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SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 401k Plan overview

Plan NameSOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN
Plan identification number 505

SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN Benefits

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

401k Sponsoring company profile

SOUTHERN STAR CENTRAL GAS PIPELINE, INC. has sponsored the creation of one or more 401k plans.

Company Name:SOUTHERN STAR CENTRAL GAS PIPELINE, INC.
Employer identification number (EIN):730183220
NAIC Classification:486000
NAIC Description: Pipeline Transportation

Additional information about SOUTHERN STAR CENTRAL GAS PIPELINE, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1928-01-06
Company Identification Number: 0000578206
Legal Registered Office Address: PO BOX 20010

OWENSBORO
United States of America (USA)
42304

More information about SOUTHERN STAR CENTRAL GAS PIPELINE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052022-01-01
5052021-01-01
5052020-01-01
5052019-01-01
5052018-01-01
5052017-01-01JARED HAMILTON
5052016-01-01
5052015-01-01DAVID FINLEY
5052014-01-01DAVID FINLEY DAVID FINLEY2015-10-15
5052013-01-01DAVID FINLEY DAVID FINLEY2014-10-15
5052012-01-01DAVID FINLEY
5052011-01-01DAVID FINLEY

Plan Statistics for SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN

401k plan membership statisitcs for SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN

Measure Date Value
2022: SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01293
Total number of active participants reported on line 7a of the Form 55002022-01-01298
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 participants2022-01-01298
2021: SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01304
Total number of active participants reported on line 7a of the Form 55002021-01-01293
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01293
2020: SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01308
Total number of active participants reported on line 7a of the Form 55002020-01-01304
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01304
2019: SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01332
Total number of active participants reported on line 7a of the Form 55002019-01-01308
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01308
2018: SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01514
Total number of active participants reported on line 7a of the Form 55002018-01-01332
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01332
2017: SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01746
Total number of active participants reported on line 7a of the Form 55002017-01-01514
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 participants2017-01-01514
2016: SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,006
Total number of active participants reported on line 7a of the Form 55002016-01-01232
Number of retired or separated participants receiving benefits2016-01-01514
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01746
2015: SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01993
Total number of active participants reported on line 7a of the Form 55002015-01-01478
Number of retired or separated participants receiving benefits2015-01-01528
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,006
2014: SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,017
Total number of active participants reported on line 7a of the Form 55002014-01-01468
Number of retired or separated participants receiving benefits2014-01-01525
Total of all active and inactive participants2014-01-01993
Total participants2014-01-01993
2013: SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01929
Total number of active participants reported on line 7a of the Form 55002013-01-01496
Number of retired or separated participants receiving benefits2013-01-01521
Total of all active and inactive participants2013-01-011,017
Total participants2013-01-011,017
2012: SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01910
Total number of active participants reported on line 7a of the Form 55002012-01-01435
Number of retired or separated participants receiving benefits2012-01-01494
Total of all active and inactive participants2012-01-01929
Total participants2012-01-01929
2011: SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01279
Number of retired or separated participants receiving benefits2011-01-01297
Total of all active and inactive participants2011-01-01297
Total participants2011-01-01297

Financial Data on SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN

Measure Date Value
2022 : SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$221,514
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$263,795
Total income from all sources (including contributions)2022-12-31$-3,156,542
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,019,628
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,869,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,651,545
Value of total assets at end of year2022-12-31$34,121,883
Value of total assets at beginning of year2022-12-31$39,340,334
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$150,129
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$682,632
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$682,632
Administrative expenses professional fees incurred2022-12-31$139,034
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$651,545
Participant contributions at end of year2022-12-31$114,258
Participant contributions at beginning of year2022-12-31$173,251
Assets. Other investments not covered elsewhere at end of year2022-12-31$2,463,445
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$3,084,677
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$76,922
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$76,785
Administrative expenses (other) incurred2022-12-31$11,095
Total non interest bearing cash at end of year2022-12-31$2,231
Total non interest bearing cash at beginning of year2022-12-31$2,239
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-5,176,170
Value of net assets at end of year (total assets less liabilities)2022-12-31$33,900,369
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$39,076,539
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$16,035,106
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$23,039,348
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$6,786,517
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$2,439,157
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$2,439,157
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$212,657
Asset value of US Government securities at end of year2022-12-31$2,799,905
Asset value of US Government securities at beginning of year2022-12-31$4,104,649
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-5,490,719
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,656,842
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$5,843,499
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$6,420,228
Liabilities. Value of benefit claims payable at end of year2022-12-31$221,514
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$263,795
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 name2022-12-31DEAN DORTON ALLEN FORD, PLLC
Accountancy firm EIN2022-12-31273858252
2021 : SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$263,795
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$241,616
Total income from all sources (including contributions)2021-12-31$6,037,674
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$3,149,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,843,437
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,566,697
Value of total assets at end of year2021-12-31$39,340,334
Value of total assets at beginning of year2021-12-31$36,430,139
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$306,221
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$669,651
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$669,651
Administrative expenses professional fees incurred2021-12-31$301,721
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,066,697
Participant contributions at end of year2021-12-31$173,251
Participant contributions at beginning of year2021-12-31$132,749
Assets. Other investments not covered elsewhere at end of year2021-12-31$3,084,677
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$2,156,708
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$76,785
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$66,675
Administrative expenses (other) incurred2021-12-31$4,500
Total non interest bearing cash at end of year2021-12-31$2,239
Total non interest bearing cash at beginning of year2021-12-31$1,261
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$2,888,016
Value of net assets at end of year (total assets less liabilities)2021-12-31$39,076,539
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$36,188,523
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$23,039,348
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$20,714,292
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$2,439,157
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$2,090,042
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$2,090,042
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$514,314
Asset value of US Government securities at end of year2021-12-31$4,104,649
Asset value of US Government securities at beginning of year2021-12-31$4,249,654
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$2,801,326
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,329,123
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$6,420,228
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$7,018,758
Liabilities. Value of benefit claims payable at end of year2021-12-31$263,795
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$241,616
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 name2021-12-31DEAN DORTON ALLEN FORD, PLLC
Accountancy firm EIN2021-12-31273858252
2020 : SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$241,616
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$308,632
Total income from all sources (including contributions)2020-12-31$5,625,152
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$3,448,114
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$3,091,431
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,802,591
Value of total assets at end of year2020-12-31$36,430,139
Value of total assets at beginning of year2020-12-31$34,320,117
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$356,683
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$611,734
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$611,734
Administrative expenses professional fees incurred2020-12-31$349,183
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$944,191
Participant contributions at end of year2020-12-31$132,749
Participant contributions at beginning of year2020-12-31$134,767
Assets. Other investments not covered elsewhere at end of year2020-12-31$2,156,708
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$1,058,561
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$66,675
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$94,585
Administrative expenses (other) incurred2020-12-31$7,500
Total non interest bearing cash at end of year2020-12-31$1,261
Total non interest bearing cash at beginning of year2020-12-31$1,776
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$2,177,038
Value of net assets at end of year (total assets less liabilities)2020-12-31$36,188,523
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$34,011,485
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$20,714,292
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$19,624,763
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$2,090,042
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,092,814
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,092,814
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$412,987
Asset value of US Government securities at end of year2020-12-31$4,249,654
Asset value of US Government securities at beginning of year2020-12-31$5,894,316
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$3,210,827
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$858,400
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,678,444
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$7,018,758
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$6,418,535
Liabilities. Value of benefit claims payable at end of year2020-12-31$241,616
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$308,632
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 name2020-12-31DEAN DORTON ALLEN FORD, PLLC
Accountancy firm EIN2020-12-31273858252
2019 : SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$308,632
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$308,632
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$246,519
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$246,519
Total income from all sources (including contributions)2019-12-31$6,802,722
Total income from all sources (including contributions)2019-12-31$6,802,722
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$3,402,127
Total of all expenses incurred2019-12-31$3,402,127
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,993,545
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,993,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,408,558
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,408,558
Value of total assets at end of year2019-12-31$34,320,117
Value of total assets at end of year2019-12-31$34,320,117
Value of total assets at beginning of year2019-12-31$30,857,409
Value of total assets at beginning of year2019-12-31$30,857,409
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$408,582
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$408,582
Total interest from all sources2019-12-31$0
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$680,165
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$680,165
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$680,165
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$680,165
Administrative expenses professional fees incurred2019-12-31$372,925
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
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$808,604
Contributions received from participants2019-12-31$808,604
Participant contributions at end of year2019-12-31$134,767
Participant contributions at beginning of year2019-12-31$141,538
Participant contributions at beginning of year2019-12-31$141,538
Assets. Other investments not covered elsewhere at end of year2019-12-31$1,058,561
Assets. Other investments not covered elsewhere at end of year2019-12-31$1,058,561
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$536,960
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$536,960
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$94,585
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$94,585
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$65,773
Administrative expenses (other) incurred2019-12-31$35,657
Total non interest bearing cash at end of year2019-12-31$1,776
Total non interest bearing cash at end of year2019-12-31$1,776
Total non interest bearing cash at beginning of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
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$3,400,595
Value of net income/loss2019-12-31$3,400,595
Value of net assets at end of year (total assets less liabilities)2019-12-31$34,011,485
Value of net assets at end of year (total assets less liabilities)2019-12-31$34,011,485
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$30,610,890
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$30,610,890
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$19,624,763
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$19,624,763
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$17,153,692
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$17,153,692
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,092,814
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,092,814
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$2,207,111
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$2,207,111
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$2,207,111
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$2,207,111
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$211,137
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$211,137
Asset value of US Government securities at end of year2019-12-31$5,894,316
Asset value of US Government securities at end of year2019-12-31$5,894,316
Asset value of US Government securities at beginning of year2019-12-31$6,116,827
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$4,713,999
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$4,713,999
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
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$599,954
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,782,408
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,782,408
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$6,418,535
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$6,418,535
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$4,635,508
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$4,635,508
Liabilities. Value of benefit claims payable at end of year2019-12-31$308,632
Liabilities. Value of benefit claims payable at end of year2019-12-31$308,632
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$246,519
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$246,519
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31DEAN DORTON ALLEN FORD, PLLC
Accountancy firm name2019-12-31DEAN DORTON ALLEN FORD, PLLC
Accountancy firm EIN2019-12-31273858252
Accountancy firm EIN2019-12-31273858252
2018 : SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-271,067
Total unrealized appreciation/depreciation of assets2018-12-31$-271,067
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$246,519
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$218,556
Total income from all sources (including contributions)2018-12-31$279,799
Total loss/gain on sale of assets2018-12-31$177,841
Total of all expenses incurred2018-12-31$3,386,784
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,951,214
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,518,607
Value of total assets at end of year2018-12-31$30,857,409
Value of total assets at beginning of year2018-12-31$33,936,431
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$435,570
Total interest from all sources2018-12-31$329,976
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$282,081
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$282,081
Administrative expenses professional fees incurred2018-12-31$400,362
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$918,216
Participant contributions at end of year2018-12-31$141,538
Participant contributions at beginning of year2018-12-31$66,487
Assets. Other investments not covered elsewhere at end of year2018-12-31$536,960
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$921,136
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$65,773
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$47,293
Other income not declared elsewhere2018-12-31$1,361
Administrative expenses (other) incurred2018-12-31$35,208
Liabilities. Value of operating payables at beginning of year2018-12-31$41,895
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-3,106,985
Value of net assets at end of year (total assets less liabilities)2018-12-31$30,610,890
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$33,717,875
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$17,153,692
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$20,979,764
Income. Interest from US Government securities2018-12-31$202,308
Income. Interest from corporate debt instruments2018-12-31$126,268
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$2,207,111
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$2,291,131
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$2,291,131
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$1,400
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$298,269
Asset value of US Government securities at end of year2018-12-31$6,116,827
Asset value of US Government securities at beginning of year2018-12-31$7,822,353
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,759,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$600,391
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$2,652,945
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$4,635,508
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$1,808,267
Liabilities. Value of benefit claims payable at end of year2018-12-31$246,519
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$176,661
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$21,132,930
Aggregate carrying amount (costs) on sale of assets2018-12-31$20,955,089
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 name2018-12-31ERNST AND YOUNG LLP
Accountancy firm EIN2018-12-31346565596
2017 : SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$305,285
Total unrealized appreciation/depreciation of assets2017-12-31$305,285
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$218,556
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$579,546
Total income from all sources (including contributions)2017-12-31$6,153,237
Total loss/gain on sale of assets2017-12-31$1,356,858
Total of all expenses incurred2017-12-31$2,625,643
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,259,288
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,843,128
Value of total assets at end of year2017-12-31$33,936,431
Value of total assets at beginning of year2017-12-31$30,769,827
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$366,355
Total interest from all sources2017-12-31$240,066
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$267,790
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$267,790
Administrative expenses professional fees incurred2017-12-31$339,828
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$794,349
Participant contributions at end of year2017-12-31$66,487
Participant contributions at beginning of year2017-12-31$64,818
Assets. Other investments not covered elsewhere at end of year2017-12-31$921,136
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$47,293
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$36,682
Other income not declared elsewhere2017-12-31$19,621
Administrative expenses (other) incurred2017-12-31$26,527
Liabilities. Value of operating payables at end of year2017-12-31$41,895
Liabilities. Value of operating payables at beginning of year2017-12-31$10,698
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$3,527,594
Value of net assets at end of year (total assets less liabilities)2017-12-31$33,717,875
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$30,190,281
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$20,979,764
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$18,375,892
Income. Interest from US Government securities2017-12-31$137,847
Income. Interest from corporate debt instruments2017-12-31$100,566
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$2,291,131
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$986,990
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$986,990
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,653
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$368,437
Asset value of US Government securities at end of year2017-12-31$7,822,353
Asset value of US Government securities at beginning of year2017-12-31$8,761,396
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$2,120,489
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$1,048,779
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,890,851
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$1,808,267
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$2,544,049
Liabilities. Value of benefit claims payable at end of year2017-12-31$176,661
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$568,848
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$23,725,062
Aggregate carrying amount (costs) on sale of assets2017-12-31$22,368,204
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ERNST AND YOUNG LLP
Accountancy firm EIN2017-12-31346565596
2016 : SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-225,286
Total unrealized appreciation/depreciation of assets2016-12-31$-225,286
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$579,546
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$396,000
Total income from all sources (including contributions)2016-12-31$3,288,416
Total loss/gain on sale of assets2016-12-31$3,346,114
Total of all expenses incurred2016-12-31$3,441,283
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,888,491
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,954,195
Value of total assets at end of year2016-12-31$30,769,827
Value of total assets at beginning of year2016-12-31$30,739,148
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$552,792
Total interest from all sources2016-12-31$231,411
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$282,691
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$282,691
Administrative expenses professional fees incurred2016-12-31$529,260
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$805,827
Participant contributions at end of year2016-12-31$64,818
Participant contributions at beginning of year2016-12-31$64,316
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$36,682
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$25,809
Other income not declared elsewhere2016-12-31$29,788
Administrative expenses (other) incurred2016-12-31$23,532
Liabilities. Value of operating payables at end of year2016-12-31$10,698
Liabilities. Value of operating payables at beginning of year2016-12-31$52,259
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-152,867
Value of net assets at end of year (total assets less liabilities)2016-12-31$30,190,281
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$30,343,148
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$18,375,892
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$20,930,916
Income. Interest from US Government securities2016-12-31$131,597
Income. Interest from corporate debt instruments2016-12-31$99,630
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$986,990
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,045,561
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,045,561
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$184
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$401,604
Asset value of US Government securities at end of year2016-12-31$8,761,396
Asset value of US Government securities at beginning of year2016-12-31$6,534,648
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$-2,330,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$1,148,368
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,486,887
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$2,544,049
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$2,137,898
Liabilities. Value of benefit claims payable at end of year2016-12-31$568,848
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$343,741
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$50,139,220
Aggregate carrying amount (costs) on sale of assets2016-12-31$46,793,106
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ERNST AND YOUNG LLP
Accountancy firm EIN2016-12-31346565596
2015 : SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-116,745
Total unrealized appreciation/depreciation of assets2015-12-31$-116,745
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$396,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$390,369
Expenses. Interest paid2015-12-31$8,543
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022015-12-31$8,543
Total income from all sources (including contributions)2015-12-31$695,345
Total loss/gain on sale of assets2015-12-31$915,987
Total of all expenses incurred2015-12-31$4,071,629
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,649,838
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$811,534
Value of total assets at end of year2015-12-31$30,739,148
Value of total assets at beginning of year2015-12-31$34,109,801
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$413,248
Total interest from all sources2015-12-31$261,023
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$217,346
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$217,346
Administrative expenses professional fees incurred2015-12-31$396,966
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$767,983
Participant contributions at end of year2015-12-31$64,316
Participant contributions at beginning of year2015-12-31$67,806
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$25,809
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$45,858
Other income not declared elsewhere2015-12-31$15,130
Administrative expenses (other) incurred2015-12-31$16,282
Liabilities. Value of operating payables at end of year2015-12-31$52,259
Liabilities. Value of operating payables at beginning of year2015-12-31$14,590
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-3,376,284
Value of net assets at end of year (total assets less liabilities)2015-12-31$30,343,148
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$33,719,432
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$20,930,916
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$22,919,371
Income. Interest from US Government securities2015-12-31$149,990
Income. Interest from corporate debt instruments2015-12-31$111,040
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,045,561
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$2,103,615
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$2,103,615
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$-7
Asset value of US Government securities at end of year2015-12-31$6,534,648
Asset value of US Government securities at beginning of year2015-12-31$6,566,328
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-1,408,930
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$43,551
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,649,838
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$2,137,898
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$2,406,823
Liabilities. Value of benefit claims payable at end of year2015-12-31$343,741
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$375,779
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$223,399,378
Aggregate carrying amount (costs) on sale of assets2015-12-31$222,483,391
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 name2015-12-31ERNST AND YOUNG LLP
Accountancy firm EIN2015-12-31346565596
2014 : SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$20,177
Total unrealized appreciation/depreciation of assets2014-12-31$20,177
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$390,369
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$354,054
Expenses. Interest paid2014-12-31$15,033
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022014-12-31$15,033
Total income from all sources (including contributions)2014-12-31$2,963,049
Total loss/gain on sale of assets2014-12-31$1,847,047
Total of all expenses incurred2014-12-31$3,368,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,979,182
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$814,933
Value of total assets at end of year2014-12-31$34,109,801
Value of total assets at beginning of year2014-12-31$34,479,250
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$374,598
Total interest from all sources2014-12-31$311,572
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$262,386
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$262,386
Administrative expenses professional fees incurred2014-12-31$366,348
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$794,999
Participant contributions at end of year2014-12-31$67,806
Participant contributions at beginning of year2014-12-31$60,092
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$45,858
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$261,823
Other income not declared elsewhere2014-12-31$21,060
Administrative expenses (other) incurred2014-12-31$8,250
Liabilities. Value of operating payables at end of year2014-12-31$14,590
Liabilities. Value of operating payables at beginning of year2014-12-31$55,962
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-405,764
Value of net assets at end of year (total assets less liabilities)2014-12-31$33,719,432
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$34,125,196
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$22,919,371
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$23,398,340
Income. Interest from US Government securities2014-12-31$100,711
Income. Interest from corporate debt instruments2014-12-31$210,860
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$2,103,615
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,884,001
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,884,001
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$1
Asset value of US Government securities at end of year2014-12-31$6,566,328
Asset value of US Government securities at beginning of year2014-12-31$5,969,038
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-314,126
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$19,934
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$2,979,182
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$2,406,823
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$2,905,956
Liabilities. Value of benefit claims payable at end of year2014-12-31$375,779
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$298,092
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$19,278,123
Aggregate carrying amount (costs) on sale of assets2014-12-31$17,431,076
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ERNST & YOUNG LLP
Accountancy firm EIN2014-12-31346565596
2013 : SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-398,679
Total unrealized appreciation/depreciation of assets2013-12-31$-398,679
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$354,054
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$357,194
Expenses. Interest paid2013-12-31$12,883
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-12-31$12,883
Total income from all sources (including contributions)2013-12-31$8,931,828
Total loss/gain on sale of assets2013-12-31$2,941,477
Total of all expenses incurred2013-12-31$2,896,751
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,512,776
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$2,772,666
Value of total assets at end of year2013-12-31$34,479,250
Value of total assets at beginning of year2013-12-31$28,447,313
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$371,092
Total interest from all sources2013-12-31$314,586
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$207,573
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$207,573
Administrative expenses professional fees incurred2013-12-31$365,442
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$709,728
Participant contributions at end of year2013-12-31$60,092
Participant contributions at beginning of year2013-12-31$54,290
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$261,823
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$47,010
Other income not declared elsewhere2013-12-31$7,093
Administrative expenses (other) incurred2013-12-31$5,650
Liabilities. Value of operating payables at end of year2013-12-31$55,962
Liabilities. Value of operating payables at beginning of year2013-12-31$44,160
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$6,035,077
Value of net assets at end of year (total assets less liabilities)2013-12-31$34,125,196
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$28,090,119
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$23,398,340
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$18,799,800
Income. Interest from US Government securities2013-12-31$70,940
Income. Interest from corporate debt instruments2013-12-31$243,640
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,884,001
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,662,840
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,662,840
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$6
Asset value of US Government securities at end of year2013-12-31$5,969,038
Asset value of US Government securities at beginning of year2013-12-31$4,285,580
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$3,087,112
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,062,938
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$2,512,776
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$2,905,956
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$3,597,793
Liabilities. Value of benefit claims payable at end of year2013-12-31$298,092
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$313,034
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$24,896,035
Aggregate carrying amount (costs) on sale of assets2013-12-31$21,954,558
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31ERNST & YOUNG LLP
Accountancy firm EIN2013-12-31346565596
2012 : SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$119,448
Total unrealized appreciation/depreciation of assets2012-12-31$119,448
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$357,194
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$213,655
Expenses. Interest paid2012-12-31$20,627
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022012-12-31$20,627
Total income from all sources (including contributions)2012-12-31$4,265,479
Total loss/gain on sale of assets2012-12-31$1,113,738
Total of all expenses incurred2012-12-31$3,193,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,807,974
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$635,760
Value of total assets at end of year2012-12-31$28,447,313
Value of total assets at beginning of year2012-12-31$27,232,126
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$365,230
Total interest from all sources2012-12-31$361,821
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$201,513
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$201,513
Administrative expenses professional fees incurred2012-12-31$363,530
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$635,760
Participant contributions at end of year2012-12-31$54,290
Participant contributions at beginning of year2012-12-31$59,492
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$47,010
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$57,059
Other income not declared elsewhere2012-12-31$13,691
Administrative expenses (other) incurred2012-12-31$1,700
Liabilities. Value of operating payables at end of year2012-12-31$44,160
Liabilities. Value of operating payables at beginning of year2012-12-31$32,394
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$1,071,648
Value of net assets at end of year (total assets less liabilities)2012-12-31$28,090,119
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$27,018,471
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$18,799,800
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$16,999,647
Income. Interest from US Government securities2012-12-31$244,779
Income. Interest from corporate debt instruments2012-12-31$117,035
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,662,840
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,490,893
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,490,893
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$7
Asset value of US Government securities at end of year2012-12-31$4,285,580
Asset value of US Government securities at beginning of year2012-12-31$4,454,490
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,819,508
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,807,974
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$3,597,793
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$4,170,545
Liabilities. Value of benefit claims payable at end of year2012-12-31$313,034
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$181,261
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$19,968,249
Aggregate carrying amount (costs) on sale of assets2012-12-31$18,854,511
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31ERNST & YOUNG, LLP
Accountancy firm EIN2012-12-31346565596
2011 : SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$36,160
Total unrealized appreciation/depreciation of assets2011-12-31$36,160
Total transfer of assets to this plan2011-12-31$28,867,687
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$213,655
Expenses. Interest paid2011-12-31$29,733
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022011-12-31$29,733
Total income from all sources (including contributions)2011-12-31$715,026
Total loss/gain on sale of assets2011-12-31$891,888
Total of all expenses incurred2011-12-31$2,564,242
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,219,327
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$616,998
Value of total assets at end of year2011-12-31$27,232,126
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$315,182
Total interest from all sources2011-12-31$402,273
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$175,235
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$22,290
Administrative expenses professional fees incurred2011-12-31$312,332
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$616,998
Participant contributions at end of year2011-12-31$59,492
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$57,059
Other income not declared elsewhere2011-12-31$-6,655
Administrative expenses (other) incurred2011-12-31$2,850
Liabilities. Value of operating payables at end of year2011-12-31$32,394
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,849,216
Value of net assets at end of year (total assets less liabilities)2011-12-31$27,018,471
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$16,999,647
Interest earned on other investments2011-12-31$111
Income. Interest from US Government securities2011-12-31$126,772
Income. Interest from corporate debt instruments2011-12-31$275,404
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,490,893
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$-14
Asset value of US Government securities at end of year2011-12-31$4,454,490
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-1,400,873
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Income. Dividends from preferred stock2011-12-31$152,945
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,219,327
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$4,170,545
Liabilities. Value of benefit claims payable at end of year2011-12-31$181,261
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$18,483,584
Aggregate carrying amount (costs) on sale of assets2011-12-31$17,591,696
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31ERNST & YOUNG, LLP
Accountancy firm EIN2011-12-31346565596

Form 5500 Responses for SOUTHERN STAR RETIREE MEDICAL COVERAGE PLAN

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

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX963175
Policy instance 4
Insurance contract or identification numberFLX963175
Number of Individuals Covered298
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $135,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract number25456/H2001
Policy instance 3
Insurance contract or identification number25456/H2001
Number of Individuals Covered390
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $49,344
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedMEDICARE ADVANTAGE
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 $1,060,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,344
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906239
Policy instance 2
Insurance contract or identification number906239
Number of Individuals Covered609
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $64,768
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12209422
Policy instance 1
Insurance contract or identification number12209422
Number of Individuals Covered34
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906239
Policy instance 1
Insurance contract or identification number906239
Number of Individuals Covered464
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $401,105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12209422
Policy instance 3
Insurance contract or identification number12209422
Number of Individuals Covered30
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,454
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX963175
Policy instance 2
Insurance contract or identification numberFLX963175
Number of Individuals Covered286
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12209422
Policy instance 3
Insurance contract or identification number12209422
Number of Individuals Covered36
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,536
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX963175
Policy instance 2
Insurance contract or identification numberFLX963175
Number of Individuals Covered302
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,945
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906239
Policy instance 1
Insurance contract or identification number906239
Number of Individuals Covered488
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $288,300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906239
Policy instance 3
Insurance contract or identification number906239
Number of Individuals Covered549
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $225
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
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 $759,569
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $225
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX963175
Policy instance 2
Insurance contract or identification numberFLX963175
Number of Individuals Covered279
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12209422
Policy instance 1
Insurance contract or identification number12209422
Number of Individuals Covered42
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $8,203
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906239
Policy instance 3
Insurance contract or identification number906239
Number of Individuals Covered529
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $81,837
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
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 $683,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $81,837
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12209422
Policy instance 2
Insurance contract or identification number12209422
Number of Individuals Covered62
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,509
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX963175
Policy instance 1
Insurance contract or identification numberFLX963175
Number of Individuals Covered287
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $25,990
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
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 $173,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,990
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12209422
Policy instance 3
Insurance contract or identification number12209422
Number of Individuals Covered63
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX963175
Policy instance 2
Insurance contract or identification numberFLX963175
Number of Individuals Covered316
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $28,602
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
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 $190,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,602
Insurance broker organization code?3
Insurance broker nameALLIANT INSURANCE SERVICES, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number906239
Policy instance 1
Insurance contract or identification number906239
Number of Individuals Covered514
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $85,874
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $85,874
Insurance broker organization code?3
Insurance broker nameALLIANT INSURANCE SERVICES, INC.

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