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MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 401k Plan overview

Plan NameMONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND
Plan identification number 501

MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND Benefits

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

401k Sponsoring company profile

MT OPERATING ENG CONST & MINING IND HEALTH & SECURITY & VACATION TRUST has sponsored the creation of one or more 401k plans.

Company Name:MT OPERATING ENG CONST & MINING IND HEALTH & SECURITY & VACATION TRUST
Employer identification number (EIN):816009559
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-06-01STEVE GROSS2024-03-14
5012021-06-01STEVE GROSS2023-03-15
5012020-06-01STEVE GROSS2022-03-12
5012019-06-01STEVE GROSS2020-12-09
5012018-06-01HARLEY HUESTIS2020-02-07
5012017-06-01
5012016-06-01
5012015-06-01HARLEY HUESTIS
5012014-06-01HARLEY HUESTIS
5012013-06-01HARLEY HUESTIS
5012012-06-01JOHN L HANSEN JR.
5012011-06-01JOHN L HANSEN JR.
5012009-06-01RANDY SOBECK JOHN HANSEN2011-02-23

Plan Statistics for MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND

401k plan membership statisitcs for MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND

Measure Date Value
2022: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2022 401k membership
Total participants, beginning-of-year2022-06-01771
Total number of active participants reported on line 7a of the Form 55002022-06-01744
Number of retired or separated participants receiving benefits2022-06-0120
Total of all active and inactive participants2022-06-01764
Number of employers contributing to the scheme2022-06-0194
2021: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-06-01749
Number of retired or separated participants receiving benefits2021-06-0122
Total of all active and inactive participants2021-06-0122
Number of employers contributing to the scheme2021-06-01130
2020: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-06-01814
Total number of active participants reported on line 7a of the Form 55002020-06-01724
Number of retired or separated participants receiving benefits2020-06-0125
Total of all active and inactive participants2020-06-01749
Number of employers contributing to the scheme2020-06-01130
2019: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-06-01860
Total number of active participants reported on line 7a of the Form 55002019-06-01792
Number of retired or separated participants receiving benefits2019-06-0122
Total of all active and inactive participants2019-06-01814
Number of employers contributing to the scheme2019-06-01130
2018: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-06-01816
Total number of active participants reported on line 7a of the Form 55002018-06-01839
Number of retired or separated participants receiving benefits2018-06-0121
Total of all active and inactive participants2018-06-01860
Number of employers contributing to the scheme2018-06-0177
2017: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-06-01845
Total number of active participants reported on line 7a of the Form 55002017-06-01794
Number of retired or separated participants receiving benefits2017-06-0122
Total of all active and inactive participants2017-06-01816
Number of employers contributing to the scheme2017-06-0177
2016: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2016 401k membership
Total participants, beginning-of-year2016-06-01940
Total number of active participants reported on line 7a of the Form 55002016-06-01813
Number of retired or separated participants receiving benefits2016-06-0132
Total of all active and inactive participants2016-06-01845
Number of employers contributing to the scheme2016-06-0163
2015: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2015 401k membership
Total participants, beginning-of-year2015-06-01996
Total number of active participants reported on line 7a of the Form 55002015-06-01841
Number of retired or separated participants receiving benefits2015-06-0199
Total of all active and inactive participants2015-06-01940
Number of employers contributing to the scheme2015-06-0159
2014: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2014 401k membership
Total participants, beginning-of-year2014-06-01951
Total number of active participants reported on line 7a of the Form 55002014-06-01896
Number of retired or separated participants receiving benefits2014-06-01100
Total of all active and inactive participants2014-06-01996
Number of employers contributing to the scheme2014-06-0170
2013: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2013 401k membership
Total participants, beginning-of-year2013-06-01974
Total number of active participants reported on line 7a of the Form 55002013-06-01842
Number of retired or separated participants receiving benefits2013-06-01109
Total of all active and inactive participants2013-06-01951
Number of employers contributing to the scheme2013-06-0176
2012: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2012 401k membership
Total participants, beginning-of-year2012-06-011,314
Total number of active participants reported on line 7a of the Form 55002012-06-01820
Number of retired or separated participants receiving benefits2012-06-01154
Total of all active and inactive participants2012-06-01974
Number of employers contributing to the scheme2012-06-0195
2011: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2011 401k membership
Total participants, beginning-of-year2011-06-011,059
Total number of active participants reported on line 7a of the Form 55002011-06-011,314
Total of all active and inactive participants2011-06-011,314
Number of employers contributing to the scheme2011-06-0188
2009: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2009 401k membership
Total participants, beginning-of-year2009-06-011,281
Total number of active participants reported on line 7a of the Form 55002009-06-01960
Number of retired or separated participants receiving benefits2009-06-01191
Number of other retired or separated participants entitled to future benefits2009-06-010
Total of all active and inactive participants2009-06-011,151

Financial Data on MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND

Measure Date Value
2023 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-05-31$-86,446
Total unrealized appreciation/depreciation of assets2023-05-31$-86,446
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-05-31$2,698,884
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-05-31$1,955,882
Total income from all sources (including contributions)2023-05-31$12,630,925
Total loss/gain on sale of assets2023-05-31$-259,378
Total of all expenses incurred2023-05-31$12,398,153
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-05-31$12,044,148
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-05-31$12,652,444
Value of total assets at end of year2023-05-31$14,636,960
Value of total assets at beginning of year2023-05-31$13,661,186
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-05-31$354,005
Total interest from all sources2023-05-31$291,505
Total dividends received (eg from common stock, registered investment company shares)2023-05-31$27,705
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-05-31$3,230
Administrative expenses professional fees incurred2023-05-31$130,075
Was this plan covered by a fidelity bond2023-05-31Yes
Value of fidelity bond cover2023-05-31$500,000
If this is an individual account plan, was there a blackout period2023-05-31No
Were there any nonexempt tranactions with any party-in-interest2023-05-31No
Contributions received from participants2023-05-31$306,682
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-05-31$83,432
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-05-31$103,162
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-05-31$171,438
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-05-31$173,220
Other income not declared elsewhere2023-05-31$1,085
Administrative expenses (other) incurred2023-05-31$43,703
Liabilities. Value of operating payables at end of year2023-05-31$69,283
Liabilities. Value of operating payables at beginning of year2023-05-31$130,728
Total non interest bearing cash at end of year2023-05-31$2,018,729
Total non interest bearing cash at beginning of year2023-05-31$1,177,122
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-05-31No
Value of net income/loss2023-05-31$232,772
Value of net assets at end of year (total assets less liabilities)2023-05-31$11,938,076
Value of net assets at beginning of year (total assets less liabilities)2023-05-31$11,705,304
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-05-31No
Were any leases to which the plan was party in default or uncollectible2023-05-31No
Investment advisory and management fees2023-05-31$48,033
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-05-31$223,017
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-05-31$93,212
Income. Interest from US Government securities2023-05-31$114,509
Income. Interest from corporate debt instruments2023-05-31$121,624
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-05-31$1,559,041
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-05-31$1,272,613
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-05-31$1,272,613
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-05-31$55,372
Expenses. Payments to insurance carriers foe the provision of benefits2023-05-31$2,281,147
Asset value of US Government securities at end of year2023-05-31$3,592,813
Asset value of US Government securities at beginning of year2023-05-31$3,407,028
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-05-31$4,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-05-31Yes
Was there a failure to transmit to the plan any participant contributions2023-05-31No
Has the plan failed to provide any benefit when due under the plan2023-05-31No
Contributions received in cash from employer2023-05-31$12,345,762
Employer contributions (assets) at end of year2023-05-31$1,191,014
Employer contributions (assets) at beginning of year2023-05-31$1,323,336
Income. Dividends from common stock2023-05-31$24,475
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-05-31$9,763,001
Asset. Corporate debt instrument debt (other) at end of year2023-05-31$5,319,632
Asset. Corporate debt instrument debt (other) at beginning of year2023-05-31$5,176,942
Contract administrator fees2023-05-31$132,194
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2023-05-31$649,282
Assets. Corporate common stocks other than exployer securities at beginning of year2023-05-31$1,107,771
Liabilities. Value of benefit claims payable at end of year2023-05-31$2,458,163
Liabilities. Value of benefit claims payable at beginning of year2023-05-31$1,651,934
Did the plan have assets held for investment2023-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-05-31No
Aggregate proceeds on sale of assets2023-05-31$1,075,321
Aggregate carrying amount (costs) on sale of assets2023-05-31$1,334,699
Opinion of an independent qualified public accountant for this plan2023-05-31Unqualified
Accountancy firm name2023-05-31ANASTASI, MOORE AND MARTIN, PLLC
Accountancy firm EIN2023-05-31208149084
2022 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-05-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2022-05-31$-1,001,035
Total unrealized appreciation/depreciation of assets2022-05-31$-1,001,035
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-31$1,955,882
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-31$2,400,736
Total income from all sources (including contributions)2022-05-31$11,748,566
Total loss/gain on sale of assets2022-05-31$204,977
Total of all expenses incurred2022-05-31$11,698,915
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-05-31$11,407,410
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-05-31$12,230,046
Value of total assets at end of year2022-05-31$13,661,186
Value of total assets at beginning of year2022-05-31$14,056,389
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-05-31$291,505
Total interest from all sources2022-05-31$304,878
Total dividends received (eg from common stock, registered investment company shares)2022-05-31$17,357
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-05-31$5,089
Administrative expenses professional fees incurred2022-05-31$130,910
Was this plan covered by a fidelity bond2022-05-31Yes
Value of fidelity bond cover2022-05-31$500,000
If this is an individual account plan, was there a blackout period2022-05-31No
Were there any nonexempt tranactions with any party-in-interest2022-05-31No
Contributions received from participants2022-05-31$292,790
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-05-31$103,162
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-05-31$171,271
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-05-31$173,220
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-05-31$130,372
Other income not declared elsewhere2022-05-31$59
Administrative expenses (other) incurred2022-05-31$41,712
Liabilities. Value of operating payables at end of year2022-05-31$130,728
Liabilities. Value of operating payables at beginning of year2022-05-31$44,956
Total non interest bearing cash at end of year2022-05-31$1,177,122
Total non interest bearing cash at beginning of year2022-05-31$757,197
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-31No
Value of net income/loss2022-05-31$49,651
Value of net assets at end of year (total assets less liabilities)2022-05-31$11,705,304
Value of net assets at beginning of year (total assets less liabilities)2022-05-31$11,655,653
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-05-31No
Were any leases to which the plan was party in default or uncollectible2022-05-31No
Investment advisory and management fees2022-05-31$51,857
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-05-31$93,212
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-05-31$100,928
Income. Interest from US Government securities2022-05-31$76,900
Income. Interest from corporate debt instruments2022-05-31$192,863
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-05-31$1,272,613
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-05-31$2,387,258
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-05-31$2,387,258
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-05-31$35,115
Expenses. Payments to insurance carriers foe the provision of benefits2022-05-31$1,932,385
Asset value of US Government securities at end of year2022-05-31$3,407,028
Asset value of US Government securities at beginning of year2022-05-31$2,560,844
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-05-31$-7,716
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-05-31Yes
Was there a failure to transmit to the plan any participant contributions2022-05-31No
Has the plan failed to provide any benefit when due under the plan2022-05-31No
Contributions received in cash from employer2022-05-31$11,937,256
Employer contributions (assets) at end of year2022-05-31$1,323,336
Employer contributions (assets) at beginning of year2022-05-31$787,302
Income. Dividends from common stock2022-05-31$12,268
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-05-31$9,475,025
Asset. Corporate debt instrument debt (other) at end of year2022-05-31$5,176,942
Asset. Corporate debt instrument debt (other) at beginning of year2022-05-31$5,624,784
Contract administrator fees2022-05-31$67,026
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2022-05-31$1,107,771
Assets. Corporate common stocks other than exployer securities at beginning of year2022-05-31$1,666,805
Liabilities. Value of benefit claims payable at end of year2022-05-31$1,651,934
Liabilities. Value of benefit claims payable at beginning of year2022-05-31$2,225,408
Did the plan have assets held for investment2022-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-05-31No
Aggregate proceeds on sale of assets2022-05-31$9,394,450
Aggregate carrying amount (costs) on sale of assets2022-05-31$9,189,473
Opinion of an independent qualified public accountant for this plan2022-05-31Unqualified
Accountancy firm name2022-05-31ANASTASI, MOORE, & MARTIN, PLLC.
Accountancy firm EIN2022-05-31208149084
2021 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-05-31$-1,358
Unrealized appreciation/depreciation of other (non real estate) assets2021-05-31$47,834
Total unrealized appreciation/depreciation of assets2021-05-31$46,476
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$2,400,736
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$1,726,099
Total income from all sources (including contributions)2021-05-31$11,730,818
Total loss/gain on sale of assets2021-05-31$310,107
Total of all expenses incurred2021-05-31$12,751,318
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-05-31$12,416,942
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-05-31$11,040,753
Value of total assets at end of year2021-05-31$14,056,389
Value of total assets at beginning of year2021-05-31$14,402,252
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-05-31$334,376
Total interest from all sources2021-05-31$292,605
Total dividends received (eg from common stock, registered investment company shares)2021-05-31$33,858
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-05-31$1,095
Assets. Real estate other than employer real property at end of year2021-05-31$0
Assets. Real estate other than employer real property at beginning of year2021-05-31$19,964
Administrative expenses professional fees incurred2021-05-31$136,461
Was this plan covered by a fidelity bond2021-05-31Yes
Value of fidelity bond cover2021-05-31$500,000
If this is an individual account plan, was there a blackout period2021-05-31No
Were there any nonexempt tranactions with any party-in-interest2021-05-31No
Contributions received from participants2021-05-31$312,546
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-05-31$171,271
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-05-31$100,453
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-05-31$130,372
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-05-31$20,006
Other income not declared elsewhere2021-05-31$5,373
Administrative expenses (other) incurred2021-05-31$30,249
Liabilities. Value of operating payables at end of year2021-05-31$44,956
Liabilities. Value of operating payables at beginning of year2021-05-31$17,392
Total non interest bearing cash at end of year2021-05-31$757,197
Total non interest bearing cash at beginning of year2021-05-31$1,768,423
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Value of net income/loss2021-05-31$-1,020,500
Value of net assets at end of year (total assets less liabilities)2021-05-31$11,655,653
Value of net assets at beginning of year (total assets less liabilities)2021-05-31$12,676,153
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-05-31No
Were any leases to which the plan was party in default or uncollectible2021-05-31No
Investment advisory and management fees2021-05-31$50,339
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-05-31$100,928
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-05-31$0
Income. Interest from US Government securities2021-05-31$82,592
Income. Interest from corporate debt instruments2021-05-31$209,693
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-05-31$2,387,258
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-05-31$775,996
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-05-31$775,996
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-05-31$320
Expenses. Payments to insurance carriers foe the provision of benefits2021-05-31$1,876,327
Asset value of US Government securities at end of year2021-05-31$2,560,844
Asset value of US Government securities at beginning of year2021-05-31$2,815,508
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-05-31$1,646
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-05-31Yes
Was there a failure to transmit to the plan any participant contributions2021-05-31No
Has the plan failed to provide any benefit when due under the plan2021-05-31No
Contributions received in cash from employer2021-05-31$10,728,207
Employer contributions (assets) at end of year2021-05-31$787,302
Employer contributions (assets) at beginning of year2021-05-31$966,570
Income. Dividends from common stock2021-05-31$32,763
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-05-31$10,540,615
Asset. Corporate debt instrument debt (other) at end of year2021-05-31$5,624,784
Asset. Corporate debt instrument debt (other) at beginning of year2021-05-31$7,090,450
Contract administrator fees2021-05-31$117,327
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2021-05-31$1,666,805
Assets. Corporate common stocks other than exployer securities at beginning of year2021-05-31$864,888
Liabilities. Value of benefit claims payable at end of year2021-05-31$2,225,408
Liabilities. Value of benefit claims payable at beginning of year2021-05-31$1,688,701
Did the plan have assets held for investment2021-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-05-31No
Aggregate proceeds on sale of assets2021-05-31$13,582,029
Aggregate carrying amount (costs) on sale of assets2021-05-31$13,271,922
Opinion of an independent qualified public accountant for this plan2021-05-31Unqualified
Accountancy firm name2021-05-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2021-05-31208149084
2020 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-05-31$336,292
Total unrealized appreciation/depreciation of assets2020-05-31$336,292
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$1,726,099
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$2,457,032
Total income from all sources (including contributions)2020-05-31$13,886,371
Total loss/gain on sale of assets2020-05-31$-378
Total of all expenses incurred2020-05-31$12,496,257
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-05-31$12,080,335
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-05-31$13,277,761
Value of total assets at end of year2020-05-31$14,402,252
Value of total assets at beginning of year2020-05-31$13,743,071
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-05-31$415,922
Total interest from all sources2020-05-31$213,685
Total dividends received (eg from common stock, registered investment company shares)2020-05-31$60,644
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-05-31$859
Assets. Real estate other than employer real property at end of year2020-05-31$19,964
Assets. Real estate other than employer real property at beginning of year2020-05-31$11,576
Administrative expenses professional fees incurred2020-05-31$148,558
Was this plan covered by a fidelity bond2020-05-31Yes
Value of fidelity bond cover2020-05-31$500,000
If this is an individual account plan, was there a blackout period2020-05-31No
Were there any nonexempt tranactions with any party-in-interest2020-05-31No
Contributions received from participants2020-05-31$311,300
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-05-31$100,453
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-05-31$154,657
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-05-31$20,006
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-05-31$213,399
Other income not declared elsewhere2020-05-31$5,330
Administrative expenses (other) incurred2020-05-31$33,066
Liabilities. Value of operating payables at end of year2020-05-31$17,392
Liabilities. Value of operating payables at beginning of year2020-05-31$5,028
Total non interest bearing cash at end of year2020-05-31$1,768,423
Total non interest bearing cash at beginning of year2020-05-31$1,106,319
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Value of net income/loss2020-05-31$1,390,114
Value of net assets at end of year (total assets less liabilities)2020-05-31$12,676,153
Value of net assets at beginning of year (total assets less liabilities)2020-05-31$11,286,039
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-05-31No
Were any leases to which the plan was party in default or uncollectible2020-05-31No
Investment advisory and management fees2020-05-31$50,011
Income. Interest from US Government securities2020-05-31$52,925
Income. Interest from corporate debt instruments2020-05-31$159,731
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-05-31$775,996
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-05-31$2,330,934
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-05-31$2,330,934
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-05-31$1,029
Expenses. Payments to insurance carriers foe the provision of benefits2020-05-31$2,020,816
Asset value of US Government securities at end of year2020-05-31$2,815,508
Asset value of US Government securities at beginning of year2020-05-31$3,244,823
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-05-31$-6,963
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-05-31Yes
Was there a failure to transmit to the plan any participant contributions2020-05-31No
Has the plan failed to provide any benefit when due under the plan2020-05-31No
Contributions received in cash from employer2020-05-31$12,966,461
Employer contributions (assets) at end of year2020-05-31$966,570
Employer contributions (assets) at beginning of year2020-05-31$1,199,245
Income. Dividends from common stock2020-05-31$59,785
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-05-31$10,059,519
Asset. Corporate debt instrument preferred debt at end of year2020-05-31$7,090,450
Asset. Corporate debt instrument preferred debt at beginning of year2020-05-31$5,018,644
Contract administrator fees2020-05-31$184,287
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2020-05-31$864,888
Assets. Corporate common stocks other than exployer securities at beginning of year2020-05-31$676,873
Liabilities. Value of benefit claims payable at end of year2020-05-31$1,688,701
Liabilities. Value of benefit claims payable at beginning of year2020-05-31$2,238,605
Did the plan have assets held for investment2020-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-05-31No
Aggregate proceeds on sale of assets2020-05-31$8,396,606
Aggregate carrying amount (costs) on sale of assets2020-05-31$8,396,984
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-05-31No
Opinion of an independent qualified public accountant for this plan2020-05-31Unqualified
Accountancy firm name2020-05-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2020-05-31208149084
2019 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-05-31$173,168
Total unrealized appreciation/depreciation of assets2019-05-31$173,168
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-05-31$2,457,032
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-05-31$2,649,443
Total income from all sources (including contributions)2019-05-31$14,711,632
Total loss/gain on sale of assets2019-05-31$36,443
Total of all expenses incurred2019-05-31$13,765,740
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-05-31$13,284,746
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-05-31$14,146,588
Value of total assets at end of year2019-05-31$13,743,071
Value of total assets at beginning of year2019-05-31$12,989,590
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-05-31$480,994
Total interest from all sources2019-05-31$273,594
Total dividends received (eg from common stock, registered investment company shares)2019-05-31$17,650
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-05-31$1,044
Assets. Real estate other than employer real property at end of year2019-05-31$11,576
Assets. Real estate other than employer real property at beginning of year2019-05-31$15,414
Administrative expenses professional fees incurred2019-05-31$123,207
Was this plan covered by a fidelity bond2019-05-31Yes
Value of fidelity bond cover2019-05-31$500,000
If this is an individual account plan, was there a blackout period2019-05-31No
Were there any nonexempt tranactions with any party-in-interest2019-05-31No
Contributions received from participants2019-05-31$240,660
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-05-31$154,657
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-05-31$45,769
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-05-31$213,399
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-05-31$578,712
Other income not declared elsewhere2019-05-31$63,555
Administrative expenses (other) incurred2019-05-31$53,173
Liabilities. Value of operating payables at end of year2019-05-31$5,028
Liabilities. Value of operating payables at beginning of year2019-05-31$31,282
Total non interest bearing cash at end of year2019-05-31$1,106,319
Total non interest bearing cash at beginning of year2019-05-31$803,713
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-05-31No
Value of net income/loss2019-05-31$945,892
Value of net assets at end of year (total assets less liabilities)2019-05-31$11,286,039
Value of net assets at beginning of year (total assets less liabilities)2019-05-31$10,340,147
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-05-31No
Were any leases to which the plan was party in default or uncollectible2019-05-31No
Investment advisory and management fees2019-05-31$47,070
Income. Interest from US Government securities2019-05-31$67,693
Income. Interest from corporate debt instruments2019-05-31$202,822
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-05-31$2,330,934
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-05-31$2,730,019
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-05-31$2,730,019
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-05-31$3,079
Expenses. Payments to insurance carriers foe the provision of benefits2019-05-31$2,140,386
Asset value of US Government securities at end of year2019-05-31$3,244,823
Asset value of US Government securities at beginning of year2019-05-31$2,570,588
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-05-31$634
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-05-31Yes
Was there a failure to transmit to the plan any participant contributions2019-05-31No
Has the plan failed to provide any benefit when due under the plan2019-05-31No
Contributions received in cash from employer2019-05-31$13,905,928
Employer contributions (assets) at end of year2019-05-31$1,199,245
Employer contributions (assets) at beginning of year2019-05-31$1,085,484
Income. Dividends from common stock2019-05-31$16,606
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-05-31$11,144,360
Asset. Corporate debt instrument preferred debt at end of year2019-05-31$5,018,644
Asset. Corporate debt instrument preferred debt at beginning of year2019-05-31$4,788,375
Contract administrator fees2019-05-31$257,544
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2019-05-31$676,873
Assets. Corporate common stocks other than exployer securities at beginning of year2019-05-31$950,228
Liabilities. Value of benefit claims payable at end of year2019-05-31$2,238,605
Liabilities. Value of benefit claims payable at beginning of year2019-05-31$2,039,449
Did the plan have assets held for investment2019-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-05-31No
Aggregate proceeds on sale of assets2019-05-31$5,018,386
Aggregate carrying amount (costs) on sale of assets2019-05-31$4,981,943
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-05-31No
Opinion of an independent qualified public accountant for this plan2019-05-31Unqualified
Accountancy firm name2019-05-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2019-05-31208149084
2018 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-05-31$-194,043
Total unrealized appreciation/depreciation of assets2018-05-31$-194,043
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$2,649,443
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$3,288,202
Total income from all sources (including contributions)2018-05-31$12,089,959
Total loss/gain on sale of assets2018-05-31$-16,069
Total of all expenses incurred2018-05-31$12,474,419
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-05-31$11,713,462
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-05-31$12,041,178
Value of total assets at end of year2018-05-31$12,989,590
Value of total assets at beginning of year2018-05-31$14,012,809
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-05-31$760,957
Total interest from all sources2018-05-31$225,059
Total dividends received (eg from common stock, registered investment company shares)2018-05-31$28,677
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-05-31$458
Assets. Real estate other than employer real property at end of year2018-05-31$15,414
Administrative expenses professional fees incurred2018-05-31$120,076
Was this plan covered by a fidelity bond2018-05-31Yes
Value of fidelity bond cover2018-05-31$500,000
If this is an individual account plan, was there a blackout period2018-05-31No
Were there any nonexempt tranactions with any party-in-interest2018-05-31No
Contributions received from participants2018-05-31$324,651
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-05-31$45,769
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-05-31$120,036
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-05-31$578,712
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-05-31$483,780
Other income not declared elsewhere2018-05-31$5,207
Administrative expenses (other) incurred2018-05-31$53,464
Liabilities. Value of operating payables at end of year2018-05-31$31,282
Liabilities. Value of operating payables at beginning of year2018-05-31$73,925
Total non interest bearing cash at end of year2018-05-31$803,713
Total non interest bearing cash at beginning of year2018-05-31$686,117
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Value of net income/loss2018-05-31$-384,460
Value of net assets at end of year (total assets less liabilities)2018-05-31$10,340,147
Value of net assets at beginning of year (total assets less liabilities)2018-05-31$10,724,607
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-05-31No
Were any leases to which the plan was party in default or uncollectible2018-05-31No
Investment advisory and management fees2018-05-31$45,852
Income. Interest from US Government securities2018-05-31$76,340
Income. Interest from corporate debt instruments2018-05-31$142,203
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-05-31$2,730,019
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-05-31$3,531,184
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-05-31$3,531,184
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-05-31$6,516
Expenses. Payments to insurance carriers foe the provision of benefits2018-05-31$1,996,183
Asset value of US Government securities at end of year2018-05-31$2,570,588
Asset value of US Government securities at beginning of year2018-05-31$3,558,784
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-05-31$-50
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-05-31Yes
Was there a failure to transmit to the plan any participant contributions2018-05-31No
Has the plan failed to provide any benefit when due under the plan2018-05-31No
Contributions received in cash from employer2018-05-31$11,716,527
Employer contributions (assets) at end of year2018-05-31$1,085,484
Employer contributions (assets) at beginning of year2018-05-31$943,516
Income. Dividends from common stock2018-05-31$28,219
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-05-31$9,717,279
Asset. Corporate debt instrument preferred debt at end of year2018-05-31$4,788,375
Asset. Corporate debt instrument preferred debt at beginning of year2018-05-31$5,173,172
Contract administrator fees2018-05-31$541,565
Assets. Corporate common stocks other than exployer securities at end of year2018-05-31$950,228
Liabilities. Value of benefit claims payable at end of year2018-05-31$2,039,449
Liabilities. Value of benefit claims payable at beginning of year2018-05-31$2,730,497
Did the plan have assets held for investment2018-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-05-31No
Aggregate proceeds on sale of assets2018-05-31$5,713,090
Aggregate carrying amount (costs) on sale of assets2018-05-31$5,729,159
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-05-31No
Opinion of an independent qualified public accountant for this plan2018-05-31Unqualified
Accountancy firm name2018-05-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2018-05-31208149084
2017 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-05-31$-42,045
Total unrealized appreciation/depreciation of assets2017-05-31$-42,045
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$3,288,202
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$3,125,628
Total income from all sources (including contributions)2017-05-31$12,295,836
Total loss/gain on sale of assets2017-05-31$-2,072
Total of all expenses incurred2017-05-31$15,648,779
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-05-31$14,716,423
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-05-31$12,040,868
Value of total assets at end of year2017-05-31$14,012,809
Value of total assets at beginning of year2017-05-31$17,203,178
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-05-31$932,356
Total interest from all sources2017-05-31$296,565
Total dividends received (eg from common stock, registered investment company shares)2017-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-05-31No
Administrative expenses professional fees incurred2017-05-31$128,449
Was this plan covered by a fidelity bond2017-05-31Yes
Value of fidelity bond cover2017-05-31$500,000
If this is an individual account plan, was there a blackout period2017-05-31No
Were there any nonexempt tranactions with any party-in-interest2017-05-31No
Contributions received from participants2017-05-31$576,437
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-05-31$120,036
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-05-31$153,515
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-05-31$483,780
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-05-31$779,401
Other income not declared elsewhere2017-05-31$2,520
Administrative expenses (other) incurred2017-05-31$120,606
Liabilities. Value of operating payables at end of year2017-05-31$73,925
Liabilities. Value of operating payables at beginning of year2017-05-31$38,724
Total non interest bearing cash at end of year2017-05-31$686,117
Total non interest bearing cash at beginning of year2017-05-31$1,538,842
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Value of net income/loss2017-05-31$-3,352,943
Value of net assets at end of year (total assets less liabilities)2017-05-31$10,724,607
Value of net assets at beginning of year (total assets less liabilities)2017-05-31$14,077,550
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-05-31No
Were any leases to which the plan was party in default or uncollectible2017-05-31No
Investment advisory and management fees2017-05-31$42,817
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-05-31$411,020
Income. Interest from US Government securities2017-05-31$120,406
Income. Interest from corporate debt instruments2017-05-31$175,027
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-05-31$3,531,184
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-05-31$3,581,434
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-05-31$3,581,434
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-05-31$1,132
Expenses. Payments to insurance carriers foe the provision of benefits2017-05-31$1,808,016
Asset value of US Government securities at end of year2017-05-31$3,558,784
Asset value of US Government securities at beginning of year2017-05-31$3,909,604
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-05-31Yes
Was there a failure to transmit to the plan any participant contributions2017-05-31No
Has the plan failed to provide any benefit when due under the plan2017-05-31No
Contributions received in cash from employer2017-05-31$11,464,431
Employer contributions (assets) at end of year2017-05-31$943,516
Employer contributions (assets) at beginning of year2017-05-31$1,381,938
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-05-31$12,908,407
Asset. Corporate debt instrument preferred debt at end of year2017-05-31$5,173,172
Asset. Corporate debt instrument preferred debt at beginning of year2017-05-31$6,226,825
Contract administrator fees2017-05-31$640,484
Liabilities. Value of benefit claims payable at end of year2017-05-31$2,730,497
Liabilities. Value of benefit claims payable at beginning of year2017-05-31$2,307,503
Did the plan have assets held for investment2017-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-05-31No
Aggregate proceeds on sale of assets2017-05-31$6,617,715
Aggregate carrying amount (costs) on sale of assets2017-05-31$6,619,787
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-05-31No
Opinion of an independent qualified public accountant for this plan2017-05-31Unqualified
Accountancy firm name2017-05-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2017-05-31208149084
2016 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-05-31$-53,608
Total unrealized appreciation/depreciation of assets2016-05-31$-53,608
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$3,125,628
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$3,350,436
Total income from all sources (including contributions)2016-05-31$13,511,782
Total loss/gain on sale of assets2016-05-31$-176,728
Total of all expenses incurred2016-05-31$13,989,749
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-05-31$12,933,223
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-05-31$13,387,347
Value of total assets at end of year2016-05-31$17,203,178
Value of total assets at beginning of year2016-05-31$17,905,953
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-05-31$1,056,526
Total interest from all sources2016-05-31$337,470
Total dividends received (eg from common stock, registered investment company shares)2016-05-31$13,623
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-05-31$13,623
Administrative expenses professional fees incurred2016-05-31$132,688
Was this plan covered by a fidelity bond2016-05-31Yes
Value of fidelity bond cover2016-05-31$500,000
If this is an individual account plan, was there a blackout period2016-05-31No
Were there any nonexempt tranactions with any party-in-interest2016-05-31No
Contributions received from participants2016-05-31$825,189
Assets. Other investments not covered elsewhere at beginning of year2016-05-31$907,613
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-05-31$153,515
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-05-31$56,098
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-05-31$779,401
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-05-31$238,827
Other income not declared elsewhere2016-05-31$3,678
Administrative expenses (other) incurred2016-05-31$163,410
Liabilities. Value of operating payables at end of year2016-05-31$38,724
Liabilities. Value of operating payables at beginning of year2016-05-31$5,915
Total non interest bearing cash at end of year2016-05-31$1,538,842
Total non interest bearing cash at beginning of year2016-05-31$1,415,661
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Value of net income/loss2016-05-31$-477,967
Value of net assets at end of year (total assets less liabilities)2016-05-31$14,077,550
Value of net assets at beginning of year (total assets less liabilities)2016-05-31$14,555,517
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-05-31No
Were any leases to which the plan was party in default or uncollectible2016-05-31No
Investment advisory and management fees2016-05-31$46,925
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-05-31$411,020
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-05-31$231,395
Interest earned on other investments2016-05-31$0
Income. Interest from US Government securities2016-05-31$129,578
Income. Interest from corporate debt instruments2016-05-31$206,380
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-05-31$3,581,434
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-05-31$3,339,094
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-05-31$3,339,094
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-05-31$1,512
Expenses. Payments to insurance carriers foe the provision of benefits2016-05-31$1,036,283
Asset value of US Government securities at end of year2016-05-31$3,909,604
Asset value of US Government securities at beginning of year2016-05-31$4,200,138
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-05-31Yes
Was there a failure to transmit to the plan any participant contributions2016-05-31No
Has the plan failed to provide any benefit when due under the plan2016-05-31No
Contributions received in cash from employer2016-05-31$12,562,158
Employer contributions (assets) at end of year2016-05-31$1,381,938
Employer contributions (assets) at beginning of year2016-05-31$1,153,209
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-05-31$11,896,940
Asset. Corporate debt instrument preferred debt at end of year2016-05-31$6,226,825
Asset. Corporate debt instrument preferred debt at beginning of year2016-05-31$6,602,745
Contract administrator fees2016-05-31$713,503
Liabilities. Value of benefit claims payable at end of year2016-05-31$2,307,503
Liabilities. Value of benefit claims payable at beginning of year2016-05-31$3,105,694
Did the plan have assets held for investment2016-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-05-31No
Aggregate proceeds on sale of assets2016-05-31$8,959,693
Aggregate carrying amount (costs) on sale of assets2016-05-31$9,136,421
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-05-31No
Opinion of an independent qualified public accountant for this plan2016-05-31Unqualified
Accountancy firm name2016-05-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2016-05-31208149084
2015 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-05-31$-92,205
Total unrealized appreciation/depreciation of assets2015-05-31$-92,205
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$3,350,436
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$4,330,495
Total income from all sources (including contributions)2015-05-31$13,730,646
Total loss/gain on sale of assets2015-05-31$7,363
Total of all expenses incurred2015-05-31$13,545,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-05-31$12,917,900
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-05-31$13,460,266
Value of total assets at end of year2015-05-31$17,905,953
Value of total assets at beginning of year2015-05-31$18,700,609
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-05-31$627,343
Total interest from all sources2015-05-31$331,570
Total dividends received (eg from common stock, registered investment company shares)2015-05-31$6,440
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-05-31$6,440
Administrative expenses professional fees incurred2015-05-31$140,063
Was this plan covered by a fidelity bond2015-05-31Yes
Value of fidelity bond cover2015-05-31$500,000
If this is an individual account plan, was there a blackout period2015-05-31No
Were there any nonexempt tranactions with any party-in-interest2015-05-31No
Contributions received from participants2015-05-31$770,686
Assets. Other investments not covered elsewhere at end of year2015-05-31$907,613
Assets. Other investments not covered elsewhere at beginning of year2015-05-31$1,049,746
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-05-31$56,098
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-05-31$57,734
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-05-31$238,827
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-05-31$358,854
Other income not declared elsewhere2015-05-31$17,212
Administrative expenses (other) incurred2015-05-31$57,767
Liabilities. Value of operating payables at end of year2015-05-31$5,915
Liabilities. Value of operating payables at beginning of year2015-05-31$4,518
Total non interest bearing cash at end of year2015-05-31$1,415,661
Total non interest bearing cash at beginning of year2015-05-31$598,483
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Value of net income/loss2015-05-31$185,403
Value of net assets at end of year (total assets less liabilities)2015-05-31$14,555,517
Value of net assets at beginning of year (total assets less liabilities)2015-05-31$14,370,114
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-05-31No
Were any leases to which the plan was party in default or uncollectible2015-05-31No
Investment advisory and management fees2015-05-31$46,180
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-05-31$231,395
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-05-31$664,199
Interest earned on other investments2015-05-31$25,259
Income. Interest from US Government securities2015-05-31$116,892
Income. Interest from corporate debt instruments2015-05-31$183,758
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-05-31$3,339,094
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-05-31$4,511,879
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-05-31$4,511,879
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-05-31$5,661
Expenses. Payments to insurance carriers foe the provision of benefits2015-05-31$49,012
Asset value of US Government securities at end of year2015-05-31$4,200,138
Asset value of US Government securities at beginning of year2015-05-31$4,079,832
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-05-31Yes
Was there a failure to transmit to the plan any participant contributions2015-05-31No
Has the plan failed to provide any benefit when due under the plan2015-05-31No
Contributions received in cash from employer2015-05-31$12,689,580
Employer contributions (assets) at end of year2015-05-31$1,153,209
Employer contributions (assets) at beginning of year2015-05-31$1,319,751
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-05-31$12,868,888
Asset. Corporate debt instrument preferred debt at end of year2015-05-31$6,602,745
Asset. Corporate debt instrument preferred debt at beginning of year2015-05-31$6,418,985
Contract administrator fees2015-05-31$383,333
Liabilities. Value of benefit claims payable at end of year2015-05-31$3,105,694
Liabilities. Value of benefit claims payable at beginning of year2015-05-31$3,967,123
Did the plan have assets held for investment2015-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-05-31No
Aggregate proceeds on sale of assets2015-05-31$5,515,141
Aggregate carrying amount (costs) on sale of assets2015-05-31$5,507,778
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-05-31No
Opinion of an independent qualified public accountant for this plan2015-05-31Unqualified
Accountancy firm name2015-05-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2015-05-31208149084
2014 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-05-31$-75,125
Total unrealized appreciation/depreciation of assets2014-05-31$-75,125
Total transfer of assets to this plan2014-05-31$1,431,079
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$4,330,495
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$3,625,741
Total income from all sources (including contributions)2014-05-31$12,425,304
Total loss/gain on sale of assets2014-05-31$79,078
Total of all expenses incurred2014-05-31$12,224,844
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-05-31$11,873,091
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-05-31$12,071,392
Value of total assets at end of year2014-05-31$18,700,609
Value of total assets at beginning of year2014-05-31$16,364,316
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-05-31$351,753
Total interest from all sources2014-05-31$300,310
Total dividends received (eg from common stock, registered investment company shares)2014-05-31$47,862
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-05-31$47,862
Administrative expenses professional fees incurred2014-05-31$120,025
Was this plan covered by a fidelity bond2014-05-31Yes
Value of fidelity bond cover2014-05-31$500,000
If this is an individual account plan, was there a blackout period2014-05-31No
Were there any nonexempt tranactions with any party-in-interest2014-05-31No
Contributions received from participants2014-05-31$787,851
Assets. Other investments not covered elsewhere at end of year2014-05-31$1,049,746
Assets. Other investments not covered elsewhere at beginning of year2014-05-31$508,371
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-05-31$57,734
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-05-31$61,553
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-05-31$358,854
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-05-31$268,993
Other income not declared elsewhere2014-05-31$1,787
Administrative expenses (other) incurred2014-05-31$53,359
Liabilities. Value of operating payables at end of year2014-05-31$4,518
Liabilities. Value of operating payables at beginning of year2014-05-31$3,275
Total non interest bearing cash at end of year2014-05-31$598,483
Total non interest bearing cash at beginning of year2014-05-31$1,147,237
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Value of net income/loss2014-05-31$200,460
Value of net assets at end of year (total assets less liabilities)2014-05-31$14,370,114
Value of net assets at beginning of year (total assets less liabilities)2014-05-31$12,738,575
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-05-31No
Were any leases to which the plan was party in default or uncollectible2014-05-31No
Investment advisory and management fees2014-05-31$45,040
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-05-31$664,199
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-05-31$1,364,863
Income. Interest from US Government securities2014-05-31$113,930
Income. Interest from corporate debt instruments2014-05-31$179,252
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-05-31$4,511,879
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-05-31$2,735,616
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-05-31$2,735,616
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-05-31$7,128
Expenses. Payments to insurance carriers foe the provision of benefits2014-05-31$9,776,095
Asset value of US Government securities at end of year2014-05-31$4,079,832
Asset value of US Government securities at beginning of year2014-05-31$3,717,427
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-05-31Yes
Was there a failure to transmit to the plan any participant contributions2014-05-31No
Has the plan failed to provide any benefit when due under the plan2014-05-31No
Contributions received in cash from employer2014-05-31$11,283,541
Employer contributions (assets) at end of year2014-05-31$1,319,751
Employer contributions (assets) at beginning of year2014-05-31$1,048,941
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-05-31$2,096,996
Asset. Corporate debt instrument preferred debt at end of year2014-05-31$6,418,985
Asset. Corporate debt instrument preferred debt at beginning of year2014-05-31$5,780,308
Contract administrator fees2014-05-31$133,329
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-05-31No
Liabilities. Value of benefit claims payable at end of year2014-05-31$3,967,123
Liabilities. Value of benefit claims payable at beginning of year2014-05-31$3,353,473
Did the plan have assets held for investment2014-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-05-31No
Aggregate proceeds on sale of assets2014-05-31$6,240,747
Aggregate carrying amount (costs) on sale of assets2014-05-31$6,161,669
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-05-31No
Opinion of an independent qualified public accountant for this plan2014-05-31Unqualified
Accountancy firm name2014-05-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2014-05-31208149084
2013 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-05-31$-121,472
Total unrealized appreciation/depreciation of assets2013-05-31$-121,472
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$3,625,741
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$3,830,749
Total income from all sources (including contributions)2013-05-31$10,937,814
Total loss/gain on sale of assets2013-05-31$76,419
Total of all expenses incurred2013-05-31$10,198,090
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-05-31$9,884,244
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-05-31$10,604,746
Value of total assets at end of year2013-05-31$16,364,316
Value of total assets at beginning of year2013-05-31$15,829,600
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-05-31$313,846
Total interest from all sources2013-05-31$317,090
Total dividends received (eg from common stock, registered investment company shares)2013-05-31$60,255
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-05-31$60,255
Administrative expenses professional fees incurred2013-05-31$112,319
Was this plan covered by a fidelity bond2013-05-31Yes
Value of fidelity bond cover2013-05-31$500,000
If this is an individual account plan, was there a blackout period2013-05-31No
Were there any nonexempt tranactions with any party-in-interest2013-05-31No
Contributions received from participants2013-05-31$828,714
Assets. Other investments not covered elsewhere at end of year2013-05-31$508,371
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-05-31$61,553
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-05-31$451,985
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-05-31$268,993
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-05-31$28,139
Other income not declared elsewhere2013-05-31$776
Administrative expenses (other) incurred2013-05-31$39,202
Liabilities. Value of operating payables at end of year2013-05-31$3,275
Liabilities. Value of operating payables at beginning of year2013-05-31$16,442
Total non interest bearing cash at end of year2013-05-31$1,147,237
Total non interest bearing cash at beginning of year2013-05-31$892,192
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Value of net income/loss2013-05-31$739,724
Value of net assets at end of year (total assets less liabilities)2013-05-31$12,738,575
Value of net assets at beginning of year (total assets less liabilities)2013-05-31$11,998,851
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-05-31No
Were any leases to which the plan was party in default or uncollectible2013-05-31No
Investment advisory and management fees2013-05-31$42,427
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-05-31$1,364,863
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-05-31$1,237,855
Income. Interest from US Government securities2013-05-31$120,368
Income. Interest from corporate debt instruments2013-05-31$187,163
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-05-31$2,735,616
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-05-31$2,643,709
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-05-31$2,643,709
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-05-31$9,559
Expenses. Payments to insurance carriers foe the provision of benefits2013-05-31$9,460,587
Asset value of US Government securities at end of year2013-05-31$3,717,427
Asset value of US Government securities at beginning of year2013-05-31$3,777,566
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-05-31Yes
Was there a failure to transmit to the plan any participant contributions2013-05-31No
Has the plan failed to provide any benefit when due under the plan2013-05-31No
Contributions received in cash from employer2013-05-31$9,776,032
Employer contributions (assets) at end of year2013-05-31$1,048,941
Employer contributions (assets) at beginning of year2013-05-31$796,175
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-05-31$423,657
Asset. Corporate debt instrument preferred debt at end of year2013-05-31$5,780,308
Asset. Corporate debt instrument preferred debt at beginning of year2013-05-31$6,030,118
Contract administrator fees2013-05-31$119,898
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-05-31No
Liabilities. Value of benefit claims payable at end of year2013-05-31$3,353,473
Liabilities. Value of benefit claims payable at beginning of year2013-05-31$3,786,168
Did the plan have assets held for investment2013-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-05-31No
Aggregate proceeds on sale of assets2013-05-31$5,458,777
Aggregate carrying amount (costs) on sale of assets2013-05-31$5,382,358
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-05-31No
Opinion of an independent qualified public accountant for this plan2013-05-31Unqualified
Accountancy firm name2013-05-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2013-05-31208149084
2012 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-05-31$82,882
Total unrealized appreciation/depreciation of assets2012-05-31$82,882
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$3,830,749
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$3,723,805
Total income from all sources (including contributions)2012-05-31$10,999,790
Total loss/gain on sale of assets2012-05-31$0
Total of all expenses incurred2012-05-31$9,780,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-05-31$9,468,847
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-05-31$10,624,333
Value of total assets at end of year2012-05-31$15,829,600
Value of total assets at beginning of year2012-05-31$14,503,480
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-05-31$311,767
Total interest from all sources2012-05-31$236,690
Total dividends received (eg from common stock, registered investment company shares)2012-05-31$29,168
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-05-31$29,168
Administrative expenses professional fees incurred2012-05-31$113,146
Was this plan covered by a fidelity bond2012-05-31Yes
Value of fidelity bond cover2012-05-31$500,000
If this is an individual account plan, was there a blackout period2012-05-31No
Were there any nonexempt tranactions with any party-in-interest2012-05-31No
Contributions received from participants2012-05-31$929,153
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-05-31$451,985
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-05-31$424,306
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-05-31$28,139
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-05-31$26,839
Other income not declared elsewhere2012-05-31$26,362
Administrative expenses (other) incurred2012-05-31$39,657
Liabilities. Value of operating payables at end of year2012-05-31$16,442
Liabilities. Value of operating payables at beginning of year2012-05-31$14,864
Total non interest bearing cash at end of year2012-05-31$892,192
Total non interest bearing cash at beginning of year2012-05-31$2,429,402
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Value of net income/loss2012-05-31$1,219,176
Value of net assets at end of year (total assets less liabilities)2012-05-31$11,998,851
Value of net assets at beginning of year (total assets less liabilities)2012-05-31$10,779,675
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-05-31No
Were any leases to which the plan was party in default or uncollectible2012-05-31No
Investment advisory and management fees2012-05-31$35,429
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-05-31$1,237,855
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-05-31$1,341,508
Income. Interest from US Government securities2012-05-31$89,010
Income. Interest from corporate debt instruments2012-05-31$142,088
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-05-31$2,643,709
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-05-31$2,456,741
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-05-31$2,456,741
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-05-31$5,592
Expenses. Payments to insurance carriers foe the provision of benefits2012-05-31$8,977,786
Asset value of US Government securities at end of year2012-05-31$3,777,566
Asset value of US Government securities at beginning of year2012-05-31$3,796,045
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-05-31$355
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-05-31Yes
Was there a failure to transmit to the plan any participant contributions2012-05-31No
Has the plan failed to provide any benefit when due under the plan2012-05-31No
Contributions received in cash from employer2012-05-31$9,695,180
Employer contributions (assets) at end of year2012-05-31$796,175
Employer contributions (assets) at beginning of year2012-05-31$894,502
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-05-31$491,061
Asset. Corporate debt instrument preferred debt at end of year2012-05-31$6,030,118
Asset. Corporate debt instrument preferred debt at beginning of year2012-05-31$3,160,976
Contract administrator fees2012-05-31$123,535
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-05-31No
Liabilities. Value of benefit claims payable at end of year2012-05-31$3,786,168
Liabilities. Value of benefit claims payable at beginning of year2012-05-31$3,682,102
Did the plan have assets held for investment2012-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-05-31No
Opinion of an independent qualified public accountant for this plan2012-05-31Unqualified
Accountancy firm name2012-05-31ANASTASI & MOORE, PLLC
Accountancy firm EIN2012-05-31208149084
2011 : MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-05-31$50,663
Total unrealized appreciation/depreciation of assets2011-05-31$50,663
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$3,723,805
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$4,311,116
Total income from all sources (including contributions)2011-05-31$11,080,687
Total loss/gain on sale of assets2011-05-31$3,734
Total of all expenses incurred2011-05-31$9,508,055
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-05-31$9,197,897
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-05-31$10,693,752
Value of total assets at end of year2011-05-31$14,503,480
Value of total assets at beginning of year2011-05-31$13,518,159
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-05-31$310,158
Total interest from all sources2011-05-31$272,658
Total dividends received (eg from common stock, registered investment company shares)2011-05-31$44,868
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-05-31$44,868
Administrative expenses professional fees incurred2011-05-31$105,822
Was this plan covered by a fidelity bond2011-05-31Yes
Value of fidelity bond cover2011-05-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-05-31No
Contributions received from participants2011-05-31$926,710
Income. Received or receivable in cash from other sources (including rollovers)2011-05-31$106,782
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-05-31$424,306
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-05-31$80,120
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-05-31$26,839
Other income not declared elsewhere2011-05-31$3,455
Administrative expenses (other) incurred2011-05-31$39,279
Liabilities. Value of operating payables at end of year2011-05-31$14,864
Liabilities. Value of operating payables at beginning of year2011-05-31$4,048
Total non interest bearing cash at end of year2011-05-31$2,429,402
Total non interest bearing cash at beginning of year2011-05-31$3,533,703
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Value of net income/loss2011-05-31$1,572,632
Value of net assets at end of year (total assets less liabilities)2011-05-31$10,779,675
Value of net assets at beginning of year (total assets less liabilities)2011-05-31$9,207,043
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-05-31No
Were any leases to which the plan was party in default or uncollectible2011-05-31No
Investment advisory and management fees2011-05-31$32,219
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-05-31$1,341,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-05-31$1,378,828
Income. Interest from US Government securities2011-05-31$118,297
Income. Interest from corporate debt instruments2011-05-31$141,914
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-05-31$2,456,741
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-05-31$1,180,013
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-05-31$1,180,013
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-05-31$12,447
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-05-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-05-31$9,195,131
Asset value of US Government securities at end of year2011-05-31$3,796,045
Asset value of US Government securities at beginning of year2011-05-31$3,690,491
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-05-31$11,557
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-05-31Yes
Was there a failure to transmit to the plan any participant contributions2011-05-31No
Has the plan failed to provide any benefit when due under the plan2011-05-31No
Contributions received in cash from employer2011-05-31$9,660,260
Employer contributions (assets) at end of year2011-05-31$894,502
Employer contributions (assets) at beginning of year2011-05-31$791,106
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-05-31$2,766
Asset. Corporate debt instrument preferred debt at end of year2011-05-31$3,160,976
Asset. Corporate debt instrument debt (other) at beginning of year2011-05-31$2,863,898
Contract administrator fees2011-05-31$132,838
Liabilities. Value of benefit claims payable at end of year2011-05-31$3,682,102
Liabilities. Value of benefit claims payable at beginning of year2011-05-31$4,307,068
Did the plan have assets held for investment2011-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-05-31No
Aggregate proceeds on sale of assets2011-05-31$1,410,784
Aggregate carrying amount (costs) on sale of assets2011-05-31$1,407,050
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-05-31No
Opinion of an independent qualified public accountant for this plan2011-05-31Unqualified
Accountancy firm name2011-05-31CLIFTONLARSONALLEN, LLP
Accountancy firm EIN2011-05-31410746749

Form 5500 Responses for MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND

2022: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2022 form 5500 responses
2022-06-01Type of plan entityMulti-employer plan
2022-06-01Plan is a collectively bargained planYes
2022-06-01Plan funding arrangement – TrustYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan benefit arrangement - TrustYes
2021: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2021 form 5500 responses
2021-06-01Type of plan entityMulti-employer plan
2021-06-01Plan is a collectively bargained planYes
2021-06-01Plan funding arrangement – TrustYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement - TrustYes
2020: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2020 form 5500 responses
2020-06-01Type of plan entityMulti-employer plan
2020-06-01Plan is a collectively bargained planYes
2020-06-01Plan funding arrangement – TrustYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement - TrustYes
2019: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2019 form 5500 responses
2019-06-01Type of plan entityMulti-employer plan
2019-06-01Plan is a collectively bargained planYes
2019-06-01Plan funding arrangement – TrustYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement - TrustYes
2018: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2018 form 5500 responses
2018-06-01Type of plan entityMulti-employer plan
2018-06-01Plan is a collectively bargained planYes
2018-06-01Plan funding arrangement – TrustYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement - TrustYes
2017: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2017 form 5500 responses
2017-06-01Type of plan entityMulti-employer plan
2017-06-01Submission has been amendedNo
2017-06-01This submission is the final filingNo
2017-06-01This return/report is a short plan year return/report (less than 12 months)No
2017-06-01Plan is a collectively bargained planYes
2017-06-01Plan funding arrangement – TrustYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement - TrustYes
2016: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2016 form 5500 responses
2016-06-01Type of plan entityMulti-employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planYes
2016-06-01Plan funding arrangement – TrustYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement - TrustYes
2015: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2015 form 5500 responses
2015-06-01Type of plan entityMulti-employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planYes
2015-06-01Plan funding arrangement – TrustYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement - TrustYes
2014: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2014 form 5500 responses
2014-06-01Type of plan entityMulti-employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planYes
2014-06-01Plan funding arrangement – TrustYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement - TrustYes
2013: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2013 form 5500 responses
2013-06-01Type of plan entityMulti-employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planYes
2013-06-01Plan funding arrangement – TrustYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement - TrustYes
2012: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2012 form 5500 responses
2012-06-01Type of plan entityMulti-employer plan
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planYes
2012-06-01Plan funding arrangement – TrustYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement - TrustYes
2011: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2011 form 5500 responses
2011-06-01Type of plan entityMulti-employer plan
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planYes
2011-06-01Plan funding arrangement – TrustYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement - TrustYes
2009: MONTANA OPERATING ENGINEERS CONSTRUCTION & MINING INDUSTRY HEALTH & SECURITY TRUST FUND 2009 form 5500 responses
2009-06-01Type of plan entityMulti-employer plan
2009-06-01Submission has been amendedNo
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planYes
2009-06-01Plan funding arrangement – TrustYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number949-5187
Policy instance 4
Insurance contract or identification number949-5187
Number of Individuals Covered772
Insurance policy start date2023-01-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $770,789
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17982
Policy instance 3
Insurance contract or identification number17982
Number of Individuals Covered753
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $397,787
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 numberG000PE10
Policy instance 2
Insurance contract or identification numberG000PE10
Number of Individuals Covered744
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $3,571
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $40,528
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,571
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number75767-9
Policy instance 1
Insurance contract or identification number75767-9
Number of Individuals Covered806
Insurance policy start date2022-06-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $75,043
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,072,043
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17982
Policy instance 3
Insurance contract or identification number17982
Number of Individuals Covered714
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $314,028
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 numberG000PE10
Policy instance 2
Insurance contract or identification numberG000PE10
Number of Individuals Covered722
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $3,358
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $37,515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,358
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10415
Policy instance 1
Insurance contract or identification numberSL10415
Number of Individuals Covered752
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $93,220
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,580,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $93,220
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10415
Policy instance 1
Insurance contract or identification numberSL10415
Number of Individuals Covered737
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $74,456
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,489,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,456
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000PE10
Policy instance 2
Insurance contract or identification numberG000PE10
Number of Individuals Covered703
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $3,403
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $39,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,403
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17982
Policy instance 3
Insurance contract or identification number17982
Number of Individuals Covered718
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $347,375
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17982
Policy instance 3
Insurance contract or identification number17982
Number of Individuals Covered2265
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $410,631
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 numberG000PE10
Policy instance 2
Insurance contract or identification numberG000PE10
Number of Individuals Covered787
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $3,706
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $44,446
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,706
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberSE4E50071
Policy instance 1
Insurance contract or identification numberSE4E50071
Number of Individuals Covered819
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $78,653
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,573,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $78,653
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17982
Policy instance 3
Insurance contract or identification number17982
Number of Individuals Covered844
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $406,667
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 numberG000PE10
Policy instance 2
Insurance contract or identification numberG000PE10
Number of Individuals Covered839
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $3,769
Total amount of fees paid to insurance companyUSD $2,256
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $44,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,769
Amount paid for insurance broker fees2256
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberSE4E50071
Policy instance 1
Insurance contract or identification numberSE4E50071
Number of Individuals Covered865
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $84,456
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,689,113
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $84,456
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0PE10
Policy instance 3
Insurance contract or identification numberGLUG0PE10
Number of Individuals Covered793
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $3,651
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
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 $43,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number9474624
Policy instance 2
Insurance contract or identification number9474624
Number of Individuals Covered885
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $73,147
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,462,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17982
Policy instance 1
Insurance contract or identification number17982
Number of Individuals Covered801
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $394,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-5187
Policy instance 1
Insurance contract or identification number949-5187
Number of Individuals Covered979
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $49,361
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $987,214
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,361
Insurance broker organization code?3
Insurance broker nameINTERREMEDY INSURANCE SERVICES, LLC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGOOOPE10
Policy instance 2
Insurance contract or identification numberGOOOPE10
Number of Individuals Covered867
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $3,944
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISABILITY
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 $49,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,944
Insurance broker organization code?3
Insurance broker nameBRATRUD MIDDLETON INS BROKERS INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGOOOPE10
Policy instance 1
Insurance contract or identification numberGOOOPE10
Number of Individuals Covered890
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $3,984
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $49,012
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,984
Insurance broker organization code?3
Insurance broker nameBRATRUD MIDDLETON INS BROKERS INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGOOOPE10
Policy instance 1
Insurance contract or identification numberGOOOPE10
Number of Individuals Covered857
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $3,703
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $37,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,703
Insurance broker organization code?3
Insurance broker nameBRATRUD MIDDLETON INSURANCE
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX56662
Policy instance 2
Insurance contract or identification numberX56662
Number of Individuals Covered999
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedPPO, INDEMNITY
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX56662
Policy instance 2
Insurance contract or identification numberX56662
Number of Individuals Covered969
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedPPO, INDEMNITY
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 numberGUG PE10
Policy instance 1
Insurance contract or identification numberGUG PE10
Number of Individuals Covered820
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $2,990
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $30,854
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,990
Insurance broker organization code?3
Insurance broker nameBRATRUD MIDDLETON INSURANCE
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG PE10
Policy instance 1
Insurance contract or identification numberGUG PE10
Number of Individuals Covered963
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $3,043
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $30,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX56662
Policy instance 2
Insurance contract or identification numberX56662
Number of Individuals Covered1036
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedPPO, INDEMNITY
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 numberGLUG PE10
Policy instance 2
Insurance contract or identification numberGLUG PE10
Number of Individuals Covered974
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $8,102
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MONTANA (National Association of Insurance Commissioners NAIC id number: 53686 )
Policy contract numberX56662
Policy instance 3
Insurance contract or identification numberX56662
Number of Individuals Covered1184
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $5,753
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 numberGUG PE10
Policy instance 1
Insurance contract or identification numberGUG PE10
Number of Individuals Covered974
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $6,089
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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