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NAPWC HEALTH TRUST 401k Plan overview

Plan NameNAPWC HEALTH TRUST
Plan identification number 502

NAPWC HEALTH TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision

401k Sponsoring company profile

NATIONAL ASSOCIATION OF PREVAILING WAGE CONTRACTORS, INC. has sponsored the creation of one or more 401k plans.

Company Name:NATIONAL ASSOCIATION OF PREVAILING WAGE CONTRACTORS, INC.
Employer identification number (EIN):651264321
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NAPWC HEALTH TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-01-01LARRY LEFOLDT
5022016-01-01JAMES O'KEEFE, NAPWC
5022015-01-01JAMES O'KEEFE, NAPWC
5022014-01-01JAMES O'KEEFE, NAPWC
5022013-01-01CHRISTOPHER MASTRIANNI, POLYCOMP JAMES O'KEEFE, NAPWC2014-10-14
5022012-01-01CHRISTOPHER MASTRIANNI, POLYCOMP JAMES O'KEEFE, NAPWC2013-10-14
5022011-01-01CHRISTOPHER MASTRIANNI, POLYCOMP JAMES O'KEEFE, NAPWC2012-10-12
5022009-01-01CHRISTOPHER MASTRIANNI, POLYCOMP JAMES O'KEEFE, NAPWC2010-10-13

Plan Statistics for NAPWC HEALTH TRUST

401k plan membership statisitcs for NAPWC HEALTH TRUST

Measure Date Value
2017: NAPWC HEALTH TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-010
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
2016: NAPWC HEALTH TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-010
Total of all active and inactive participants2016-01-010
Total participants2016-01-010
2015: NAPWC HEALTH TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-0144
Total of all active and inactive participants2015-01-010
Total participants2015-01-010
2014: NAPWC HEALTH TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01172
Total number of active participants reported on line 7a of the Form 55002014-01-0142
Number of retired or separated participants receiving benefits2014-01-012
Total of all active and inactive participants2014-01-0144
2013: NAPWC HEALTH TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01493
Total number of active participants reported on line 7a of the Form 55002013-01-01197
Number of retired or separated participants receiving benefits2013-01-013
Total of all active and inactive participants2013-01-01200
2012: NAPWC HEALTH TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-011,057
Total number of active participants reported on line 7a of the Form 55002012-01-01488
Number of retired or separated participants receiving benefits2012-01-019
Total of all active and inactive participants2012-01-01497
2011: NAPWC HEALTH TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-011,195
Total number of active participants reported on line 7a of the Form 55002011-01-011,057
Number of retired or separated participants receiving benefits2011-01-0113
Total of all active and inactive participants2011-01-011,070
2009: NAPWC HEALTH TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01450
Total number of active participants reported on line 7a of the Form 55002009-01-01919
Number of retired or separated participants receiving benefits2009-01-0153
Total of all active and inactive participants2009-01-01972

Financial Data on NAPWC HEALTH TRUST

Measure Date Value
2017 : NAPWC HEALTH TRUST 2017 401k financial data
Expenses. Total of all expenses incurred2017-12-31$482,726
Benefits paid (including direct rollovers)2017-12-31$410,979
Total plan assets at end of year2017-12-31$0
Total plan assets at beginning of year2017-12-31$482,726
Value of fidelity bond covering the plan2017-12-31$48,273
Expenses. Other expenses not covered elsewhere2017-12-31$9,784
Net income (gross income less expenses)2017-12-31$-482,726
Net plan assets at end of year (total assets less liabilities)2017-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$482,726
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$61,963
2016 : NAPWC HEALTH TRUST 2016 401k financial data
Total plan liabilities at beginning of year2016-12-31$33,213
Total income from all sources2016-12-31$481,600
Expenses. Total of all expenses incurred2016-12-31$9,673
Total plan assets at end of year2016-12-31$482,726
Total plan assets at beginning of year2016-12-31$44,012
Value of fidelity bond covering the plan2016-12-31$500,000
Expenses. Other expenses not covered elsewhere2016-12-31$9,673
Other income received2016-12-31$481,600
Net income (gross income less expenses)2016-12-31$471,927
Net plan assets at end of year (total assets less liabilities)2016-12-31$482,726
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$10,799
2015 : NAPWC HEALTH TRUST 2015 401k financial data
Total plan liabilities at end of year2015-12-31$33,213
Total plan liabilities at beginning of year2015-12-31$-27,110
Total income from all sources2015-12-31$58,900
Expenses. Total of all expenses incurred2015-12-31$287,012
Benefits paid (including direct rollovers)2015-12-31$46,016
Total plan assets at end of year2015-12-31$44,012
Total plan assets at beginning of year2015-12-31$211,801
Value of fidelity bond covering the plan2015-12-31$500,000
Expenses. Other expenses not covered elsewhere2015-12-31$240,996
Other income received2015-12-31$4,843
Net income (gross income less expenses)2015-12-31$-228,112
Net plan assets at end of year (total assets less liabilities)2015-12-31$10,799
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$238,911
Total contributions received or receivable from employer(s)2015-12-31$54,057
2014 : NAPWC HEALTH TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$-27,110
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$46,585
Total income from all sources (including contributions)2014-12-31$1,295,020
Total of all expenses incurred2014-12-31$1,366,022
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,074,268
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,290,588
Value of total assets at end of year2014-12-31$211,801
Value of total assets at beginning of year2014-12-31$356,498
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$291,754
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$128,698
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31Yes
Amount of non-exempt transactions with any party-in-interest2014-12-31$197,518
Contributions received from participants2014-12-31$606
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$-103,831
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$199,945
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$270,945
Other income not declared elsewhere2014-12-31$4,432
Administrative expenses (other) incurred2014-12-31$110,087
Liabilities. Value of operating payables at end of year2014-12-31$30,982
Liabilities. Value of operating payables at beginning of year2014-12-31$847
Total non interest bearing cash at end of year2014-12-31$11,856
Total non interest bearing cash at beginning of year2014-12-31$71,321
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-71,002
Value of net assets at end of year (total assets less liabilities)2014-12-31$238,911
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$309,913
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,178,099
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,289,982
Employer contributions (assets) at beginning of year2014-12-31$14,232
Contract administrator fees2014-12-31$52,969
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$-58,092
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$45,738
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MOSS ADAMS LLP
Accountancy firm EIN2014-12-31910189318
2013 : NAPWC HEALTH TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$46,585
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$343,807
Total income from all sources (including contributions)2013-12-31$3,390,246
Total of all expenses incurred2013-12-31$3,398,477
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,881,004
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$3,390,246
Value of total assets at end of year2013-12-31$356,498
Value of total assets at beginning of year2013-12-31$661,951
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$517,473
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$100,432
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31Yes
Amount of non-exempt transactions with any party-in-interest2013-12-31$268,518
Contributions received from participants2013-12-31$50,899
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$-283,348
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$270,945
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$270,526
Administrative expenses (other) incurred2013-12-31$283,127
Liabilities. Value of operating payables at end of year2013-12-31$847
Liabilities. Value of operating payables at beginning of year2013-12-31$14,721
Total non interest bearing cash at end of year2013-12-31$71,321
Total non interest bearing cash at beginning of year2013-12-31$308,793
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-8,231
Value of net assets at end of year (total assets less liabilities)2013-12-31$309,913
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$318,144
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$3,164,352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$3,339,347
Employer contributions (assets) at end of year2013-12-31$14,232
Employer contributions (assets) at beginning of year2013-12-31$82,632
Contract administrator fees2013-12-31$133,914
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$45,738
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$329,086
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31MOSS ADAMS LLP
Accountancy firm EIN2013-12-31910189318
2012 : NAPWC HEALTH TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$343,807
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$290,197
Total income from all sources (including contributions)2012-12-31$7,212,370
Total of all expenses incurred2012-12-31$7,126,781
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$6,701,641
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$7,212,370
Value of total assets at end of year2012-12-31$661,951
Value of total assets at beginning of year2012-12-31$522,752
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$425,140
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$119,014
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31Yes
Amount of non-exempt transactions with any party-in-interest2012-12-31$268,518
Contributions received from participants2012-12-31$137,355
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$270,526
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$284,659
Administrative expenses (other) incurred2012-12-31$12,303
Liabilities. Value of operating payables at end of year2012-12-31$14,721
Liabilities. Value of operating payables at beginning of year2012-12-31$14,492
Total non interest bearing cash at end of year2012-12-31$308,793
Total non interest bearing cash at beginning of year2012-12-31$134,180
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$85,589
Value of net assets at end of year (total assets less liabilities)2012-12-31$318,144
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$232,555
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
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$6,701,641
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$7,075,015
Employer contributions (assets) at end of year2012-12-31$82,632
Employer contributions (assets) at beginning of year2012-12-31$103,913
Contract administrator fees2012-12-31$293,823
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$329,086
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$275,705
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31MOSS ADAMS, LLP
Accountancy firm EIN2012-12-31910189318
2011 : NAPWC HEALTH TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$290,197
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$341,492
Total income from all sources (including contributions)2011-12-31$8,185,441
Total of all expenses incurred2011-12-31$7,946,214
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$7,519,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$8,185,441
Value of total assets at end of year2011-12-31$522,752
Value of total assets at beginning of year2011-12-31$334,820
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$426,891
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$101,147
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-interest2011-12-31Yes
Amount of non-exempt transactions with any party-in-interest2011-12-31$282,651
Contributions received from participants2011-12-31$248,665
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$284,659
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$75,251
Administrative expenses (other) incurred2011-12-31$13,936
Liabilities. Value of operating payables at end of year2011-12-31$14,492
Liabilities. Value of operating payables at beginning of year2011-12-31$106,610
Total non interest bearing cash at end of year2011-12-31$134,180
Total non interest bearing cash at beginning of year2011-12-31$195,106
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$239,227
Value of net assets at end of year (total assets less liabilities)2011-12-31$232,555
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$-6,672
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$7,519,323
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$7,936,776
Employer contributions (assets) at end of year2011-12-31$103,913
Employer contributions (assets) at beginning of year2011-12-31$64,463
Contract administrator fees2011-12-31$311,808
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$275,705
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$234,882
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31MOSS ADAMS, LLP
Accountancy firm EIN2011-12-31910189318
2010 : NAPWC HEALTH TRUST 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$341,492
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$204,478
Total income from all sources (including contributions)2010-12-31$6,289,767
Total of all expenses incurred2010-12-31$6,308,478
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$5,293,976
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$6,289,767
Value of total assets at end of year2010-12-31$334,820
Value of total assets at beginning of year2010-12-31$216,517
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,014,502
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$182,408
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$75,251
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$27,986
Administrative expenses (other) incurred2010-12-31$563,671
Liabilities. Value of operating payables at end of year2010-12-31$106,610
Liabilities. Value of operating payables at beginning of year2010-12-31$13,174
Total non interest bearing cash at end of year2010-12-31$195,106
Total non interest bearing cash at beginning of year2010-12-31$132,092
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-18,711
Value of net assets at end of year (total assets less liabilities)2010-12-31$-6,672
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$12,039
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$5,293,976
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$6,289,767
Employer contributions (assets) at end of year2010-12-31$64,463
Employer contributions (assets) at beginning of year2010-12-31$56,439
Contract administrator fees2010-12-31$268,423
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$234,882
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$191,304
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31MOSS ADAMS, LLP
Accountancy firm EIN2010-12-31910189318

Form 5500 Responses for NAPWC HEALTH TRUST

2017: NAPWC HEALTH TRUST 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01This submission is the final filingYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: NAPWC HEALTH TRUST 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: NAPWC HEALTH TRUST 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: NAPWC HEALTH TRUST 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: NAPWC HEALTH TRUST 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: NAPWC HEALTH TRUST 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: NAPWC HEALTH TRUST 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: NAPWC HEALTH TRUST 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITED HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 70785 )
Policy contract number240931-243746
Policy instance 1
Insurance contract or identification number240931-243746
Insurance policy start date2015-01-01
Insurance policy end date2015-07-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number25049
Policy instance 4
Insurance contract or identification number25049
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $18
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $214
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number638
Policy instance 1
Insurance contract or identification number638
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,801
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
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,801
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number892895-001
Policy instance 2
Insurance contract or identification number892895-001
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $448
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $448
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000AH5M
Policy instance 3
Insurance contract or identification numberG000AH5M
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $27
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
UNITED HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 70785 )
Policy contract number240931-243746
Policy instance 5
Insurance contract or identification number240931-243746
Number of Individuals Covered42
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $90,555
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,104,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $90,555
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number892895-001
Policy instance 2
Insurance contract or identification number892895-001
Number of Individuals Covered42
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,511
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,615
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,511
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000AH5M
Policy instance 3
Insurance contract or identification numberG000AH5M
Number of Individuals Covered44
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $230
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,577
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $230
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number25049
Policy instance 4
Insurance contract or identification number25049
Number of Individuals Covered37
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,145
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,145
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
UNITED HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 70785 )
Policy contract number240931-243746
Policy instance 5
Insurance contract or identification number240931-243746
Number of Individuals Covered181
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $268,484
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,012,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $268,484
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number638
Policy instance 1
Insurance contract or identification number638
Number of Individuals Covered16
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,121
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
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,467
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,121
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
AMERICAN SPECIALTY HEALTH (National Association of Insurance Commissioners NAIC id number: 84697 )
Policy contract number14344-00
Policy instance 1
Insurance contract or identification number14344-00
Number of Individuals Covered8
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,903
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
Other welfare benefits providedCHIROPRACTIC
Welfare Benefit Premiums Paid to CarrierUSD $3,903
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $376
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
UNITED HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 70785 )
Policy contract number240931-243746
Policy instance 6
Insurance contract or identification number240931-243746
Number of Individuals Covered477
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,832,500
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,832,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $562,431
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number25049
Policy instance 5
Insurance contract or identification number25049
Number of Individuals Covered124
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $22,487
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,168
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000AH5M
Policy instance 4
Insurance contract or identification numberG000AH5M
Number of Individuals Covered85
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,401
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,401
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $328
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number892895-001
Policy instance 3
Insurance contract or identification number892895-001
Number of Individuals Covered141
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $68,730
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,628
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number638
Policy instance 2
Insurance contract or identification number638
Number of Individuals Covered24
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $81,632
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
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $81,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,872
Insurance broker organization code?3
Insurance broker nameCONTRACTOR MARKETING SERVICE
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number638
Policy instance 2
Insurance contract or identification number638
Number of Individuals Covered32
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $7,103
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
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $80,264
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number892895-001
Policy instance 3
Insurance contract or identification number892895-001
Number of Individuals Covered221
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $6,817
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract numberG000AH5M
Policy instance 4
Insurance contract or identification numberG000AH5M
Number of Individuals Covered137
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $310
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number25049
Policy instance 5
Insurance contract or identification number25049
Number of Individuals Covered190
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,432
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,485
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN SPECIALTY HEALTH (National Association of Insurance Commissioners NAIC id number: 84697 )
Policy contract number14344-00
Policy instance 1
Insurance contract or identification number14344-00
Number of Individuals Covered153
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $440
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
Other welfare benefits providedCHIROPRACTIC
Welfare Benefit Premiums Paid to CarrierUSD $4,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 70785 )
Policy contract number240931-243746
Policy instance 6
Insurance contract or identification number240931-243746
Number of Individuals Covered337
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $584,624
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,605,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ON-SITE HEALTH & SAFETY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number000-000-000
Policy instance 6
Insurance contract or identification number000-000-000
Number of Individuals Covered1076
Insurance policy start date2010-09-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,239
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number619-407-4082
Policy instance 5
Insurance contract or identification number619-407-4082
Number of Individuals Covered21
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,100
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
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,594
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number949-930-1570
Policy instance 3
Insurance contract or identification number949-930-1570
Number of Individuals Covered131
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $9,194
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
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $90,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD (National Association of Insurance Commissioners NAIC id number: )
Policy contract number949-425-4388
Policy instance 2
Insurance contract or identification number949-425-4388
Number of Individuals Covered463
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,475
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number800-624-9326
Policy instance 1
Insurance contract or identification number800-624-9326
Number of Individuals Covered1076
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $515,743
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,089,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN SPECIALTY HEALTH (National Association of Insurance Commissioners NAIC id number: 84697 )
Policy contract number800-260-5533
Policy instance 4
Insurance contract or identification number800-260-5533
Number of Individuals Covered81
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $167
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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