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UGSOA HEALTH AND WELFARE TRUST FUND 401k Plan overview

Plan NameUGSOA HEALTH AND WELFARE TRUST FUND
Plan identification number 501

UGSOA HEALTH AND WELFARE 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)

401k Sponsoring company profile

TRUSTEES - UGSOA HEALTH AND WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES - UGSOA HEALTH AND WELFARE FUND
Employer identification number (EIN):824038622
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UGSOA HEALTH AND WELFARE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01
5012021-07-01
5012020-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01

Plan Statistics for UGSOA HEALTH AND WELFARE TRUST FUND

401k plan membership statisitcs for UGSOA HEALTH AND WELFARE TRUST FUND

Measure Date Value
2021: UGSOA HEALTH AND WELFARE TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-07-01876
Total number of active participants reported on line 7a of the Form 55002021-07-01954
Total of all active and inactive participants2021-07-01954
Number of employers contributing to the scheme2021-07-0119
2020: UGSOA HEALTH AND WELFARE TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-07-011,037
Total number of active participants reported on line 7a of the Form 55002020-07-01876
Total of all active and inactive participants2020-07-01876
Number of employers contributing to the scheme2020-07-0119
2019: UGSOA HEALTH AND WELFARE TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-07-011,601
Total number of active participants reported on line 7a of the Form 55002019-07-01928
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-01928
Number of employers contributing to the scheme2019-07-0123
2018: UGSOA HEALTH AND WELFARE TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-07-01765
Total number of active participants reported on line 7a of the Form 55002018-07-01901
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01901
Number of employers contributing to the scheme2018-07-0123
2017: UGSOA HEALTH AND WELFARE TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-07-010
Total number of active participants reported on line 7a of the Form 55002017-07-01765
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01765
Number of employers contributing to the scheme2017-07-0123

Financial Data on UGSOA HEALTH AND WELFARE TRUST FUND

Measure Date Value
2022 : UGSOA HEALTH AND WELFARE TRUST FUND 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$1,413,519
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$1,949,733
Total income from all sources (including contributions)2022-06-30$9,458,949
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$8,895,153
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$7,918,111
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$9,090,370
Value of total assets at end of year2022-06-30$1,913,506
Value of total assets at beginning of year2022-06-30$1,885,924
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$977,042
Total interest from all sources2022-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$518,807
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$102,343
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$28,699
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$299,822
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$233,576
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$457,752
Other income not declared elsewhere2022-06-30$368,579
Administrative expenses (other) incurred2022-06-30$52,412
Liabilities. Value of operating payables at end of year2022-06-30$555,264
Liabilities. Value of operating payables at beginning of year2022-06-30$1,082,782
Total non interest bearing cash at end of year2022-06-30$1,267,907
Total non interest bearing cash at beginning of year2022-06-30$86,259
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$563,796
Value of net assets at end of year (total assets less liabilities)2022-06-30$499,987
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$-63,809
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$590,973
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$590,973
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$1,572,532
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30Yes
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$8,988,027
Employer contributions (assets) at end of year2022-06-30$579,459
Employer contributions (assets) at beginning of year2022-06-30$908,870
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$6,345,579
Contract administrator fees2022-06-30$405,823
Liabilities. Value of benefit claims payable at end of year2022-06-30$624,679
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$409,199
Assets. Value of buildings and other operty used in plan operation at end of year2022-06-30$37,441
Did the plan have assets held for investment2022-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2022-06-30510435869
2021 : UGSOA HEALTH AND WELFARE TRUST FUND 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$1,034,864
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$1,992,646
Total income from all sources (including contributions)2021-06-30$9,541,491
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$10,203,400
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$9,303,524
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$9,170,603
Value of total assets at end of year2021-06-30$1,885,924
Value of total assets at beginning of year2021-06-30$3,505,615
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$899,876
Total interest from all sources2021-06-30$630
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$66,433
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$1,005,702
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$299,822
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$301,046
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-06-30$53,622
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$111,037
Other income not declared elsewhere2021-06-30$370,258
Administrative expenses (other) incurred2021-06-30$296,059
Liabilities. Value of operating payables at end of year2021-06-30$572,043
Liabilities. Value of operating payables at beginning of year2021-06-30$1,035,226
Total non interest bearing cash at end of year2021-06-30$86,259
Total non interest bearing cash at beginning of year2021-06-30$376,663
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$-661,909
Value of net assets at end of year (total assets less liabilities)2021-06-30$851,060
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$1,512,969
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$3,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$590,973
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$1,917,241
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$1,917,241
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$630
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$1,659,474
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30Yes
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$8,164,901
Employer contributions (assets) at end of year2021-06-30$908,870
Employer contributions (assets) at beginning of year2021-06-30$910,665
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$7,644,050
Contract administrator fees2021-06-30$534,384
Liabilities. Value of benefit claims payable at end of year2021-06-30$409,199
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$846,383
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2021-06-30510435869
2020 : UGSOA HEALTH AND WELFARE TRUST FUND 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$1,992,646
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$1,805,287
Total income from all sources (including contributions)2020-06-30$8,610,529
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$7,179,139
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$6,413,470
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$8,276,087
Value of total assets at end of year2020-06-30$3,505,615
Value of total assets at beginning of year2020-06-30$1,886,866
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$765,669
Total interest from all sources2020-06-30$10,346
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Administrative expenses professional fees incurred2020-06-30$90,740
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$614,685
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$301,046
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$275,711
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$111,037
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$203,069
Other income not declared elsewhere2020-06-30$324,096
Administrative expenses (other) incurred2020-06-30$179,924
Liabilities. Value of operating payables at end of year2020-06-30$1,035,226
Liabilities. Value of operating payables at beginning of year2020-06-30$565,249
Total non interest bearing cash at end of year2020-06-30$376,663
Total non interest bearing cash at beginning of year2020-06-30$340,693
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$1,431,390
Value of net assets at end of year (total assets less liabilities)2020-06-30$1,512,969
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$81,579
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$3,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$1,917,241
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$669,730
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$669,730
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$10,346
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$1,844,764
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30Yes
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$7,661,402
Employer contributions (assets) at end of year2020-06-30$910,665
Employer contributions (assets) at beginning of year2020-06-30$600,732
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$4,568,706
Contract administrator fees2020-06-30$492,005
Liabilities. Value of benefit claims payable at end of year2020-06-30$846,383
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$1,036,969
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2020-06-30510435869
2019 : UGSOA HEALTH AND WELFARE TRUST FUND 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$1,805,287
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$1,064,401
Total income from all sources (including contributions)2019-06-30$8,192,712
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$8,329,453
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$7,647,429
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$8,186,546
Value of total assets at end of year2019-06-30$1,886,866
Value of total assets at beginning of year2019-06-30$1,282,721
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$682,024
Total interest from all sources2019-06-30$6,106
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$75,908
Was this plan covered by a fidelity bond2019-06-30No
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$1,277,121
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$275,711
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$562,238
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-06-30$203,069
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-06-30$164,035
Other income not declared elsewhere2019-06-30$60
Administrative expenses (other) incurred2019-06-30$143,510
Liabilities. Value of operating payables at end of year2019-06-30$565,249
Liabilities. Value of operating payables at beginning of year2019-06-30$277,533
Total non interest bearing cash at end of year2019-06-30$340,693
Total non interest bearing cash at beginning of year2019-06-30$450,485
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-136,741
Value of net assets at end of year (total assets less liabilities)2019-06-30$81,579
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$218,320
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$40
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$669,730
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$6,106
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$1,793,284
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30Yes
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$6,909,425
Employer contributions (assets) at end of year2019-06-30$600,732
Employer contributions (assets) at beginning of year2019-06-30$269,998
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$5,854,145
Contract administrator fees2019-06-30$462,566
Liabilities. Value of benefit claims payable at end of year2019-06-30$1,036,969
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$622,833
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2019-06-30510435869
2018 : UGSOA HEALTH AND WELFARE TRUST FUND 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$1,064,401
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$6,473,252
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$6,254,932
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$5,469,167
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$6,273,252
Value of total assets at end of year2018-06-30$1,282,721
Value of total assets at beginning of year2018-06-30$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$785,765
Total interest from all sources2018-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$144,517
Was this plan covered by a fidelity bond2018-06-30No
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$897,846
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$562,238
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-06-30$164,035
Other income not declared elsewhere2018-06-30$200,000
Administrative expenses (other) incurred2018-06-30$326,299
Liabilities. Value of operating payables at end of year2018-06-30$277,533
Liabilities. Value of operating payables at beginning of year2018-06-30$0
Total non interest bearing cash at end of year2018-06-30$450,485
Total non interest bearing cash at beginning of year2018-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$218,320
Value of net assets at end of year (total assets less liabilities)2018-06-30$218,320
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$1,416,009
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$5,375,406
Employer contributions (assets) at end of year2018-06-30$269,998
Employer contributions (assets) at beginning of year2018-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$4,053,158
Contract administrator fees2018-06-30$314,949
Liabilities. Value of benefit claims payable at end of year2018-06-30$622,833
Did the plan have assets held for investment2018-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2018-06-30510435869

Form 5500 Responses for UGSOA HEALTH AND WELFARE TRUST FUND

2021: UGSOA HEALTH AND WELFARE TRUST FUND 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: UGSOA HEALTH AND WELFARE TRUST FUND 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: UGSOA HEALTH AND WELFARE TRUST FUND 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: UGSOA HEALTH AND WELFARE TRUST FUND 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: UGSOA HEALTH AND WELFARE TRUST FUND 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01First time form 5500 has been submittedYes
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000T9339/000T94
Policy instance 1
Insurance contract or identification number000T9339/000T94
Number of Individuals Covered954
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $97,451
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees70000
Additional information about fees paid to insurance brokerFEES PAID TO BSI
Insurance broker organization code?5
GREAT MIDWEST INSURANCE COMPANY- SKYWARD INSURANCE (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract numberMSL 2021 10452
Policy instance 1
Insurance contract or identification numberMSL 2021 10452
Number of Individuals Covered831
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 $732,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000T9339/000T94
Policy instance 2
Insurance contract or identification number000T9339/000T94
Number of Individuals Covered1156
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $92,631
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 BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees67622
Additional information about fees paid to insurance brokerFEES PAID TO BSI
Insurance broker organization code?5
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000T9339/000T94
Policy instance 1
Insurance contract or identification number000T9339/000T94
Number of Individuals Covered1289
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $99,079
Total amount of fees paid to insurance companyUSD $451
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 BenefitYes
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 $1,659,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $71,446
Insurance broker organization code?5
Amount paid for insurance broker fees451
Additional information about fees paid to insurance brokerFEES PAID TO BENEFIT SOURCE.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000T9339/000T94
Policy instance 1
Insurance contract or identification number000T9339/000T94
Number of Individuals Covered1288
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $83,232
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 BenefitYes
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 $1,844,764
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $82,882
Insurance broker organization code?5
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000T9339/000T94
Policy instance 1
Insurance contract or identification number000T9339/000T94
Number of Individuals Covered105
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $3,800
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 BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $34,617
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,800
Insurance broker organization code?5
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000T9339/000T94
Policy instance 1
Insurance contract or identification number000T9339/000T94
Number of Individuals Covered1163
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $76,588
Total amount of fees paid to insurance companyUSD $9,341
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 BenefitYes
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 $1,416,009
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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