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SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 401k Plan overview

Plan NameSUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM
Plan identification number 503

SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM Benefits

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

401k Sponsoring company profile

VEOLIA UTILITY RESOURCES, LLC has sponsored the creation of one or more 401k plans.

Company Name:VEOLIA UTILITY RESOURCES, LLC
Employer identification number (EIN):710005226
NAIC Classification:221300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-01-01
5032022-01-01
5032021-01-01
5032020-01-01
5032019-01-01
5032018-01-01
5032018-01-01
5032017-01-01SANDRA SOHL SANDRA SOHL2018-10-15
5032016-01-01MARIE C. WAUGH
5032015-01-01MARIE WAUGH

Plan Statistics for SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM

401k plan membership statisitcs for SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM

Measure Date Value
2022: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2022 401k membership
Total participants, beginning-of-year2022-01-01838
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
2021: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2021 401k membership
Total participants, beginning-of-year2021-01-011,372
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-01838
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01838
2020: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2020 401k membership
Total participants, beginning-of-year2020-01-011,891
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-011,372
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011,372
2019: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2019 401k membership
Total participants, beginning-of-year2019-01-01863
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-011,891
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-011,891
2018: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2018 401k membership
Total participants, beginning-of-year2018-01-01827
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-01863
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01863
2017: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2017 401k membership
Total participants, beginning-of-year2017-01-01583
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-01827
Total of all active and inactive participants2017-01-01827
Total participants2017-01-01827
2016: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2016 401k membership
Total participants, beginning-of-year2016-01-01576
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-01583
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01583
2015: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2015 401k membership
Total participants, beginning-of-year2015-01-01700
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-01702
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01702
Total participants2015-01-01702

Financial Data on SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM

Measure Date Value
2022 : SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$206,959
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$203,369
Total income from all sources (including contributions)2022-12-31$-18,618,665
Total of all expenses incurred2022-12-31$5,049,186
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$4,967,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$585,027
Value of total assets at end of year2022-12-31$92,312,249
Value of total assets at beginning of year2022-12-31$115,976,510
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$81,421
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,844,328
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$1,844,328
Administrative expenses professional fees incurred2022-12-31$84,319
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$10,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$415,027
Assets. Other investments not covered elsewhere at end of year2022-12-31$59,223
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$206,959
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$203,369
Administrative expenses (other) incurred2022-12-31$-2,898
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-23,667,851
Value of net assets at end of year (total assets less liabilities)2022-12-31$92,105,290
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$115,773,141
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$61,569,835
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$78,347,490
Value of interest in common/collective trusts at end of year2022-12-31$30,490,677
Value of interest in common/collective trusts at beginning of year2022-12-31$36,597,490
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$192,514
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,031,530
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,031,530
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$826,383
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-14,305,156
Net investment gain or loss from common/collective trusts2022-12-31$-6,742,864
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$170,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$4,141,382
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MAZARS USA LLP
Accountancy firm EIN2022-12-31131459550
2021 : SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$203,369
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$138,443
Total income from all sources (including contributions)2021-12-31$15,724,458
Total of all expenses incurred2021-12-31$4,798,189
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$4,356,598
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,657,126
Value of total assets at end of year2021-12-31$115,976,510
Value of total assets at beginning of year2021-12-31$104,985,315
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$441,591
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,684,375
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$1,684,375
Administrative expenses professional fees incurred2021-12-31$45,974
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$5,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$425,126
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$203,369
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$138,443
Administrative expenses (other) incurred2021-12-31$269,539
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$10,926,269
Value of net assets at end of year (total assets less liabilities)2021-12-31$115,773,141
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$104,846,872
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$98,138
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$78,347,490
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$67,818,268
Value of interest in common/collective trusts at end of year2021-12-31$36,597,490
Value of interest in common/collective trusts at beginning of year2021-12-31$36,685,193
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,031,530
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$481,854
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$481,854
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$700,558
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$12,940,080
Net investment gain or loss from common/collective trusts2021-12-31$-557,123
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,232,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$3,656,040
Contract administrator fees2021-12-31$27,940
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MAZARS USA LLP
Accountancy firm EIN2021-12-31131459550
2020 : SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$138,443
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$47,780
Total income from all sources (including contributions)2020-12-31$13,110,629
Total of all expenses incurred2020-12-31$5,029,916
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,632,375
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$975,445
Value of total assets at end of year2020-12-31$104,985,315
Value of total assets at beginning of year2020-12-31$96,813,939
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$397,541
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,741,412
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$1,741,412
Administrative expenses professional fees incurred2020-12-31$45,974
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$5,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$418,445
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$30,800
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$138,443
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$47,780
Administrative expenses (other) incurred2020-12-31$180,817
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$8,080,713
Value of net assets at end of year (total assets less liabilities)2020-12-31$104,846,872
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$96,766,159
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$142,810
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$67,818,268
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$61,552,033
Value of interest in common/collective trusts at end of year2020-12-31$36,685,193
Value of interest in common/collective trusts at beginning of year2020-12-31$33,224,266
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$481,854
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$2,006,840
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$2,006,840
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$691,301
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$7,585,633
Net investment gain or loss from common/collective trusts2020-12-31$2,808,139
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$557,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$3,941,074
Contract administrator fees2020-12-31$27,940
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31MAZARS USA LLP
Accountancy firm EIN2020-12-31131459550
2019 : SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$47,780
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$47,780
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$69,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$69,000
Total income from all sources (including contributions)2019-12-31$17,254,457
Total income from all sources (including contributions)2019-12-31$17,254,457
Total of all expenses incurred2019-12-31$5,674,091
Total of all expenses incurred2019-12-31$5,674,091
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,393,645
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,393,645
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$979,588
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$979,588
Value of total assets at end of year2019-12-31$96,813,939
Value of total assets at end of year2019-12-31$96,813,939
Value of total assets at beginning of year2019-12-31$85,254,793
Value of total assets at beginning of year2019-12-31$85,254,793
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$280,446
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$280,446
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$2,025,455
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$2,025,455
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$2,025,455
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$2,025,455
Administrative expenses professional fees incurred2019-12-31$29,500
Administrative expenses professional fees incurred2019-12-31$29,500
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$5,000,000
Value of fidelity bond cover2019-12-31$5,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$599,588
Contributions received from participants2019-12-31$599,588
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$30,800
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$30,800
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$47,780
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$47,780
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$69,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$69,000
Administrative expenses (other) incurred2019-12-31$104,200
Administrative expenses (other) incurred2019-12-31$104,200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$11,580,366
Value of net income/loss2019-12-31$11,580,366
Value of net assets at end of year (total assets less liabilities)2019-12-31$96,766,159
Value of net assets at end of year (total assets less liabilities)2019-12-31$96,766,159
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$85,185,793
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$85,185,793
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$115,034
Investment advisory and management fees2019-12-31$115,034
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$61,552,033
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$61,552,033
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$54,422,241
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$54,422,241
Value of interest in common/collective trusts at end of year2019-12-31$33,224,266
Value of interest in common/collective trusts at end of year2019-12-31$33,224,266
Value of interest in common/collective trusts at beginning of year2019-12-31$29,369,668
Value of interest in common/collective trusts at beginning of year2019-12-31$29,369,668
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$2,006,840
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$2,006,840
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,462,884
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,462,884
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,462,884
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,462,884
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$735,024
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$735,024
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$11,099,278
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$11,099,278
Net investment gain or loss from common/collective trusts2019-12-31$3,150,136
Net investment gain or loss from common/collective trusts2019-12-31$3,150,136
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$380,000
Contributions received in cash from employer2019-12-31$380,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$4,658,621
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$4,658,621
Contract administrator fees2019-12-31$31,712
Contract administrator fees2019-12-31$31,712
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MAZARS USA LLP
Accountancy firm name2019-12-31MAZARS USA LLP
Accountancy firm EIN2019-12-31131459550
Accountancy firm EIN2019-12-31131459550
2018 : SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$69,000
Total income from all sources (including contributions)2018-12-31$-1,987,900
Total of all expenses incurred2018-12-31$4,742,224
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$3,962,289
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$364,290
Value of total assets at end of year2018-12-31$85,254,793
Value of total assets at beginning of year2018-12-31$91,915,917
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$779,935
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,910,542
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$1,910,542
Administrative expenses professional fees incurred2018-12-31$29,500
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$5,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$364,290
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$69,000
Administrative expenses (other) incurred2018-12-31$613,653
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-6,730,124
Value of net assets at end of year (total assets less liabilities)2018-12-31$85,185,793
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$91,915,917
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$80,165
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$54,422,241
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$62,088,696
Value of interest in common/collective trusts at end of year2018-12-31$29,369,668
Value of interest in common/collective trusts at beginning of year2018-12-31$29,827,221
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,462,884
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$595,563
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-3,155,338
Net investment gain or loss from common/collective trusts2018-12-31$-1,107,394
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Income. Dividends from common stock2018-12-31$1,910,542
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$3,366,726
Contract administrator fees2018-12-31$56,617
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MAZARS USA LLP
Accountancy firm EIN2018-12-31131459550
2017 : SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$12,410,763
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$4,753,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,123,416
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$261,625
Value of total assets at end of year2017-12-31$91,915,917
Value of total assets at beginning of year2017-12-31$84,258,558
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$629,988
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,879,808
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,879,808
Administrative expenses professional fees incurred2017-12-31$58,747
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$261,625
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$7,657,359
Value of net assets at end of year (total assets less liabilities)2017-12-31$91,915,917
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$84,258,558
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$46,794
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$62,088,696
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$56,242,834
Value of interest in common/collective trusts at end of year2017-12-31$29,827,221
Value of interest in common/collective trusts at beginning of year2017-12-31$28,015,724
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$9,035,945
Net investment gain or loss from common/collective trusts2017-12-31$1,233,385
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$4,123,416
Contract administrator fees2017-12-31$524,447
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31MAZARS USA LLP
Accountancy firm EIN2017-12-31131459550
2016 : SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$6,323,622
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$4,282,412
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$3,446,868
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$220,507
Value of total assets at end of year2016-12-31$84,258,558
Value of total assets at beginning of year2016-12-31$82,217,348
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$835,544
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,961,893
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,961,893
Administrative expenses professional fees incurred2016-12-31$123,398
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$220,507
Administrative expenses (other) incurred2016-12-31$153,556
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$2,041,210
Value of net assets at end of year (total assets less liabilities)2016-12-31$84,258,558
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$82,217,348
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$60,025
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$56,242,834
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$62,952,868
Value of interest in common/collective trusts at end of year2016-12-31$28,015,724
Value of interest in common/collective trusts at beginning of year2016-12-31$19,264,480
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$3,479,569
Net investment gain or loss from common/collective trusts2016-12-31$661,653
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$3,446,868
Contract administrator fees2016-12-31$498,565
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31WEISERMAZARS LLP
Accountancy firm EIN2016-12-31131459550
2015 : SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$4,155,382
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$6,754,246
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$5,623,280
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,607,627
Value of total assets at end of year2015-12-31$82,217,348
Value of total assets at beginning of year2015-12-31$84,816,212
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,130,966
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,975,506
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,975,506
Administrative expenses professional fees incurred2015-12-31$47,530
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$616,224
Administrative expenses (other) incurred2015-12-31$321,386
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-2,598,864
Value of net assets at end of year (total assets less liabilities)2015-12-31$82,217,348
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$84,816,212
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$58,343
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$62,952,868
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$65,491,648
Value of interest in common/collective trusts at end of year2015-12-31$19,264,480
Value of interest in common/collective trusts at beginning of year2015-12-31$19,324,564
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-1,367,667
Net investment gain or loss from common/collective trusts2015-12-31$-60,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,991,403
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$5,623,280
Contract administrator fees2015-12-31$703,707
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31WEISERMAZARS LLP
Accountancy firm EIN2015-12-31131459550

Form 5500 Responses for SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM

2022: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: SUEZ WATER RESOURCES INC. RETIREE ONLY HEALTH AND WELFARE BENEFITS PROGRAM 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedYes
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberPD3-83050989302
Policy instance 3
Insurance contract or identification numberPD3-83050989302
Number of Individuals Covered2031
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Other welfare benefits providedLEAVE SERVICES
Welfare Benefit Premiums Paid to CarrierUSD $48,493
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3-83050989301
Policy instance 1
Insurance contract or identification numberSA3-83050989301
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL35192
Policy instance 2
Insurance contract or identification numberHCL35192
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOVERRIDE
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-83050989301
Policy instance 3
Insurance contract or identification numberGF3-83050989301
Number of Individuals Covered1865
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $25,191
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $714,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees21441
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberPD3-83050989302
Policy instance 4
Insurance contract or identification numberPD3-83050989302
Number of Individuals Covered2031
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Other welfare benefits providedLEAVE SERVICES
Welfare Benefit Premiums Paid to CarrierUSD $48,493
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 number949104
Policy instance 1
Insurance contract or identification number949104
Number of Individuals Covered2543
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $29,094
Total amount of fees paid to insurance companyUSD $20,000
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOLUNTARY LIFE
Welfare Benefit Premiums Paid to CarrierUSD $1,268,907
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,094
Amount paid for insurance broker fees20000
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-83050989301
Policy instance 2
Insurance contract or identification numberGF3-83050989301
Number of Individuals Covered1865
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $25,191
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $714,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees21441
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-83050989301
Policy instance 3
Insurance contract or identification numberGF3-83050989301
Number of Individuals Covered1837
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL35192
Policy instance 2
Insurance contract or identification numberHCL35192
Number of Individuals Covered1707
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOVERRIDE
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3-83050989301
Policy instance 1
Insurance contract or identification numberSA3-83050989301
Number of Individuals Covered2484
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-83050989301
Policy instance 3
Insurance contract or identification numberGF3-83050989301
Number of Individuals Covered1837
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $17,500
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $910,309
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees17500
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL35192
Policy instance 2
Insurance contract or identification numberHCL35192
Number of Individuals Covered1707
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $57,565
Total amount of fees paid to insurance companyUSD $54,687
Welfare Benefit Premiums Paid to CarrierUSD $1,151,303
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $57,565
Insurance broker organization code?3
Amount paid for insurance broker fees54687
Additional information about fees paid to insurance brokerOVERRIDE
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3-83050989301
Policy instance 1
Insurance contract or identification numberSA3-83050989301
Number of Individuals Covered2484
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $31,713
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,630,491
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees31713
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3-83050989301
Policy instance 1
Insurance contract or identification numberSA3-83050989301
Number of Individuals Covered1889
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,698,884
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 number928161
Policy instance 2
Insurance contract or identification number928161
Number of Individuals Covered1717
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $145,618
Total amount of fees paid to insurance companyUSD $22,388
Welfare Benefit Premiums Paid to CarrierUSD $1,587,363
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72,809
Amount paid for insurance broker fees22388
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-83050989301
Policy instance 3
Insurance contract or identification numberGF3-83050989301
Number of Individuals Covered2463
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $4,967
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $971,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4967
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3-83050989301
Policy instance 1
Insurance contract or identification numberSA3-83050989301
Number of Individuals Covered2798
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,486,569
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number63645-2
Policy instance 2
Insurance contract or identification number63645-2
Number of Individuals Covered1962
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $93,710
Total amount of fees paid to insurance companyUSD $112,452
Welfare Benefit Premiums Paid to CarrierUSD $1,874,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees112452
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $93,710
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-83050989301
Policy instance 3
Insurance contract or identification numberGF3-83050989301
Number of Individuals Covered2158
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of fees paid to insurance companyUSD $8,956
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $843,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees8956
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGS3-83050989301
Policy instance 4
Insurance contract or identification numberGS3-83050989301
Number of Individuals Covered354
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Other welfare benefits providedNY STATUTORY
Welfare Benefit Premiums Paid to CarrierUSD $34,737
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGS3-83050989301
Policy instance 4
Insurance contract or identification numberGS3-83050989301
Number of Individuals Covered341
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedNY STATUTORY
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $34,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF3-83050989301
Policy instance 3
Insurance contract or identification numberGF3-83050989301
Number of Individuals Covered2154
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $826,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number63645-2
Policy instance 2
Insurance contract or identification number63645-2
Number of Individuals Covered1953
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $72,576
Total amount of fees paid to insurance companyUSD $72,576
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,451,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72,576
Amount paid for insurance broker fees72576
Additional information about fees paid to insurance brokerWRITING AGENT; SERVICE FEE
Insurance broker organization code?3
Insurance broker nameTOWERS WATSON DELAWARE INC
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3-83050989301
Policy instance 1
Insurance contract or identification numberSA3-83050989301
Number of Individuals Covered2784
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT; OPT LIFE; OPT DEP LIFE FAMILY
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 $1,481,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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