-02-28$75,499
Administrative expenses (other) incurred2017-02-28$383,222
Liabilities. Value of operating payables at beginning of year2017-02-28$5,052
Total non interest bearing cash at beginning of year2017-02-28$1,741,480
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Value of net income/loss2017-02-28$740,508
Value of net assets at end of year (total assets less liabilities)2017-02-28$0
Value of net assets at beginning of year (total assets less liabilities)2017-02-28$9,272,456
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2017-02-28No
Were any leases to which the plan was party in default or uncollectible2017-02-28No
Investment advisory and management fees2017-02-28$40,730
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-02-28$3,157,538
Income. Interest from US Government securities2017-02-28$56,025
Income. Interest from corporate debt instruments2017-02-28$20,779
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-02-28$1,072,109
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-02-28$1,072,109
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-02-28$26,367
Expenses. Payments to insurance carriers foe the provision of benefits2017-02-28$477,240
Asset value of US Government securities at beginning of year2017-02-28$1,162,953
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-02-28$35,600
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-02-28Yes
Was there a failure to transmit to the plan any participant contributions2017-02-28No
Has the plan failed to provide any benefit when due under the plan2017-02-28No
Contributions received in cash from employer2017-02-28$6,098,804
Employer contributions (assets) at beginning of year2017-02-28$840,081
Income. Dividends from common stock2017-02-28$33,137
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-02-28$4,703,087
Asset. Corporate debt instrument debt (other) at beginning of year2017-02-28$586,258
Contract administrator fees2017-02-28$147,117
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-02-28No
Assets. Corporate common stocks other than exployer securities at beginning of year2017-02-28$2,099,770
Liabilities. Value of benefit claims payable at beginning of year2017-02-28$1,446,886
Did the plan have assets held for investment2017-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-02-28Yes
Aggregate proceeds on sale of assets2017-02-28$1,727,801
Aggregate carrying amount (costs) on sale of assets2017-02-28$1,640,993
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-02-28No
Opinion of an independent qualified public accountant for this plan2017-02-28Unqualified
Accountancy firm name2017-02-28NOVAK FRANCELLA LLC
Accountancy firm EIN2017-02-28611436956
2016 : PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-02-29$-302,451
Total unrealized appreciation/depreciation of assets2016-02-29$-302,451
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$1,587,510
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$1,580,394
Total income from all sources (including contributions)2016-02-29$8,894,823
Total loss/gain on sale of assets2016-02-29$63,584
Total of all expenses incurred2016-02-29$9,382,950
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-02-29$8,585,310
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-02-29$8,615,283
Value of total assets at end of year2016-02-29$10,859,966
Value of total assets at beginning of year2016-02-29$11,340,977
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-02-29$797,640
Total interest from all sources2016-02-29$81,290
Total dividends received (eg from common stock, registered investment company shares)2016-02-29$158,839
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-02-29No
Total dividends received from registered investment company shares (eg mutual funds)2016-02-29$95,544
Administrative expenses professional fees incurred2016-02-29$121,673
Was this plan covered by a fidelity bond2016-02-29Yes
Value of fidelity bond cover2016-02-29$500,000
If this is an individual account plan, was there a blackout period2016-02-29No
Were there any nonexempt tranactions with any party-in-interest2016-02-29No
Contributions received from participants2016-02-29$359,666
Assets. Other investments not covered elsewhere at end of year2016-02-29$71,125
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-02-29$128,652
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-02-29$764,783
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-02-29$135,572
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-02-29$144,465
Other income not declared elsewhere2016-02-29$374,090
Administrative expenses (other) incurred2016-02-29$445,315
Liabilities. Value of operating payables at end of year2016-02-29$5,052
Liabilities. Value of operating payables at beginning of year2016-02-29$71,161
Total non interest bearing cash at end of year2016-02-29$1,741,480
Total non interest bearing cash at beginning of year2016-02-29$1,514,885
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Value of net income/loss2016-02-29$-488,127
Value of net assets at end of year (total assets less liabilities)2016-02-29$9,272,456
Value of net assets at beginning of year (total assets less liabilities)2016-02-29$9,760,583
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2016-02-29No
Were any leases to which the plan was party in default or uncollectible2016-02-29No
Investment advisory and management fees2016-02-29$54,763
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-02-29$3,157,538
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-02-29$3,154,224
Interest earned on other investments2016-02-29$2,415
Income. Interest from US Government securities2016-02-29$40,622
Income. Interest from corporate debt instruments2016-02-29$23,692
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-02-29$1,072,109
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-02-29$1,140,169
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-02-29$1,140,169
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-02-29$14,561
Expenses. Payments to insurance carriers foe the provision of benefits2016-02-29$499,357
Asset value of US Government securities at end of year2016-02-29$1,162,953
Asset value of US Government securities at beginning of year2016-02-29$1,118,581
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-02-29$-95,812
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-02-29No
Was there a failure to transmit to the plan any participant contributions2016-02-29No
Has the plan failed to provide any benefit when due under the plan2016-02-29No
Contributions received in cash from employer2016-02-29$8,255,617
Employer contributions (assets) at end of year2016-02-29$840,081
Employer contributions (assets) at beginning of year2016-02-29$763,342
Income. Dividends from common stock2016-02-29$63,295
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-02-29$8,085,953
Asset. Corporate debt instrument debt (other) at end of year2016-02-29$586,258
Asset. Corporate debt instrument debt (other) at beginning of year2016-02-29$667,632
Contract administrator fees2016-02-29$175,889
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-02-29No
Assets. Corporate common stocks other than exployer securities at end of year2016-02-29$2,099,770
Assets. Corporate common stocks other than exployer securities at beginning of year2016-02-29$2,217,361
Liabilities. Value of benefit claims payable at end of year2016-02-29$1,446,886
Liabilities. Value of benefit claims payable at beginning of year2016-02-29$1,364,768
Did the plan have assets held for investment2016-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-02-29No
Aggregate proceeds on sale of assets2016-02-29$2,200,457
Aggregate carrying amount (costs) on sale of assets2016-02-29$2,136,873
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-02-29No
Opinion of an independent qualified public accountant for this plan2016-02-29Unqualified
Accountancy firm name2016-02-29NOVAK FRANCELLA, LLC
Accountancy firm EIN2016-02-29611436956
2015 : PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-02-28$289,970
Total unrealized appreciation/depreciation of assets2015-02-28$289,970
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$1,580,394
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$1,289,310
Total income from all sources (including contributions)2015-02-28$9,210,413
Total loss/gain on sale of assets2015-02-28$-19,430
Total of all expenses incurred2015-02-28$9,419,642
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-02-28$8,494,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-02-28$7,984,515
Value of total assets at end of year2015-02-28$11,340,977
Value of total assets at beginning of year2015-02-28$11,259,122
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-02-28$925,409
Total interest from all sources2015-02-28$59,934
Total dividends received (eg from common stock, registered investment company shares)2015-02-28$156,124
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2015-02-28$89,028
Administrative expenses professional fees incurred2015-02-28$115,068
Was this plan covered by a fidelity bond2015-02-28Yes
Value of fidelity bond cover2015-02-28$500,000
If this is an individual account plan, was there a blackout period2015-02-28No
Were there any nonexempt tranactions with any party-in-interest2015-02-28No
Contributions received from participants2015-02-28$398,872
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-02-28$247,617
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-02-28$764,783
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-02-28$37,568
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-02-28$144,465
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-02-28$182,093
Other income not declared elsewhere2015-02-28$678,495
Administrative expenses (other) incurred2015-02-28$559,213
Liabilities. Value of operating payables at end of year2015-02-28$71,161
Liabilities. Value of operating payables at beginning of year2015-02-28$93,217
Total non interest bearing cash at end of year2015-02-28$1,514,885
Total non interest bearing cash at beginning of year2015-02-28$3,502,201
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Value of net income/loss2015-02-28$-209,229
Value of net assets at end of year (total assets less liabilities)2015-02-28$9,760,583
Value of net assets at beginning of year (total assets less liabilities)2015-02-28$9,969,812
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2015-02-28No
Were any leases to which the plan was party in default or uncollectible2015-02-28No
Investment advisory and management fees2015-02-28$56,778
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-02-28$3,154,224
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-02-28$2,892,486
Income. Interest from US Government securities2015-02-28$40,503
Income. Interest from corporate debt instruments2015-02-28$15,222
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-02-28$1,140,169
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-02-28$155,581
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-02-28$155,581
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-02-28$4,209
Expenses. Payments to insurance carriers foe the provision of benefits2015-02-28$436,017
Asset value of US Government securities at end of year2015-02-28$1,118,581
Asset value of US Government securities at beginning of year2015-02-28$1,723,528
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-02-28$60,805
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-02-28Yes
Was there a failure to transmit to the plan any participant contributions2015-02-28No
Has the plan failed to provide any benefit when due under the plan2015-02-28No
Contributions received in cash from employer2015-02-28$7,585,643
Employer contributions (assets) at end of year2015-02-28$763,342
Employer contributions (assets) at beginning of year2015-02-28$900,517
Income. Dividends from common stock2015-02-28$67,096
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-02-28$7,810,599
Asset. Corporate debt instrument debt (other) at end of year2015-02-28$667,632
Contract administrator fees2015-02-28$194,350
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-02-28No
Assets. Corporate common stocks other than exployer securities at end of year2015-02-28$2,217,361
Assets. Corporate common stocks other than exployer securities at beginning of year2015-02-28$2,047,241
Liabilities. Value of benefit claims payable at end of year2015-02-28$1,364,768
Liabilities. Value of benefit claims payable at beginning of year2015-02-28$1,014,000
Did the plan have assets held for investment2015-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-02-28No
Aggregate proceeds on sale of assets2015-02-28$5,193,015
Aggregate carrying amount (costs) on sale of assets2015-02-28$5,212,445
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-02-28No
Opinion of an independent qualified public accountant for this plan2015-02-28Unqualified
Accountancy firm name2015-02-28NOVAK FRANCELLA, LLC
Accountancy firm EIN2015-02-28611436956
2014 : PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-02-28$39,666
Total unrealized appreciation/depreciation of assets2014-02-28$39,666
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$1,289,310
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$99,569
Total income from all sources (including contributions)2014-02-28$8,724,544
Total loss/gain on sale of assets2014-02-28$136,141
Total of all expenses incurred2014-02-28$7,302,267
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-02-28$5,272,072
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-02-28$8,438,570
Value of total assets at end of year2014-02-28$11,259,122
Value of total assets at beginning of year2014-02-28$8,647,104
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-02-28$2,030,195
Total interest from all sources2014-02-28$40,940
Total dividends received (eg from common stock, registered investment company shares)2014-02-28$170,520
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2014-02-28$134,501
Administrative expenses professional fees incurred2014-02-28$129,871
Was this plan covered by a fidelity bond2014-02-28Yes
Value of fidelity bond cover2014-02-28$500,000
If this is an individual account plan, was there a blackout period2014-02-28No
Were there any nonexempt tranactions with any party-in-interest2014-02-28No
Contributions received from participants2014-02-28$373,555
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-02-28$235,151
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-02-28$37,568
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-02-28$175,991
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-02-28$182,093
Administrative expenses (other) incurred2014-02-28$1,655,284
Liabilities. Value of operating payables at end of year2014-02-28$93,217
Liabilities. Value of operating payables at beginning of year2014-02-28$28,406
Total non interest bearing cash at end of year2014-02-28$3,502,201
Total non interest bearing cash at beginning of year2014-02-28$2,316,062
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Value of net income/loss2014-02-28$1,422,277
Value of net assets at end of year (total assets less liabilities)2014-02-28$9,969,812
Value of net assets at beginning of year (total assets less liabilities)2014-02-28$8,547,535
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2014-02-28No
Were any leases to which the plan was party in default or uncollectible2014-02-28No
Investment advisory and management fees2014-02-28$48,334
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-02-28$2,892,486
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-02-28$1,557,875
Income. Interest from US Government securities2014-02-28$40,940
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-02-28$155,581
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-02-28$235,549
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-02-28$235,549
Expenses. Payments to insurance carriers foe the provision of benefits2014-02-28$70,269
Asset value of US Government securities at end of year2014-02-28$1,723,528
Asset value of US Government securities at beginning of year2014-02-28$1,771,712
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-02-28$-101,293
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-02-28Yes
Was there a failure to transmit to the plan any participant contributions2014-02-28No
Has the plan failed to provide any benefit when due under the plan2014-02-28No
Contributions received in cash from employer2014-02-28$8,065,015
Employer contributions (assets) at end of year2014-02-28$900,517
Employer contributions (assets) at beginning of year2014-02-28$1,076,549
Income. Dividends from common stock2014-02-28$36,019
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-02-28$4,966,652
Contract administrator fees2014-02-28$196,706
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-02-28No
Assets. Corporate common stocks other than exployer securities at end of year2014-02-28$2,047,241
Assets. Corporate common stocks other than exployer securities at beginning of year2014-02-28$1,513,366
Liabilities. Value of benefit claims payable at end of year2014-02-28$1,014,000
Liabilities. Value of benefit claims payable at beginning of year2014-02-28$71,163
Did the plan have assets held for investment2014-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-02-28No
Aggregate proceeds on sale of assets2014-02-28$3,321,079
Aggregate carrying amount (costs) on sale of assets2014-02-28$3,184,938
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-02-28No
Opinion of an independent qualified public accountant for this plan2014-02-28Unqualified
Accountancy firm name2014-02-28NOVAK FRANCELLA LLC
Accountancy firm EIN2014-02-28611436956
2013 : PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-02-28$153,112
Total unrealized appreciation/depreciation of assets2013-02-28$153,112
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$99,569
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$466,715
Total income from all sources (including contributions)2013-02-28$8,635,688
Total loss/gain on sale of assets2013-02-28$4,974
Total of all expenses incurred2013-02-28$6,997,500
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-02-28$6,256,608
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-02-28$8,304,630
Value of total assets at end of year2013-02-28$8,647,104
Value of total assets at beginning of year2013-02-28$7,376,062
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-02-28$740,892
Total interest from all sources2013-02-28$44,780
Total dividends received (eg from common stock, registered investment company shares)2013-02-28$128,192
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2013-02-28$65,025
Administrative expenses professional fees incurred2013-02-28$190,689
Was this plan covered by a fidelity bond2013-02-28Yes
Value of fidelity bond cover2013-02-28$500,000
If this is an individual account plan, was there a blackout period2013-02-28No
Were there any nonexempt tranactions with any party-in-interest2013-02-28No
Contributions received from participants2013-02-28$348,792
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-02-28$188,843
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-02-28$175,991
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-02-28$160,831
Administrative expenses (other) incurred2013-02-28$71,977
Liabilities. Value of operating payables at end of year2013-02-28$28,406
Liabilities. Value of operating payables at beginning of year2013-02-28$151,074
Total non interest bearing cash at end of year2013-02-28$2,316,062
Total non interest bearing cash at beginning of year2013-02-28$1,562,765
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Value of net income/loss2013-02-28$1,638,188
Value of net assets at end of year (total assets less liabilities)2013-02-28$8,547,535
Value of net assets at beginning of year (total assets less liabilities)2013-02-28$6,909,347
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2013-02-28No
Were any leases to which the plan was party in default or uncollectible2013-02-28No
Investment advisory and management fees2013-02-28$43,172
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-02-28$1,557,875
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-02-28$1,475,876
Income. Interest from US Government securities2013-02-28$44,780
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-02-28$235,549
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-02-28$318,147
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-02-28$318,147
Expenses. Payments to insurance carriers foe the provision of benefits2013-02-28$106,122
Asset value of US Government securities at end of year2013-02-28$1,771,712
Asset value of US Government securities at beginning of year2013-02-28$1,567,557
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-02-28No
Was there a failure to transmit to the plan any participant contributions2013-02-28No
Has the plan failed to provide any benefit when due under the plan2013-02-28No
Contributions received in cash from employer2013-02-28$7,955,838
Employer contributions (assets) at end of year2013-02-28$1,076,549
Employer contributions (assets) at beginning of year2013-02-28$863,645
Income. Dividends from common stock2013-02-28$63,167
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-02-28$5,961,643
Contract administrator fees2013-02-28$435,054
Assets. Corporate common stocks other than exployer securities at end of year2013-02-28$1,513,366
Assets. Corporate common stocks other than exployer securities at beginning of year2013-02-28$1,427,241
Liabilities. Value of benefit claims payable at end of year2013-02-28$71,163
Liabilities. Value of benefit claims payable at beginning of year2013-02-28$315,641
Did the plan have assets held for investment2013-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-02-28No
Aggregate proceeds on sale of assets2013-02-28$2,395,302
Aggregate carrying amount (costs) on sale of assets2013-02-28$2,390,328
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-02-28No
Opinion of an independent qualified public accountant for this plan2013-02-28Unqualified
Accountancy firm name2013-02-28AGH, LLC
Accountancy firm EIN2013-02-28582588678
2012 : PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-02-29$-319,109
Total unrealized appreciation/depreciation of assets2012-02-29$-319,109
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$466,715
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$281,839
Total income from all sources (including contributions)2012-02-29$7,613,712
Total loss/gain on sale of assets2012-02-29$445,652
Total of all expenses incurred2012-02-29$8,202,726
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-02-29$7,717,194
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-02-29$7,345,133
Value of total assets at end of year2012-02-29$7,376,062
Value of total assets at beginning of year2012-02-29$7,780,200
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-02-29$485,532
Total interest from all sources2012-02-29$94,683
Total dividends received (eg from common stock, registered investment company shares)2012-02-29$47,353
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-02-29No
Administrative expenses professional fees incurred2012-02-29$81,928
Was this plan covered by a fidelity bond2012-02-29Yes
Value of fidelity bond cover2012-02-29$500,000
If this is an individual account plan, was there a blackout period2012-02-29No
Were there any nonexempt tranactions with any party-in-interest2012-02-29No
Contributions received from participants2012-02-29$389,593
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-02-29$1,827,635
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-02-29$160,831
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-02-29$24,410
Administrative expenses (other) incurred2012-02-29$159,409
Liabilities. Value of operating payables at end of year2012-02-29$151,074
Liabilities. Value of operating payables at beginning of year2012-02-29$173,676
Total non interest bearing cash at end of year2012-02-29$1,562,765
Total non interest bearing cash at beginning of year2012-02-29$2,298,967
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Value of net income/loss2012-02-29$-589,014
Value of net assets at end of year (total assets less liabilities)2012-02-29$6,909,347
Value of net assets at beginning of year (total assets less liabilities)2012-02-29$7,498,361
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2012-02-29No
Were any leases to which the plan was party in default or uncollectible2012-02-29No
Investment advisory and management fees2012-02-29$41,835
Income. Interest from US Government securities2012-02-29$52,182
Income. Interest from corporate debt instruments2012-02-29$42,501
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-02-29$318,147
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-02-29$374,498
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-02-29$374,498
Expenses. Payments to insurance carriers foe the provision of benefits2012-02-29$191,296
Asset value of US Government securities at end of year2012-02-29$1,567,557
Asset value of US Government securities at beginning of year2012-02-29$1,463,529
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-02-29Yes
Was there a failure to transmit to the plan any participant contributions2012-02-29No
Has the plan failed to provide any benefit when due under the plan2012-02-29No
Contributions received in cash from employer2012-02-29$6,955,540
Employer contributions (assets) at end of year2012-02-29$863,645
Employer contributions (assets) at beginning of year2012-02-29$913,190
Income. Dividends from common stock2012-02-29$47,353
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-02-29$5,698,263
Asset. Corporate debt instrument debt (other) at end of year2012-02-29$1,475,876
Asset. Corporate debt instrument debt (other) at beginning of year2012-02-29$1,453,062
Contract administrator fees2012-02-29$202,360
Assets. Corporate common stocks other than exployer securities at end of year2012-02-29$1,427,241
Assets. Corporate common stocks other than exployer securities at beginning of year2012-02-29$1,252,544
Liabilities. Value of benefit claims payable at end of year2012-02-29$315,641
Liabilities. Value of benefit claims payable at beginning of year2012-02-29$108,163
Did the plan have assets held for investment2012-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-02-29No
Aggregate proceeds on sale of assets2012-02-29$6,018,718
Aggregate carrying amount (costs) on sale of assets2012-02-29$5,573,066
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-02-29No
Opinion of an independent qualified public accountant for this plan2012-02-29Unqualified
Accountancy firm name2012-02-29CLACK & ASSOICATES, PC
Accountancy firm EIN2012-02-29263667119
2011 : PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-02-28$-46,197
Total unrealized appreciation/depreciation of assets2011-02-28$-46,197
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$281,839
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$247,146
Total income from all sources (including contributions)2011-02-28$8,199,083
Total loss/gain on sale of assets2011-02-28$244,877
Total of all expenses incurred2011-02-28$9,644,577
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-02-28$9,166,097
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-02-28$7,835,747
Value of total assets at end of year2011-02-28$7,780,200
Value of total assets at beginning of year2011-02-28$9,191,001
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-02-28$478,480
Total interest from all sources2011-02-28$139,855
Total dividends received (eg from common stock, registered investment company shares)2011-02-28$24,801
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-02-28No
Administrative expenses professional fees incurred2011-02-28$67,794
Was this plan covered by a fidelity bond2011-02-28Yes
Value of fidelity bond cover2011-02-28$500,000
If this is an individual account plan, was there a blackout period2011-02-28No
Were there any nonexempt tranactions with any party-in-interest2011-02-28No
Contributions received from participants2011-02-28$417,690
Income. Received or receivable in cash from other sources (including rollovers)2011-02-28$7,875
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-02-28$1,669,490
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-02-28$24,410
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-02-28$59,823
Administrative expenses (other) incurred2011-02-28$149,874
Liabilities. Value of operating payables at end of year2011-02-28$173,676
Liabilities. Value of operating payables at beginning of year2011-02-28$155,278
Total non interest bearing cash at end of year2011-02-28$2,298,967
Total non interest bearing cash at beginning of year2011-02-28$732,870
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Value of net income/loss2011-02-28$-1,445,494
Value of net assets at end of year (total assets less liabilities)2011-02-28$7,498,361
Value of net assets at beginning of year (total assets less liabilities)2011-02-28$8,943,855
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2011-02-28No
Were any leases to which the plan was party in default or uncollectible2011-02-28No
Investment advisory and management fees2011-02-28$45,861
Income. Interest from US Government securities2011-02-28$64,373
Income. Interest from corporate debt instruments2011-02-28$64,836
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-02-28$374,498
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-02-28$902,251
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-02-28$902,251
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-02-28$10,646
Expenses. Payments to insurance carriers foe the provision of benefits2011-02-28$245,848
Asset value of US Government securities at end of year2011-02-28$1,463,529
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-02-28No
Was there a failure to transmit to the plan any participant contributions2011-02-28No
Has the plan failed to provide any benefit when due under the plan2011-02-28No
Contributions received in cash from employer2011-02-28$7,410,182
Employer contributions (assets) at end of year2011-02-28$913,190
Employer contributions (assets) at beginning of year2011-02-28$899,419
Income. Dividends from common stock2011-02-28$24,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-02-28$7,250,759
Asset. Corporate debt instrument debt (other) at end of year2011-02-28$1,453,062
Asset. Corporate debt instrument debt (other) at beginning of year2011-02-28$4,968,467
Contract administrator fees2011-02-28$214,951
Assets. Corporate common stocks other than exployer securities at end of year2011-02-28$1,252,544
Assets. Corporate common stocks other than exployer securities at beginning of year2011-02-28$1,628,171
Liabilities. Value of benefit claims payable at end of year2011-02-28$108,163
Liabilities. Value of benefit claims payable at beginning of year2011-02-28$91,868
Did the plan have assets held for investment2011-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-02-28No
Aggregate proceeds on sale of assets2011-02-28$6,693,419
Aggregate carrying amount (costs) on sale of assets2011-02-28$6,448,542
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-02-28No
Opinion of an independent qualified public accountant for this plan2011-02-28Unqualified
Accountancy firm name2011-02-28CLACK & ASSOICATES, PC
Accountancy firm EIN2011-02-28263667119

Form 5500 Responses for PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND

2016: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2016 form 5500 responses
2016-03-01Type of plan entityMulti-employer plan
2016-03-01This submission is the final filingYes
2016-03-01Plan is a collectively bargained planYes
2016-03-01Plan funding arrangement – TrustYes
2016-03-01Plan benefit arrangement – InsuranceYes
2016-03-01Plan benefit arrangement - TrustYes
2015: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2015 form 5500 responses
2015-03-01Type of plan entityMulti-employer plan
2015-03-01Plan is a collectively bargained planYes
2015-03-01Plan funding arrangement – TrustYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement - TrustYes
2014: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2014 form 5500 responses
2014-03-01Type of plan entityMulti-employer plan
2014-03-01Plan is a collectively bargained planYes
2014-03-01Plan funding arrangement – TrustYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement - TrustYes
2013: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2013 form 5500 responses
2013-03-01Type of plan entityMulti-employer plan
2013-03-01Plan is a collectively bargained planYes
2013-03-01Plan funding arrangement – TrustYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement - TrustYes
2012: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2012 form 5500 responses
2012-03-01Type of plan entityMulti-employer plan
2012-03-01Submission has been amendedNo
2012-03-01This submission is the final filingNo
2012-03-01This return/report is a short plan year return/report (less than 12 months)No
2012-03-01Plan is a collectively bargained planYes
2012-03-01Plan funding arrangement – TrustYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement - TrustYes
2011: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2011 form 5500 responses
2011-03-01Type of plan entityMulti-employer plan
2011-03-01Plan is a collectively bargained planYes
2011-03-01Plan funding arrangement – TrustYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement - TrustYes
2009: PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND 2009 form 5500 responses
2009-03-01Type of plan entityMulti-employer plan
2009-03-01Plan is a collectively bargained planYes
2009-03-01Plan funding arrangement – TrustYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10101469
Policy instance 2
Insurance contract or identification number10101469
Number of Individuals Covered21
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $559
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,593
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $559
Insurance broker organization code?3
Insurance broker nameDAVID L. FOWLER
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number2499457
Policy instance 4
Insurance contract or identification number2499457
Number of Individuals Covered902
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $426,265
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10162799
Policy instance 1
Insurance contract or identification number10162799
Number of Individuals Covered871
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $8,732
Total amount of fees paid to insurance companyUSD $2,911
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $58,214
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,732
Amount paid for insurance broker fees2911
Additional information about fees paid to insurance brokerOVERIDES
Insurance broker organization code?3
Insurance broker namePROFESSIONAL GROUP PLANS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10101470
Policy instance 3
Insurance contract or identification number10101470
Number of Individuals Covered21
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $755
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,552
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $755
Insurance broker organization code?3
Insurance broker nameDAVID L. FOWLER
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number2499457
Policy instance 4
Insurance contract or identification number2499457
Number of Individuals Covered795
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $379,581
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10101469
Policy instance 2
Insurance contract or identification number10101469
Number of Individuals Covered22
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $541
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,415
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $541
Insurance broker organization code?3
Insurance broker nameDAVID L. FOWLER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10162799
Policy instance 1
Insurance contract or identification number10162799
Number of Individuals Covered842
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $9,186
Total amount of fees paid to insurance companyUSD $4,919
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $61,240
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,186
Amount paid for insurance broker fees4919
Additional information about fees paid to insurance brokerOVERRIDES AND BROKER BONUS
Insurance broker organization code?3
Insurance broker namePROFESSIONAL GROUP PLANS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10101470
Policy instance 3
Insurance contract or identification number10101470
Number of Individuals Covered22
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $798
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,980
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $798
Insurance broker organization code?3
Insurance broker nameDAVID L. FOWLER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10101470
Policy instance 3
Insurance contract or identification number10101470
Number of Individuals Covered22
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $752
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,521
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $752
Insurance broker organization code?3
Insurance broker nameDAVID L. FOWLER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10101469
Policy instance 2
Insurance contract or identification number10101469
Number of Individuals Covered22
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $555
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $555
Insurance broker organization code?3
Insurance broker nameDAVID L. FOWLER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10162799
Policy instance 1
Insurance contract or identification number10162799
Number of Individuals Covered967
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $10,401
Total amount of fees paid to insurance companyUSD $5,324
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $69,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,401
Amount paid for insurance broker fees5324
Additional information about fees paid to insurance brokerOVERIDES AND BROKER BONUS
Insurance broker organization code?3
Insurance broker namePROFESSIONAL GROUP PLANS INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677865G
Policy instance 1
Insurance contract or identification number677865G
Number of Individuals Covered989
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $14,053
Total amount of fees paid to insurance companyUSD $10,407
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
Other welfare benefits providedADD
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 $93,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,053
Amount paid for insurance broker fees10407
Additional information about fees paid to insurance brokerFEES AND BONUS
Insurance broker organization code?3
Insurance broker namePROFESSIONAL GGROUP PLANS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10162799 0000
Policy instance 2
Insurance contract or identification number10162799 0000
Number of Individuals Covered1059
Insurance policy start date2012-08-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $11,066
Total amount of fees paid to insurance companyUSD $3,689
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
Other welfare benefits providedAD&D
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 $73,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,066
Amount paid for insurance broker fees3689
Additional information about fees paid to insurance brokerOVERRIDES
Insurance broker organization code?3
Insurance broker namePROFESSIONAL GRP PLANNS INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677865G
Policy instance 1
Insurance contract or identification number677865G
Number of Individuals Covered1076
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $192,219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677865G
Policy instance 1
Insurance contract or identification number677865G
Number of Individuals Covered1076
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $229,387
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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