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LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 401k Plan overview

Plan NameLONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST
Plan identification number 501

LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

LONE STAR CONTAINER CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:LONE STAR CONTAINER CORPORATION
Employer identification number (EIN):751037991
NAIC Classification:322200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-02-01
5012021-02-01
5012020-02-01
5012019-02-01
5012018-02-01
5012017-02-01JOHN MCLEOD, JR.
5012016-02-01JOHN MCLEOD, JR.
5012015-02-01JOHN MCLEOD, JR.
5012014-02-01JOHN MCLEOD, JR.
5012013-02-01JOHN MCLEOD, JR.
5012012-02-01JOHN MCLEOD, JR.
5012011-02-01JOHN MCLEOD, JR.
5012009-02-01JOHN W. MCLEOD, JR.

Plan Statistics for LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST

401k plan membership statisitcs for LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST

Measure Date Value
2022: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2022 401k membership
Total participants, beginning-of-year2022-02-0189
Total number of active participants reported on line 7a of the Form 55002022-02-0195
Number of retired or separated participants receiving benefits2022-02-010
Number of other retired or separated participants entitled to future benefits2022-02-010
Total of all active and inactive participants2022-02-0195
2021: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2021 401k membership
Total participants, beginning-of-year2021-02-0193
Total number of active participants reported on line 7a of the Form 55002021-02-0189
Number of retired or separated participants receiving benefits2021-02-010
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-0189
2020: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2020 401k membership
Total participants, beginning-of-year2020-02-01107
Total number of active participants reported on line 7a of the Form 55002020-02-0199
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-0199
2019: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year2019-02-01116
Total number of active participants reported on line 7a of the Form 55002019-02-01107
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01107
2018: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2018 401k membership
Total participants, beginning-of-year2018-02-01114
Total number of active participants reported on line 7a of the Form 55002018-02-01114
Number of retired or separated participants receiving benefits2018-02-010
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-01114
2017: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year2017-02-01127
Total number of active participants reported on line 7a of the Form 55002017-02-01103
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01103
2016: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-02-01136
Total number of active participants reported on line 7a of the Form 55002016-02-01123
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-01123
2015: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-02-01142
Total number of active participants reported on line 7a of the Form 55002015-02-01136
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01136
2014: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-02-01145
Total number of active participants reported on line 7a of the Form 55002014-02-01142
Number of retired or separated participants receiving benefits2014-02-010
Number of other retired or separated participants entitled to future benefits2014-02-010
Total of all active and inactive participants2014-02-01142
2013: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-02-01140
Total number of active participants reported on line 7a of the Form 55002013-02-01145
Number of retired or separated participants receiving benefits2013-02-010
Number of other retired or separated participants entitled to future benefits2013-02-010
Total of all active and inactive participants2013-02-01145
2012: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year2012-02-01149
Total number of active participants reported on line 7a of the Form 55002012-02-01140
Number of retired or separated participants receiving benefits2012-02-010
Number of other retired or separated participants entitled to future benefits2012-02-010
Total of all active and inactive participants2012-02-01140
2011: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year2011-02-01153
Total number of active participants reported on line 7a of the Form 55002011-02-01149
Number of retired or separated participants receiving benefits2011-02-010
Number of other retired or separated participants entitled to future benefits2011-02-010
Total of all active and inactive participants2011-02-01149
2009: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year2009-02-01176
Total number of active participants reported on line 7a of the Form 55002009-02-01182
Number of retired or separated participants receiving benefits2009-02-010
Number of other retired or separated participants entitled to future benefits2009-02-010
Total of all active and inactive participants2009-02-01182

Financial Data on LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST

Measure Date Value
2023 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2023 401k financial data
Total income from all sources2023-01-31$1,223,510
Expenses. Total of all expenses incurred2023-01-31$1,177,412
Benefits paid (including direct rollovers)2023-01-31$1,125,540
Total plan assets at end of year2023-01-31$219,808
Total plan assets at beginning of year2023-01-31$173,710
Value of fidelity bond covering the plan2023-01-31$500,000
Total contributions received or receivable from participants2023-01-31$254,029
Net income (gross income less expenses)2023-01-31$46,098
Net plan assets at end of year (total assets less liabilities)2023-01-31$219,808
Net plan assets at beginning of year (total assets less liabilities)2023-01-31$173,710
Total contributions received or receivable from employer(s)2023-01-31$969,481
Expenses. Administrative service providers (salaries,fees and commissions)2023-01-31$51,872
2022 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2022 401k financial data
Total income from all sources2022-01-31$1,581,873
Expenses. Total of all expenses incurred2022-01-31$1,592,430
Benefits paid (including direct rollovers)2022-01-31$1,525,930
Total plan assets at end of year2022-01-31$173,710
Total plan assets at beginning of year2022-01-31$184,267
Value of fidelity bond covering the plan2022-01-31$500,000
Total contributions received or receivable from participants2022-01-31$261,609
Net income (gross income less expenses)2022-01-31$-10,557
Net plan assets at end of year (total assets less liabilities)2022-01-31$173,710
Net plan assets at beginning of year (total assets less liabilities)2022-01-31$184,267
Total contributions received or receivable from employer(s)2022-01-31$1,320,264
Expenses. Administrative service providers (salaries,fees and commissions)2022-01-31$66,500
2021 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-01-31$112,002
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-01-31$142,648
Total income from all sources (including contributions)2021-01-31$906,052
Total loss/gain on sale of assets2021-01-31$0
Total of all expenses incurred2021-01-31$833,787
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-01-31$770,201
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-01-31$906,052
Value of total assets at end of year2021-01-31$184,267
Value of total assets at beginning of year2021-01-31$142,648
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-01-31$63,586
Total interest from all sources2021-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-01-31No
Administrative expenses professional fees incurred2021-01-31$63,586
Was this plan covered by a fidelity bond2021-01-31Yes
Value of fidelity bond cover2021-01-31$500,000
If this is an individual account plan, was there a blackout period2021-01-31No
Were there any nonexempt tranactions with any party-in-interest2021-01-31No
Contributions received from participants2021-01-31$261,956
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-01-31$0
Total non interest bearing cash at end of year2021-01-31$184,267
Total non interest bearing cash at beginning of year2021-01-31$20,364
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-01-31No
Value of net income/loss2021-01-31$72,265
Value of net assets at end of year (total assets less liabilities)2021-01-31$72,265
Value of net assets at beginning of year (total assets less liabilities)2021-01-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-01-31No
Were any leases to which the plan was party in default or uncollectible2021-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-01-31$309,808
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-01-31No
Was there a failure to transmit to the plan any participant contributions2021-01-31No
Has the plan failed to provide any benefit when due under the plan2021-01-31No
Contributions received in cash from employer2021-01-31$644,096
Employer contributions (assets) at end of year2021-01-31$0
Employer contributions (assets) at beginning of year2021-01-31$122,284
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-01-31$460,393
Liabilities. Value of benefit claims payable at end of year2021-01-31$112,002
Liabilities. Value of benefit claims payable at beginning of year2021-01-31$142,648
Did the plan have assets held for investment2021-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-01-31No
Opinion of an independent qualified public accountant for this plan2021-01-31Unqualified
Accountancy firm name2021-01-31TURNER, STONE & COMPANY, LLP
Accountancy firm EIN2021-01-31752608885
2020 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-01-31$0
Total unrealized appreciation/depreciation of assets2020-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-31$142,648
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-31$142,648
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-31$178,796
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-31$178,796
Total income from all sources (including contributions)2020-01-31$1,899,533
Total income from all sources (including contributions)2020-01-31$1,899,533
Total loss/gain on sale of assets2020-01-31$0
Total loss/gain on sale of assets2020-01-31$0
Total of all expenses incurred2020-01-31$1,899,533
Total of all expenses incurred2020-01-31$1,899,533
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-01-31$1,898,563
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-01-31$1,898,563
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-01-31$1,899,533
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-01-31$1,899,533
Value of total assets at end of year2020-01-31$142,648
Value of total assets at end of year2020-01-31$142,648
Value of total assets at beginning of year2020-01-31$178,796
Value of total assets at beginning of year2020-01-31$178,796
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-01-31$970
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-01-31$970
Total interest from all sources2020-01-31$0
Total interest from all sources2020-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-01-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-01-31No
Administrative expenses professional fees incurred2020-01-31$970
Administrative expenses professional fees incurred2020-01-31$970
Was this plan covered by a fidelity bond2020-01-31Yes
Was this plan covered by a fidelity bond2020-01-31Yes
Value of fidelity bond cover2020-01-31$500,000
Value of fidelity bond cover2020-01-31$500,000
If this is an individual account plan, was there a blackout period2020-01-31No
If this is an individual account plan, was there a blackout period2020-01-31No
Were there any nonexempt tranactions with any party-in-interest2020-01-31No
Were there any nonexempt tranactions with any party-in-interest2020-01-31No
Contributions received from participants2020-01-31$298,437
Contributions received from participants2020-01-31$298,437
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-01-31$0
Total non interest bearing cash at end of year2020-01-31$20,364
Total non interest bearing cash at end of year2020-01-31$20,364
Total non interest bearing cash at beginning of year2020-01-31$15,408
Total non interest bearing cash at beginning of year2020-01-31$15,408
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-31No
Value of net income/loss2020-01-31$0
Value of net income/loss2020-01-31$0
Value of net assets at end of year (total assets less liabilities)2020-01-31$0
Value of net assets at end of year (total assets less liabilities)2020-01-31$0
Value of net assets at beginning of year (total assets less liabilities)2020-01-31$0
Value of net assets at beginning of year (total assets less liabilities)2020-01-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-01-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-01-31No
Were any leases to which the plan was party in default or uncollectible2020-01-31No
Were any leases to which the plan was party in default or uncollectible2020-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-01-31$478,570
Expenses. Payments to insurance carriers foe the provision of benefits2020-01-31$478,570
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-01-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-01-31No
Was there a failure to transmit to the plan any participant contributions2020-01-31No
Was there a failure to transmit to the plan any participant contributions2020-01-31No
Has the plan failed to provide any benefit when due under the plan2020-01-31No
Has the plan failed to provide any benefit when due under the plan2020-01-31No
Contributions received in cash from employer2020-01-31$1,601,096
Contributions received in cash from employer2020-01-31$1,601,096
Employer contributions (assets) at end of year2020-01-31$122,284
Employer contributions (assets) at end of year2020-01-31$122,284
Employer contributions (assets) at beginning of year2020-01-31$163,388
Employer contributions (assets) at beginning of year2020-01-31$163,388
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-01-31$1,419,993
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-01-31$1,419,993
Liabilities. Value of benefit claims payable at end of year2020-01-31$142,648
Liabilities. Value of benefit claims payable at end of year2020-01-31$142,648
Liabilities. Value of benefit claims payable at beginning of year2020-01-31$178,796
Liabilities. Value of benefit claims payable at beginning of year2020-01-31$178,796
Did the plan have assets held for investment2020-01-31No
Did the plan have assets held for investment2020-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-01-31No
Opinion of an independent qualified public accountant for this plan2020-01-31Unqualified
Opinion of an independent qualified public accountant for this plan2020-01-31Unqualified
Accountancy firm name2020-01-31TURNER, STONE & COMPANY, LLP
Accountancy firm name2020-01-31TURNER, STONE & COMPANY, LLP
Accountancy firm EIN2020-01-31752608885
Accountancy firm EIN2020-01-31752608885
2019 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-01-31$178,796
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-01-31$46,019
Total income from all sources (including contributions)2019-01-31$1,570,155
Total loss/gain on sale of assets2019-01-31$0
Total of all expenses incurred2019-01-31$1,570,155
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-01-31$1,569,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-01-31$1,570,155
Value of total assets at end of year2019-01-31$178,796
Value of total assets at beginning of year2019-01-31$46,019
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-01-31$1,034
Total interest from all sources2019-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-01-31No
Administrative expenses professional fees incurred2019-01-31$1,034
Was this plan covered by a fidelity bond2019-01-31Yes
Value of fidelity bond cover2019-01-31$500,000
If this is an individual account plan, was there a blackout period2019-01-31No
Were there any nonexempt tranactions with any party-in-interest2019-01-31No
Contributions received from participants2019-01-31$269,374
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-01-31$0
Total non interest bearing cash at end of year2019-01-31$15,408
Total non interest bearing cash at beginning of year2019-01-31$35,712
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-01-31No
Value of net income/loss2019-01-31$0
Value of net assets at end of year (total assets less liabilities)2019-01-31$0
Value of net assets at beginning of year (total assets less liabilities)2019-01-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-01-31No
Were any leases to which the plan was party in default or uncollectible2019-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-01-31$479,051
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-01-31No
Was there a failure to transmit to the plan any participant contributions2019-01-31No
Has the plan failed to provide any benefit when due under the plan2019-01-31No
Contributions received in cash from employer2019-01-31$1,300,781
Employer contributions (assets) at end of year2019-01-31$163,388
Employer contributions (assets) at beginning of year2019-01-31$10,307
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-01-31$1,090,070
Liabilities. Value of benefit claims payable at end of year2019-01-31$178,796
Liabilities. Value of benefit claims payable at beginning of year2019-01-31$46,019
Did the plan have assets held for investment2019-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-01-31No
Opinion of an independent qualified public accountant for this plan2019-01-31Unqualified
Accountancy firm name2019-01-31TURNER, STONE & COMPANY, LLP
Accountancy firm EIN2019-01-31752608885
2018 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-01-31$46,019
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-01-31$194,753
Total income from all sources (including contributions)2018-01-31$1,743,476
Total loss/gain on sale of assets2018-01-31$0
Total of all expenses incurred2018-01-31$1,743,476
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-01-31$1,742,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-01-31$1,743,476
Value of total assets at end of year2018-01-31$46,019
Value of total assets at beginning of year2018-01-31$194,753
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-01-31$751
Total interest from all sources2018-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-01-31No
Administrative expenses professional fees incurred2018-01-31$751
Was this plan covered by a fidelity bond2018-01-31Yes
Value of fidelity bond cover2018-01-31$500,000
If this is an individual account plan, was there a blackout period2018-01-31No
Were there any nonexempt tranactions with any party-in-interest2018-01-31No
Contributions received from participants2018-01-31$256,372
Income. Received or receivable in cash from other sources (including rollovers)2018-01-31$513
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-01-31$0
Total non interest bearing cash at end of year2018-01-31$35,712
Total non interest bearing cash at beginning of year2018-01-31$189,337
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-01-31No
Value of net income/loss2018-01-31$0
Value of net assets at end of year (total assets less liabilities)2018-01-31$0
Value of net assets at beginning of year (total assets less liabilities)2018-01-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-01-31No
Were any leases to which the plan was party in default or uncollectible2018-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-01-31$478,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-01-31No
Was there a failure to transmit to the plan any participant contributions2018-01-31No
Has the plan failed to provide any benefit when due under the plan2018-01-31No
Contributions received in cash from employer2018-01-31$1,486,591
Employer contributions (assets) at end of year2018-01-31$10,307
Employer contributions (assets) at beginning of year2018-01-31$5,416
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-01-31$1,264,641
Liabilities. Value of benefit claims payable at end of year2018-01-31$46,019
Liabilities. Value of benefit claims payable at beginning of year2018-01-31$194,753
Did the plan have assets held for investment2018-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-01-31No
Opinion of an independent qualified public accountant for this plan2018-01-31Unqualified
Accountancy firm name2018-01-31TURNER, STONE & COMPANY, LLP
Accountancy firm EIN2018-01-31752608885
2017 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-01-31$194,753
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-01-31$229,010
Total income from all sources (including contributions)2017-01-31$1,561,248
Total loss/gain on sale of assets2017-01-31$0
Total of all expenses incurred2017-01-31$1,561,248
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-01-31$1,560,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-01-31$1,561,248
Value of total assets at end of year2017-01-31$194,753
Value of total assets at beginning of year2017-01-31$229,010
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-01-31$601
Total interest from all sources2017-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-01-31No
Administrative expenses professional fees incurred2017-01-31$601
Was this plan covered by a fidelity bond2017-01-31Yes
Value of fidelity bond cover2017-01-31$500,000
If this is an individual account plan, was there a blackout period2017-01-31No
Were there any nonexempt tranactions with any party-in-interest2017-01-31No
Contributions received from participants2017-01-31$208,632
Income. Received or receivable in cash from other sources (including rollovers)2017-01-31$13,948
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-01-31$0
Total non interest bearing cash at end of year2017-01-31$189,337
Total non interest bearing cash at beginning of year2017-01-31$203,762
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-31No
Value of net income/loss2017-01-31$0
Value of net assets at end of year (total assets less liabilities)2017-01-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-01-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-01-31No
Were any leases to which the plan was party in default or uncollectible2017-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-01-31$508,753
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-01-31No
Was there a failure to transmit to the plan any participant contributions2017-01-31No
Has the plan failed to provide any benefit when due under the plan2017-01-31No
Contributions received in cash from employer2017-01-31$1,338,668
Employer contributions (assets) at end of year2017-01-31$5,416
Employer contributions (assets) at beginning of year2017-01-31$25,248
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-01-31$1,051,894
Liabilities. Value of benefit claims payable at end of year2017-01-31$194,753
Liabilities. Value of benefit claims payable at beginning of year2017-01-31$229,010
Did the plan have assets held for investment2017-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-01-31No
Opinion of an independent qualified public accountant for this plan2017-01-31Unqualified
Accountancy firm name2017-01-31TURNER, STONE & COMPANY, LLP
Accountancy firm EIN2017-01-31752608885
2016 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-01-31$229,010
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-01-31$125,383
Total income from all sources (including contributions)2016-01-31$1,702,290
Total loss/gain on sale of assets2016-01-31$0
Total of all expenses incurred2016-01-31$1,778,646
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-01-31$1,778,646
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-01-31$1,702,290
Value of total assets at end of year2016-01-31$229,010
Value of total assets at beginning of year2016-01-31$201,739
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-01-31$0
Total interest from all sources2016-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-01-31No
Was this plan covered by a fidelity bond2016-01-31Yes
Value of fidelity bond cover2016-01-31$500,000
If this is an individual account plan, was there a blackout period2016-01-31No
Were there any nonexempt tranactions with any party-in-interest2016-01-31No
Contributions received from participants2016-01-31$185,560
Income. Received or receivable in cash from other sources (including rollovers)2016-01-31$6,982
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-01-31$0
Administrative expenses (other) incurred2016-01-31$0
Total non interest bearing cash at end of year2016-01-31$203,762
Total non interest bearing cash at beginning of year2016-01-31$201,739
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Value of net income/loss2016-01-31$-76,356
Value of net assets at end of year (total assets less liabilities)2016-01-31$0
Value of net assets at beginning of year (total assets less liabilities)2016-01-31$76,356
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-01-31No
Were any leases to which the plan was party in default or uncollectible2016-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-01-31$403,612
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-01-31No
Was there a failure to transmit to the plan any participant contributions2016-01-31No
Has the plan failed to provide any benefit when due under the plan2016-01-31No
Contributions received in cash from employer2016-01-31$1,509,748
Employer contributions (assets) at end of year2016-01-31$25,248
Employer contributions (assets) at beginning of year2016-01-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-01-31$1,375,034
Liabilities. Value of benefit claims payable at end of year2016-01-31$229,010
Liabilities. Value of benefit claims payable at beginning of year2016-01-31$125,383
Did the plan have assets held for investment2016-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-01-31No
Opinion of an independent qualified public accountant for this plan2016-01-31Unqualified
Accountancy firm name2016-01-31TURNER, STONE & COMPANY, LLP
Accountancy firm EIN2016-01-31752608885
2015 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-01-31$125,383
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-01-31$175,837
Total income from all sources (including contributions)2015-01-31$1,633,560
Total loss/gain on sale of assets2015-01-31$0
Total of all expenses incurred2015-01-31$1,662,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-01-31$1,656,882
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-01-31$1,633,560
Value of total assets at end of year2015-01-31$201,739
Value of total assets at beginning of year2015-01-31$281,515
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-01-31$6,000
Total interest from all sources2015-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-01-31No
Was this plan covered by a fidelity bond2015-01-31Yes
Value of fidelity bond cover2015-01-31$500,000
If this is an individual account plan, was there a blackout period2015-01-31No
Were there any nonexempt tranactions with any party-in-interest2015-01-31No
Contributions received from participants2015-01-31$155,263
Income. Received or receivable in cash from other sources (including rollovers)2015-01-31$297
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-01-31$0
Administrative expenses (other) incurred2015-01-31$6,000
Total non interest bearing cash at end of year2015-01-31$201,739
Total non interest bearing cash at beginning of year2015-01-31$281,515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Value of net income/loss2015-01-31$-29,322
Value of net assets at end of year (total assets less liabilities)2015-01-31$76,356
Value of net assets at beginning of year (total assets less liabilities)2015-01-31$105,678
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-01-31No
Were any leases to which the plan was party in default or uncollectible2015-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-01-31$337,961
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-01-31No
Was there a failure to transmit to the plan any participant contributions2015-01-31No
Has the plan failed to provide any benefit when due under the plan2015-01-31No
Contributions received in cash from employer2015-01-31$1,478,000
Employer contributions (assets) at end of year2015-01-31$0
Employer contributions (assets) at beginning of year2015-01-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-01-31$1,318,921
Liabilities. Value of benefit claims payable at end of year2015-01-31$125,383
Liabilities. Value of benefit claims payable at beginning of year2015-01-31$175,837
Did the plan have assets held for investment2015-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-01-31No
Opinion of an independent qualified public accountant for this plan2015-01-31Unqualified
Accountancy firm name2015-01-31TURNER, STONE & COMPANY, LLP
Accountancy firm EIN2015-01-31752608885
2014 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-01-31$175,837
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-01-31$110,372
Total income from all sources (including contributions)2014-01-31$1,307,690
Total loss/gain on sale of assets2014-01-31$0
Total of all expenses incurred2014-01-31$1,326,624
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-01-31$1,251,057
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-01-31$1,307,690
Value of total assets at end of year2014-01-31$281,515
Value of total assets at beginning of year2014-01-31$234,984
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-01-31$75,567
Total interest from all sources2014-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-01-31No
Administrative expenses professional fees incurred2014-01-31$6,600
Was this plan covered by a fidelity bond2014-01-31Yes
Value of fidelity bond cover2014-01-31$500,000
If this is an individual account plan, was there a blackout period2014-01-31No
Were there any nonexempt tranactions with any party-in-interest2014-01-31No
Contributions received from participants2014-01-31$127,182
Income. Received or receivable in cash from other sources (including rollovers)2014-01-31$9,008
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-01-31$0
Total non interest bearing cash at end of year2014-01-31$281,515
Total non interest bearing cash at beginning of year2014-01-31$234,984
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Value of net income/loss2014-01-31$-18,934
Value of net assets at end of year (total assets less liabilities)2014-01-31$105,678
Value of net assets at beginning of year (total assets less liabilities)2014-01-31$124,612
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-01-31No
Were any leases to which the plan was party in default or uncollectible2014-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-01-31$252,070
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-01-31No
Was there a failure to transmit to the plan any participant contributions2014-01-31No
Has the plan failed to provide any benefit when due under the plan2014-01-31No
Contributions received in cash from employer2014-01-31$1,171,500
Employer contributions (assets) at end of year2014-01-31$0
Employer contributions (assets) at beginning of year2014-01-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-01-31$998,987
Contract administrator fees2014-01-31$68,967
Liabilities. Value of benefit claims payable at end of year2014-01-31$175,837
Liabilities. Value of benefit claims payable at beginning of year2014-01-31$110,372
Did the plan have assets held for investment2014-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-01-31No
Opinion of an independent qualified public accountant for this plan2014-01-31Unqualified
Accountancy firm name2014-01-31TURNER, STONE & COMPANY, LLP
Accountancy firm EIN2014-01-31752608885
2013 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-01-31$110,372
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-01-31$105,386
Total income from all sources (including contributions)2013-01-31$1,505,176
Total loss/gain on sale of assets2013-01-31$0
Total of all expenses incurred2013-01-31$1,437,983
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-01-31$1,432,083
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-01-31$1,505,176
Value of total assets at end of year2013-01-31$234,984
Value of total assets at beginning of year2013-01-31$162,805
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-01-31$5,900
Total interest from all sources2013-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-01-31No
Was this plan covered by a fidelity bond2013-01-31Yes
Value of fidelity bond cover2013-01-31$500,000
If this is an individual account plan, was there a blackout period2013-01-31No
Were there any nonexempt tranactions with any party-in-interest2013-01-31No
Contributions received from participants2013-01-31$158,676
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-01-31$0
Total non interest bearing cash at end of year2013-01-31$234,984
Total non interest bearing cash at beginning of year2013-01-31$162,805
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Value of net income/loss2013-01-31$67,193
Value of net assets at end of year (total assets less liabilities)2013-01-31$124,612
Value of net assets at beginning of year (total assets less liabilities)2013-01-31$57,419
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-01-31No
Were any leases to which the plan was party in default or uncollectible2013-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-01-31$286,681
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-01-31No
Was there a failure to transmit to the plan any participant contributions2013-01-31No
Has the plan failed to provide any benefit when due under the plan2013-01-31No
Contributions received in cash from employer2013-01-31$1,346,500
Employer contributions (assets) at end of year2013-01-31$0
Employer contributions (assets) at beginning of year2013-01-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-01-31$1,145,402
Contract administrator fees2013-01-31$5,900
Liabilities. Value of benefit claims payable at end of year2013-01-31$110,372
Liabilities. Value of benefit claims payable at beginning of year2013-01-31$105,386
Did the plan have assets held for investment2013-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-01-31No
Opinion of an independent qualified public accountant for this plan2013-01-31Unqualified
Accountancy firm name2013-01-31TURNER, STONE & COMPANY, LLP
Accountancy firm EIN2013-01-31752608885
2012 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-31$105,386
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-31$111,920
Total income from all sources (including contributions)2012-01-31$1,328,108
Total loss/gain on sale of assets2012-01-31$0
Total of all expenses incurred2012-01-31$1,300,350
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-01-31$1,294,350
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-01-31$1,328,108
Value of total assets at end of year2012-01-31$162,805
Value of total assets at beginning of year2012-01-31$141,581
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-01-31$6,000
Total interest from all sources2012-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-01-31No
Was this plan covered by a fidelity bond2012-01-31Yes
Value of fidelity bond cover2012-01-31$500,000
If this is an individual account plan, was there a blackout period2012-01-31No
Were there any nonexempt tranactions with any party-in-interest2012-01-31No
Contributions received from participants2012-01-31$186,108
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-01-31$0
Total non interest bearing cash at end of year2012-01-31$162,805
Total non interest bearing cash at beginning of year2012-01-31$141,581
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Value of net income/loss2012-01-31$27,758
Value of net assets at end of year (total assets less liabilities)2012-01-31$57,419
Value of net assets at beginning of year (total assets less liabilities)2012-01-31$29,661
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-01-31No
Were any leases to which the plan was party in default or uncollectible2012-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-01-31$292,899
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-01-31No
Was there a failure to transmit to the plan any participant contributions2012-01-31No
Has the plan failed to provide any benefit when due under the plan2012-01-31No
Contributions received in cash from employer2012-01-31$1,142,000
Employer contributions (assets) at end of year2012-01-31$0
Employer contributions (assets) at beginning of year2012-01-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-01-31$1,001,451
Contract administrator fees2012-01-31$6,000
Liabilities. Value of benefit claims payable at end of year2012-01-31$105,386
Liabilities. Value of benefit claims payable at beginning of year2012-01-31$111,920
Did the plan have assets held for investment2012-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-01-31No
Opinion of an independent qualified public accountant for this plan2012-01-31Unqualified
Accountancy firm name2012-01-31TURNER, STONE & COMPANY, LLP
Accountancy firm EIN2012-01-31752608885
2011 : LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-01-31$111,920
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-01-31$145,962
Total income from all sources (including contributions)2011-01-31$1,589,054
Total loss/gain on sale of assets2011-01-31$0
Total of all expenses incurred2011-01-31$1,589,934
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-01-31$1,584,534
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-01-31$1,589,054
Value of total assets at end of year2011-01-31$141,581
Value of total assets at beginning of year2011-01-31$176,503
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-01-31$5,400
Total interest from all sources2011-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-01-31No
Administrative expenses professional fees incurred2011-01-31$5,400
Was this plan covered by a fidelity bond2011-01-31Yes
Value of fidelity bond cover2011-01-31$500,000
If this is an individual account plan, was there a blackout period2011-01-31No
Were there any nonexempt tranactions with any party-in-interest2011-01-31No
Contributions received from participants2011-01-31$85,054
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-01-31$0
Total non interest bearing cash at end of year2011-01-31$141,581
Total non interest bearing cash at beginning of year2011-01-31$176,503
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Value of net income/loss2011-01-31$-880
Value of net assets at end of year (total assets less liabilities)2011-01-31$29,661
Value of net assets at beginning of year (total assets less liabilities)2011-01-31$30,541
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-01-31No
Were any leases to which the plan was party in default or uncollectible2011-01-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-01-31No
Was there a failure to transmit to the plan any participant contributions2011-01-31No
Has the plan failed to provide any benefit when due under the plan2011-01-31No
Contributions received in cash from employer2011-01-31$1,504,000
Employer contributions (assets) at end of year2011-01-31$0
Employer contributions (assets) at beginning of year2011-01-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-01-31$1,584,534
Liabilities. Value of benefit claims payable at end of year2011-01-31$111,920
Liabilities. Value of benefit claims payable at beginning of year2011-01-31$145,962
Did the plan have assets held for investment2011-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-01-31No
Opinion of an independent qualified public accountant for this plan2011-01-31Unqualified
Accountancy firm name2011-01-31TURNER, STONE & COMPANY, LLP
Accountancy firm EIN2011-01-31752608885

Form 5500 Responses for LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST

2022: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Submission has been amendedNo
2022-02-01This submission is the final filingNo
2022-02-01This return/report is a short plan year return/report (less than 12 months)No
2022-02-01Plan is a collectively bargained planNo
2022-02-01Plan funding arrangement – TrustYes
2022-02-01Plan benefit arrangement – InsuranceYes
2022-02-01Plan benefit arrangement - TrustYes
2021: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Submission has been amendedNo
2021-02-01This submission is the final filingNo
2021-02-01This return/report is a short plan year return/report (less than 12 months)No
2021-02-01Plan is a collectively bargained planNo
2021-02-01Plan funding arrangement – TrustYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement - TrustYes
2020: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Submission has been amendedNo
2020-02-01This submission is the final filingNo
2020-02-01This return/report is a short plan year return/report (less than 12 months)No
2020-02-01Plan is a collectively bargained planNo
2020-02-01Plan funding arrangement – TrustYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement - TrustYes
2019: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Submission has been amendedNo
2019-02-01This submission is the final filingNo
2019-02-01This return/report is a short plan year return/report (less than 12 months)No
2019-02-01Plan is a collectively bargained planNo
2019-02-01Plan funding arrangement – TrustYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement - TrustYes
2018: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Submission has been amendedNo
2018-02-01This submission is the final filingNo
2018-02-01This return/report is a short plan year return/report (less than 12 months)No
2018-02-01Plan is a collectively bargained planNo
2018-02-01Plan funding arrangement – TrustYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement - TrustYes
2017: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Submission has been amendedNo
2017-02-01This submission is the final filingNo
2017-02-01This return/report is a short plan year return/report (less than 12 months)No
2017-02-01Plan is a collectively bargained planNo
2017-02-01Plan funding arrangement – TrustYes
2017-02-01Plan benefit arrangement – InsuranceYes
2017-02-01Plan benefit arrangement - TrustYes
2016: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Submission has been amendedNo
2016-02-01This submission is the final filingNo
2016-02-01This return/report is a short plan year return/report (less than 12 months)No
2016-02-01Plan is a collectively bargained planNo
2016-02-01Plan funding arrangement – TrustYes
2016-02-01Plan benefit arrangement – InsuranceYes
2016-02-01Plan benefit arrangement - TrustYes
2015: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Submission has been amendedNo
2015-02-01This submission is the final filingNo
2015-02-01This return/report is a short plan year return/report (less than 12 months)No
2015-02-01Plan is a collectively bargained planNo
2015-02-01Plan funding arrangement – TrustYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement - TrustYes
2014: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Submission has been amendedNo
2014-02-01This submission is the final filingNo
2014-02-01This return/report is a short plan year return/report (less than 12 months)No
2014-02-01Plan is a collectively bargained planNo
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan funding arrangement – TrustYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement - TrustYes
2013: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Submission has been amendedNo
2013-02-01This submission is the final filingNo
2013-02-01This return/report is a short plan year return/report (less than 12 months)No
2013-02-01Plan is a collectively bargained planNo
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – TrustYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement - TrustYes
2012: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Submission has been amendedNo
2012-02-01This submission is the final filingNo
2012-02-01This return/report is a short plan year return/report (less than 12 months)No
2012-02-01Plan is a collectively bargained planNo
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – TrustYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement - TrustYes
2011: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Submission has been amendedNo
2011-02-01This submission is the final filingNo
2011-02-01This return/report is a short plan year return/report (less than 12 months)No
2011-02-01Plan is a collectively bargained planNo
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – TrustYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement - TrustYes
2009: LONE STAR CORRUGATED CONTAINER CORPORATION HEALTH BENEFIT TRUST 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Submission has been amendedNo
2009-02-01This submission is the final filingNo
2009-02-01This return/report is a short plan year return/report (less than 12 months)No
2009-02-01Plan is a collectively bargained planNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – TrustYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan 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 numberSGM600795
Policy instance 2
Insurance contract or identification numberSGM600795
Number of Individuals Covered95
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $105
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees105
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number427013420068
Policy instance 1
Insurance contract or identification number427013420068
Number of Individuals Covered95
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 $270,453
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 numberSGM600795
Policy instance 3
Insurance contract or identification numberSGM600795
Number of Individuals Covered89
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number427011420068
Policy instance 1
Insurance contract or identification number427011420068
Number of Individuals Covered91
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 $259,822
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number427006420068
Policy instance 2
Insurance contract or identification number427006420068
Number of Individuals Covered89
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 $6,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WESTPORT INSURANCE CORP (National Association of Insurance Commissioners NAIC id number: 34207 )
Policy contract number427011420068
Policy instance 1
Insurance contract or identification number427011420068
Number of Individuals Covered95
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 $383,498
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 numberSGM600795
Policy instance 3
Insurance contract or identification numberSGM600795
Number of Individuals Covered99
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number427006420068
Policy instance 2
Insurance contract or identification number427006420068
Number of Individuals Covered99
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 $6,265
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 numberSGM600795
Policy instance 2
Insurance contract or identification numberSGM600795
Number of Individuals Covered107
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,981
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number427011420068
Policy instance 1
Insurance contract or identification number427011420068
Number of Individuals Covered110
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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 $427,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number427006420068
Policy instance 3
Insurance contract or identification number427006420068
Number of Individuals Covered107
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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 $6,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number427006420068
Policy instance 3
Insurance contract or identification number427006420068
Number of Individuals Covered114
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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 $6,543
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 numberSGM600795
Policy instance 2
Insurance contract or identification numberSGM600795
Number of Individuals Covered114
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $58
Total amount of fees paid to insurance companyUSD $85
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58
Amount paid for insurance broker fees85
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSION AND OVERRIDE
Insurance broker organization code?3
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number427011420068
Policy instance 1
Insurance contract or identification number427011420068
Number of Individuals Covered106
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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 $358,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number427006420068
Policy instance 3
Insurance contract or identification number427006420068
Number of Individuals Covered103
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
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 $8,027
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 numberSGM600795
Policy instance 2
Insurance contract or identification numberSGM600795
Number of Individuals Covered103
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $102
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $102
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number427009420068
Policy instance 1
Insurance contract or identification number427009420068
Number of Individuals Covered127
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
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 $473,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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