CALIFORNIA PROFESSIONAL ASSOCIATION OF SPECIALTY CONTRACTORS has sponsored the creation of one or more 401k plans.
Additional information about CALIFORNIA PROFESSIONAL ASSOCIATION OF SPECIALTY CONTRACTORS
Submission information for form 5500 for 401k plan CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN
401k plan membership statisitcs for CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2022 : CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN 2022 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $66,172 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $74,575 |
| Total income from all sources (including contributions) | 2022-12-31 | $827,250 |
| Total of all expenses incurred | 2022-12-31 | $841,744 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $745,036 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $827,250 |
| Value of total assets at end of year | 2022-12-31 | $445,749 |
| Value of total assets at beginning of year | 2022-12-31 | $468,646 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $96,708 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Administrative expenses professional fees incurred | 2022-12-31 | $78,177 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-12-31 | $65,210 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-12-31 | $73,906 |
| Administrative expenses (other) incurred | 2022-12-31 | $6,855 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $962 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $669 |
| Total non interest bearing cash at end of year | 2022-12-31 | $445,749 |
| Total non interest bearing cash at beginning of year | 2022-12-31 | $468,646 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Value of net income/loss | 2022-12-31 | $-14,494 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $379,577 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $394,071 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $745,036 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Contributions received in cash from employer | 2022-12-31 | $827,250 |
| Contract administrator fees | 2022-12-31 | $11,676 |
| Did the plan have assets held for investment | 2022-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2022-12-31 | 952036255 |
| 2021 : CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $74,575 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $76,475 |
| Total income from all sources (including contributions) | 2021-12-31 | $889,319 |
| Total of all expenses incurred | 2021-12-31 | $875,908 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $787,114 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $889,319 |
| Value of total assets at end of year | 2021-12-31 | $468,646 |
| Value of total assets at beginning of year | 2021-12-31 | $457,135 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $88,794 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Administrative expenses professional fees incurred | 2021-12-31 | $70,884 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Contributions received from participants | 2021-12-31 | $6,687 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-12-31 | $73,906 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-12-31 | $74,407 |
| Administrative expenses (other) incurred | 2021-12-31 | $5,214 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $669 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $2,068 |
| Total non interest bearing cash at end of year | 2021-12-31 | $468,646 |
| Total non interest bearing cash at beginning of year | 2021-12-31 | $457,135 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $13,411 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $394,071 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $380,660 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $787,114 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Contributions received in cash from employer | 2021-12-31 | $882,632 |
| Contract administrator fees | 2021-12-31 | $12,696 |
| Did the plan have assets held for investment | 2021-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2021-12-31 | 952036255 |
| 2020 : CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $76,475 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $74,844 |
| Total income from all sources (including contributions) | 2020-12-31 | $888,084 |
| Total of all expenses incurred | 2020-12-31 | $902,228 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $800,735 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $888,084 |
| Value of total assets at end of year | 2020-12-31 | $457,135 |
| Value of total assets at beginning of year | 2020-12-31 | $469,648 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $101,493 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Administrative expenses professional fees incurred | 2020-12-31 | $80,867 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-12-31 | $74,407 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-12-31 | $71,079 |
| Administrative expenses (other) incurred | 2020-12-31 | $6,070 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $2,068 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $3,765 |
| Total non interest bearing cash at end of year | 2020-12-31 | $457,135 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $469,648 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $-14,144 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $380,660 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $394,804 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $800,735 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $888,084 |
| Contract administrator fees | 2020-12-31 | $14,556 |
| Did the plan have assets held for investment | 2020-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2020-12-31 | 952036255 |
| 2019 : CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $74,844 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $74,844 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $116,161 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $116,161 |
| Total income from all sources (including contributions) | 2019-12-31 | $1,457,884 |
| Total income from all sources (including contributions) | 2019-12-31 | $1,457,884 |
| Total of all expenses incurred | 2019-12-31 | $1,469,360 |
| Total of all expenses incurred | 2019-12-31 | $1,469,360 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $1,330,958 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $1,330,958 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $1,457,884 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $1,457,884 |
| Value of total assets at end of year | 2019-12-31 | $469,648 |
| Value of total assets at end of year | 2019-12-31 | $469,648 |
| Value of total assets at beginning of year | 2019-12-31 | $522,441 |
| Value of total assets at beginning of year | 2019-12-31 | $522,441 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $138,402 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $138,402 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Administrative expenses professional fees incurred | 2019-12-31 | $110,207 |
| Administrative expenses professional fees incurred | 2019-12-31 | $110,207 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $500,000 |
| Value of fidelity bond cover | 2019-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $11,099 |
| Contributions received from participants | 2019-12-31 | $11,099 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $71,079 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $71,079 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $111,255 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $111,255 |
| Administrative expenses (other) incurred | 2019-12-31 | $7,723 |
| Administrative expenses (other) incurred | 2019-12-31 | $7,723 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $3,765 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $3,765 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $4,906 |
| Total non interest bearing cash at end of year | 2019-12-31 | $469,648 |
| Total non interest bearing cash at end of year | 2019-12-31 | $469,648 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $521,449 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $521,449 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $-11,476 |
| Value of net income/loss | 2019-12-31 | $-11,476 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $394,804 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $394,804 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $406,280 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $406,280 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $1,446,785 |
| Contributions received in cash from employer | 2019-12-31 | $1,446,785 |
| Employer contributions (assets) at end of year | 2019-12-31 | $0 |
| Employer contributions (assets) at end of year | 2019-12-31 | $0 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $992 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $992 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $1,330,958 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $1,330,958 |
| Contract administrator fees | 2019-12-31 | $20,472 |
| Contract administrator fees | 2019-12-31 | $20,472 |
| Did the plan have assets held for investment | 2019-12-31 | No |
| Did the plan have assets held for investment | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | MILLER KAPLAN ARASE LLP |
| Accountancy firm name | 2019-12-31 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2019-12-31 | 952036255 |
| Accountancy firm EIN | 2019-12-31 | 952036255 |
| 2018 : CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $116,161 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $176,920 |
| Total income from all sources (including contributions) | 2018-12-31 | $1,940,423 |
| Total of all expenses incurred | 2018-12-31 | $2,003,853 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $1,785,093 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $1,940,187 |
| Value of total assets at end of year | 2018-12-31 | $522,441 |
| Value of total assets at beginning of year | 2018-12-31 | $646,630 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $218,760 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Administrative expenses professional fees incurred | 2018-12-31 | $135,388 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Contributions received from participants | 2018-12-31 | $7,549 |
| Participant contributions at end of year | 2018-12-31 | $0 |
| Participant contributions at beginning of year | 2018-12-31 | $6,631 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-12-31 | $111,255 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-12-31 | $164,711 |
| Other income not declared elsewhere | 2018-12-31 | $236 |
| Administrative expenses (other) incurred | 2018-12-31 | $16,925 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $4,906 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $12,209 |
| Total non interest bearing cash at end of year | 2018-12-31 | $521,449 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $388,451 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $-63,430 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $406,280 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $469,710 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $250,010 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $250,010 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $1,785,093 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $1,932,638 |
| Employer contributions (assets) at end of year | 2018-12-31 | $992 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $1,538 |
| Contract administrator fees | 2018-12-31 | $66,447 |
| Did the plan have assets held for investment | 2018-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2018-12-31 | 952036255 |
| 2017 : CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $176,920 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $245,745 |
| Total income from all sources (including contributions) | 2017-12-31 | $2,212,785 |
| Total of all expenses incurred | 2017-12-31 | $2,360,407 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $2,078,045 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $2,212,659 |
| Value of total assets at end of year | 2017-12-31 | $646,630 |
| Value of total assets at beginning of year | 2017-12-31 | $863,077 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $282,362 |
| Total interest from all sources | 2017-12-31 | $126 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Administrative expenses professional fees incurred | 2017-12-31 | $47,450 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Contributions received from participants | 2017-12-31 | $9,776 |
| Assets. Other investments not covered elsewhere at end of year | 2017-12-31 | $6,631 |
| Assets. Other investments not covered elsewhere at beginning of year | 2017-12-31 | $7,707 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2017-12-31 | $161 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-12-31 | $164,711 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-12-31 | $237,001 |
| Administrative expenses (other) incurred | 2017-12-31 | $135,802 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $12,209 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $8,744 |
| Total non interest bearing cash at end of year | 2017-12-31 | $388,451 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $589,989 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $-147,622 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $469,710 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $617,332 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Value of interest in common/collective trusts at end of year | 2017-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $250,010 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $250,010 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $250,010 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $126 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $2,202,722 |
| Employer contributions (assets) at end of year | 2017-12-31 | $1,538 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $15,371 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $2,078,045 |
| Contract administrator fees | 2017-12-31 | $99,110 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-12-31 | No |
| Did the plan have assets held for investment | 2017-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | LEAF & COLE, LLP |
| Accountancy firm EIN | 2017-12-31 | 952076568 |
| 2016 : CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN 2016 401k financial data |
|---|
| Total transfer of assets to this plan | 2016-12-31 | $49,632 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $245,745 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $768,642 |
| Total income from all sources (including contributions) | 2016-12-31 | $3,315,042 |
| Total of all expenses incurred | 2016-12-31 | $3,499,468 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $3,096,696 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $3,314,917 |
| Value of total assets at end of year | 2016-12-31 | $863,077 |
| Value of total assets at beginning of year | 2016-12-31 | $1,520,768 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $402,772 |
| Total interest from all sources | 2016-12-31 | $125 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Administrative expenses professional fees incurred | 2016-12-31 | $70,735 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Contributions received from participants | 2016-12-31 | $4,650 |
| Assets. Other investments not covered elsewhere at end of year | 2016-12-31 | $7,707 |
| Assets. Other investments not covered elsewhere at beginning of year | 2016-12-31 | $5,606 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2016-12-31 | $414 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2016-12-31 | $-168,887 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-12-31 | $237,001 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-12-31 | $701,940 |
| Administrative expenses (other) incurred | 2016-12-31 | $180,876 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $8,744 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $66,702 |
| Total non interest bearing cash at end of year | 2016-12-31 | $589,989 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $1,037,970 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $-184,426 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $617,332 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $752,126 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Value of interest in common/collective trusts at end of year | 2016-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $250,010 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $250,011 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $250,011 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $125 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $3,309,853 |
| Employer contributions (assets) at end of year | 2016-12-31 | $15,371 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $227,181 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $3,265,583 |
| Contract administrator fees | 2016-12-31 | $151,161 |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | LEAF & COLE, LLP |
| Accountancy firm EIN | 2016-12-31 | 952076568 |
| 2015 : CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $768,642 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $377,530 |
| Total income from all sources (including contributions) | 2015-12-31 | $2,940,977 |
| Total of all expenses incurred | 2015-12-31 | $2,987,583 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $2,649,483 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $2,940,827 |
| Value of total assets at end of year | 2015-12-31 | $1,520,768 |
| Value of total assets at beginning of year | 2015-12-31 | $1,176,262 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $338,100 |
| Total interest from all sources | 2015-12-31 | $150 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Administrative expenses professional fees incurred | 2015-12-31 | $43,661 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $6,645 |
| Assets. Other investments not covered elsewhere at end of year | 2015-12-31 | $5,606 |
| Assets. Other investments not covered elsewhere at beginning of year | 2015-12-31 | $6,319 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2015-12-31 | $435 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2015-12-31 | $134,290 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-12-31 | $701,940 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-12-31 | $361,645 |
| Administrative expenses (other) incurred | 2015-12-31 | $148,572 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $66,702 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $15,885 |
| Total non interest bearing cash at end of year | 2015-12-31 | $1,037,970 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $862,203 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $-46,606 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $752,126 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $798,732 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Value of interest in common/collective trusts at end of year | 2015-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $250,011 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $250,019 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $250,019 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $150 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $2,933,747 |
| Employer contributions (assets) at end of year | 2015-12-31 | $227,181 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $57,721 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $2,515,193 |
| Contract administrator fees | 2015-12-31 | $145,867 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | LEAF & COLE, LLP |
| Accountancy firm EIN | 2015-12-31 | 952076568 |
| 2014 : CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $377,530 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $533,320 |
| Total income from all sources (including contributions) | 2014-12-31 | $2,581,985 |
| Total of all expenses incurred | 2014-12-31 | $2,448,892 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $2,129,193 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $2,581,760 |
| Value of total assets at end of year | 2014-12-31 | $1,176,262 |
| Value of total assets at beginning of year | 2014-12-31 | $1,198,959 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $319,699 |
| Total interest from all sources | 2014-12-31 | $225 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Administrative expenses professional fees incurred | 2014-12-31 | $37,512 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $16,629 |
| Assets. Other investments not covered elsewhere at end of year | 2014-12-31 | $6,319 |
| Assets. Other investments not covered elsewhere at beginning of year | 2014-12-31 | $7,344 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2014-12-31 | $27,947 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2014-12-31 | $-98,335 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-12-31 | $361,645 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-12-31 | $474,568 |
| Administrative expenses (other) incurred | 2014-12-31 | $140,221 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $15,885 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $58,752 |
| Total non interest bearing cash at end of year | 2014-12-31 | $862,203 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $752,425 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $133,093 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $798,732 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $665,639 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Value of interest in common/collective trusts at end of year | 2014-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $250,019 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $250,021 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $250,021 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $225 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $2,537,184 |
| Employer contributions (assets) at end of year | 2014-12-31 | $57,721 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $189,169 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-12-31 | $2,227,528 |
| Contract administrator fees | 2014-12-31 | $141,966 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | LEAF & COLE, LLP |
| Accountancy firm EIN | 2014-12-31 | 952076568 |
| 2013 : CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $533,320 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $773,596 |
| Total income from all sources (including contributions) | 2013-12-31 | $3,662,008 |
| Total of all expenses incurred | 2013-12-31 | $3,750,195 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $3,279,009 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $3,654,837 |
| Value of total assets at end of year | 2013-12-31 | $1,198,959 |
| Value of total assets at beginning of year | 2013-12-31 | $1,527,422 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $471,186 |
| Total interest from all sources | 2013-12-31 | $333 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Administrative expenses professional fees incurred | 2013-12-31 | $102,388 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $235,324 |
| Assets. Other investments not covered elsewhere at end of year | 2013-12-31 | $7,344 |
| Assets. Other investments not covered elsewhere at beginning of year | 2013-12-31 | $4,572 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2013-12-31 | $-57,868 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-12-31 | $474,568 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-12-31 | $720,072 |
| Other income not declared elsewhere | 2013-12-31 | $6,838 |
| Administrative expenses (other) incurred | 2013-12-31 | $181,552 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $58,752 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $53,524 |
| Total non interest bearing cash at end of year | 2013-12-31 | $752,425 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $1,037,337 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $-88,187 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $665,639 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $753,826 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Value of interest in common/collective trusts at end of year | 2013-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $250,021 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $324,116 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $324,116 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $333 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $3,419,513 |
| Employer contributions (assets) at end of year | 2013-12-31 | $189,169 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $161,397 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $3,336,877 |
| Contract administrator fees | 2013-12-31 | $187,246 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | LEAF & COLE, LLP |
| Accountancy firm EIN | 2013-12-31 | 952076568 |
| 2012 : CALIFORNIA CONSTRUCTION INSURANCE TRUST WELFARE BENEFIT PLAN 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $773,556 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $211,844 |
| Total income from all sources (including contributions) | 2012-12-31 | $3,964,028 |
| Total of all expenses incurred | 2012-12-31 | $4,254,039 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $3,805,767 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $3,963,627 |
| Value of total assets at end of year | 2012-12-31 | $1,527,422 |
| Value of total assets at beginning of year | 2012-12-31 | $1,255,721 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $448,272 |
| Total interest from all sources | 2012-12-31 | $401 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Administrative expenses professional fees incurred | 2012-12-31 | $149,409 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $136,707 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2012-12-31 | $9,849 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2012-12-31 | $518,418 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $4,572 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $29,979 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-12-31 | $720,032 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-12-31 | $201,614 |
| Administrative expenses (other) incurred | 2012-12-31 | $124,822 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $53,524 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $10,230 |
| Total non interest bearing cash at end of year | 2012-12-31 | $1,037,337 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $1,007,011 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $-290,011 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $753,866 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $1,043,877 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Value of interest in common/collective trusts at end of year | 2012-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $324,116 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $180,696 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $180,696 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $401 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $3,287,349 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $3,817,071 |
| Employer contributions (assets) at end of year | 2012-12-31 | $161,397 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $38,035 |
| Contract administrator fees | 2012-12-31 | $174,041 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | LEAF & COLE, LLP |
| Accountancy firm EIN | 2012-12-31 | 952076568 |
| MEDIEXCEL HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 15347 ) |
| Policy contract number | A891 |
| Policy instance | 2 |
| Insurance contract or identification number | A891 | | Number of Individuals Covered | 46 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $80,948 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 906895 |
| Policy instance | 1 |
| Insurance contract or identification number | 906895 | | Number of Individuals Covered | 48 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $658,762 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MEDIEXCEL HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 15347 ) |
| Policy contract number | A891 |
| Policy instance | 2 |
| Insurance contract or identification number | A891 | | Number of Individuals Covered | 41 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $85,232 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 906895 |
| Policy instance | 1 |
| Insurance contract or identification number | 906895 | | Number of Individuals Covered | 48 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $695,910 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MEDIEXCEL HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 15347 ) |
| Policy contract number | A891 |
| Policy instance | 2 |
| Insurance contract or identification number | A891 | | Number of Individuals Covered | 50 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $97,546 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 906895 |
| Policy instance | 1 |
| Insurance contract or identification number | 906895 | | Number of Individuals Covered | 51 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $693,205 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 906895 |
| Policy instance | 1 |
| Insurance contract or identification number | 906895 | | Number of Individuals Covered | 136 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,237,185 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MEDIEXCEL HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 15347 ) |
| Policy contract number | A891 |
| Policy instance | 2 |
| Insurance contract or identification number | A891 | | Number of Individuals Covered | 43 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $84,459 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 906895 |
| Policy instance | 1 |
| Insurance contract or identification number | 906895 | | Number of Individuals Covered | 239 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,653,686 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MEDIEXCEL HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 15347 ) |
| Policy contract number | A891 |
| Policy instance | 2 |
| Insurance contract or identification number | A891 | | Number of Individuals Covered | 69 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $109,678 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WESTERN HEALTH ADVANTAGE (National Association of Insurance Commissioners NAIC id number: 6411 ) |
| Policy contract number | 107004 |
| Policy instance | 3 |
| Insurance contract or identification number | 107004 | | Number of Individuals Covered | 46 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,533 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | VARIOUS |
| Policy instance | 1 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 44 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $113,439 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WESTERN HEALTH ADVANTAGE (National Association of Insurance Commissioners NAIC id number: 6411 ) |
| Policy contract number | 107004 |
| Policy instance | 2 |
| Insurance contract or identification number | 107004 | | Number of Individuals Covered | 28 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $197,413 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 906895 |
| Policy instance | 3 |
| Insurance contract or identification number | 906895 | | Number of Individuals Covered | 268 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,756,512 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 304532 |
| Policy instance | 4 |
| Insurance contract or identification number | 304532 | | Number of Individuals Covered | 148 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,681 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WESTERN HEALTH ADVANTAGE (National Association of Insurance Commissioners NAIC id number: 6411 ) |
| Policy contract number | 107004 |
| Policy instance | 6 |
| Insurance contract or identification number | 107004 | | Number of Individuals Covered | 32 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $168,742 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 715 |
| Policy instance | 5 |
| Insurance contract or identification number | 715 | | Number of Individuals Covered | 34 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $81,967 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0957H |
| Policy instance | 4 |
| Insurance contract or identification number | GLUG0957H | | Number of Individuals Covered | 316 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,777 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 278311 |
| Policy instance | 3 |
| Insurance contract or identification number | 278311 | | Number of Individuals Covered | 231 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,178,827 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00110168 |
| Policy instance | 2 |
| Insurance contract or identification number | 00110168 | | Number of Individuals Covered | 29 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,487 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 75588 / 02789 |
| Policy instance | 1 |
| Insurance contract or identification number | 75588 / 02789 | | Number of Individuals Covered | 165 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $62,393 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 75588 / 02789 |
| Policy instance | 1 |
| Insurance contract or identification number | 75588 / 02789 | | Number of Individuals Covered | 66 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $74,419 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00110168 |
| Policy instance | 2 |
| Insurance contract or identification number | 00110168 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,458 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 278311 |
| Policy instance | 3 |
| Insurance contract or identification number | 278311 | | Number of Individuals Covered | 138 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,030,637 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0957H |
| Policy instance | 4 |
| Insurance contract or identification number | GLUG0957H | | Number of Individuals Covered | 48 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2015-01-01 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,467 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 715 |
| Policy instance | 5 |
| Insurance contract or identification number | 715 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $36,224 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WESTERN HEALTH ADVANTAGE (National Association of Insurance Commissioners NAIC id number: 6411 ) |
| Policy contract number | 107004 |
| Policy instance | 6 |
| Insurance contract or identification number | 107004 | | Number of Individuals Covered | 26 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $67,323 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN SPECIALTY HEALTH (National Association of Insurance Commissioners NAIC id number: 84697 ) |
| Policy contract number | 11899-00 & 01 |
| Policy instance | 1 |
| Insurance contract or identification number | 11899-00 & 01 | | Number of Individuals Covered | 293 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Other welfare benefits provided | CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $2,945 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 75588 / 02789 |
| Policy instance | 2 |
| Insurance contract or identification number | 75588 / 02789 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $98,742 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | VARIOUS |
| Policy instance | 3 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 118 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,467,945 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 230809 / 603404 |
| Policy instance | 4 |
| Insurance contract or identification number | 230809 / 603404 | | Number of Individuals Covered | 181 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,745,806 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUGO957H |
| Policy instance | 5 |
| Insurance contract or identification number | GLUGO957H | | Number of Individuals Covered | 101 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $14,651 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00110168 |
| Policy instance | 6 |
| Insurance contract or identification number | 00110168 | | Number of Individuals Covered | 19 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,788 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN SPECIALTY HEALTH (National Association of Insurance Commissioners NAIC id number: 84697 ) |
| Policy contract number | 11899-00 & 01 |
| Policy instance | 6 |
| Insurance contract or identification number | 11899-00 & 01 | | Number of Individuals Covered | 393 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Other welfare benefits provided | CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $4,969 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 5588 AND 2789 |
| Policy instance | 5 |
| Insurance contract or identification number | 5588 AND 2789 | | Number of Individuals Covered | 192 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $90,684 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | VARIOUS |
| Policy instance | 4 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 192 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,771,439 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 230809 / 603404 |
| Policy instance | 3 |
| Insurance contract or identification number | 230809 / 603404 | | Number of Individuals Covered | 197 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,380,523 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000957H |
| Policy instance | 2 |
| Insurance contract or identification number | G000957H | | Number of Individuals Covered | 149 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $11,474 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00110168 |
| Policy instance | 1 |
| Insurance contract or identification number | 00110168 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,094 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
