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WORKING WATERFRONT COALITION HEALTH TRUST PLAN 401k Plan overview

Plan NameWORKING WATERFRONT COALITION HEALTH TRUST PLAN
Plan identification number 501

WORKING WATERFRONT COALITION HEALTH TRUST PLAN Benefits

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

401k Sponsoring company profile

WORKING WATERFRONT COALITION HEALTH TRUST has sponsored the creation of one or more 401k plans.

Company Name:WORKING WATERFRONT COALITION HEALTH TRUST
Employer identification number (EIN):851457938
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WORKING WATERFRONT COALITION HEALTH TRUST PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01JIM KYLE
5012023-01-01
5012023-01-01JIM KYLE
5012022-01-01
5012022-01-01JIM KYLE
5012021-01-01
5012021-01-01JIM KYLE
5012020-10-01

Financial Data on WORKING WATERFRONT COALITION HEALTH TRUST PLAN

Measure Date Value
2023 : WORKING WATERFRONT COALITION HEALTH TRUST PLAN 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$76,288
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$97,405
Total income from all sources (including contributions)2023-12-31$3,840,146
Total of all expenses incurred2023-12-31$3,808,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$3,360,546
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$3,839,924
Value of total assets at end of year2023-12-31$98,794
Value of total assets at beginning of year2023-12-31$88,145
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$447,834
Total interest from all sources2023-12-31$222
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$100,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$15,429
Participant contributions at end of year2023-12-31$1,550
Participant contributions at beginning of year2023-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$6,164
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$6,499
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$65,533
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$79,820
Administrative expenses (other) incurred2023-12-31$298,140
Liabilities. Value of operating payables at end of year2023-12-31$5,532
Liabilities. Value of operating payables at beginning of year2023-12-31$17,585
Total non interest bearing cash at end of year2023-12-31$10,139
Total non interest bearing cash at beginning of year2023-12-31$79,428
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$31,766
Value of net assets at end of year (total assets less liabilities)2023-12-31$22,506
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$-9,260
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$79,251
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$222
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$3,360,546
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$3,824,495
Employer contributions (assets) at end of year2023-12-31$1,690
Employer contributions (assets) at beginning of year2023-12-31$2,218
Contract administrator fees2023-12-31$134,757
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-12-31No
Liabilities. Value of benefit claims payable at end of year2023-12-31$5,223
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$0
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31SCHOEDEL & SCHOEDEL, CPAS PLLC
Accountancy firm EIN2023-12-31910614823
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$76,288
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$97,405
Total income from all sources (including contributions)2023-01-01$3,840,146
Total of all expenses incurred2023-01-01$3,808,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$3,360,546
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$3,839,924
Value of total assets at end of year2023-01-01$98,794
Value of total assets at beginning of year2023-01-01$88,145
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$447,834
Total interest from all sources2023-01-01$222
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$100,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$15,429
Participant contributions at end of year2023-01-01$1,550
Participant contributions at beginning of year2023-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-01$6,164
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-01-01$6,499
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-01-01$65,533
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-01-01$79,820
Administrative expenses (other) incurred2023-01-01$298,140
Liabilities. Value of operating payables at end of year2023-01-01$5,532
Liabilities. Value of operating payables at beginning of year2023-01-01$17,585
Total non interest bearing cash at end of year2023-01-01$10,139
Total non interest bearing cash at beginning of year2023-01-01$79,428
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$31,766
Value of net assets at end of year (total assets less liabilities)2023-01-01$22,506
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$-9,260
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-01-01$79,251
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-01$222
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$3,360,546
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$3,824,495
Employer contributions (assets) at end of year2023-01-01$1,690
Employer contributions (assets) at beginning of year2023-01-01$2,218
Contract administrator fees2023-01-01$134,757
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-01-01No
Liabilities. Value of benefit claims payable at end of year2023-01-01$5,223
Liabilities. Value of benefit claims payable at beginning of year2023-01-01$0
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01SCHOEDEL & SCHOEDEL, CPAS PLLC
Accountancy firm EIN2023-01-01910614823
2022 : WORKING WATERFRONT COALITION HEALTH TRUST PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$97,405
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$68,685
Total income from all sources (including contributions)2022-12-31$1,208,958
Total of all expenses incurred2022-12-31$1,204,604
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,051,840
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,208,958
Value of total assets at end of year2022-12-31$88,145
Value of total assets at beginning of year2022-12-31$55,071
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$152,764
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$101,367
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$100,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$23,365
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$6,499
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$4,075
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$79,820
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$34,254
Administrative expenses (other) incurred2022-12-31$8,831
Liabilities. Value of operating payables at end of year2022-12-31$17,585
Liabilities. Value of operating payables at beginning of year2022-12-31$27,476
Total non interest bearing cash at end of year2022-12-31$79,428
Total non interest bearing cash at beginning of year2022-12-31$44,718
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$4,354
Value of net assets at end of year (total assets less liabilities)2022-12-31$-9,260
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$-13,614
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,051,840
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,185,593
Employer contributions (assets) at end of year2022-12-31$2,218
Employer contributions (assets) at beginning of year2022-12-31$6,278
Contract administrator fees2022-12-31$42,566
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$6,955
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31SCHOEDEL & SCHOEDEL, CPAS PLLC
Accountancy firm EIN2022-12-31910614823
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$97,405
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$68,685
Total income from all sources (including contributions)2022-01-01$1,208,958
Total of all expenses incurred2022-01-01$1,204,604
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$1,051,840
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$1,208,958
Value of total assets at end of year2022-01-01$88,145
Value of total assets at beginning of year2022-01-01$55,071
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$152,764
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Administrative expenses professional fees incurred2022-01-01$101,367
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$100,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$23,365
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$6,499
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-01$4,075
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-01$79,820
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-01$34,254
Administrative expenses (other) incurred2022-01-01$8,831
Liabilities. Value of operating payables at end of year2022-01-01$17,585
Liabilities. Value of operating payables at beginning of year2022-01-01$27,476
Total non interest bearing cash at end of year2022-01-01$79,428
Total non interest bearing cash at beginning of year2022-01-01$44,718
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$4,354
Value of net assets at end of year (total assets less liabilities)2022-01-01$-9,260
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$-13,614
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-01$1,051,840
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$1,185,593
Employer contributions (assets) at end of year2022-01-01$2,218
Employer contributions (assets) at beginning of year2022-01-01$6,278
Contract administrator fees2022-01-01$42,566
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-01-01No
Liabilities. Value of benefit claims payable at end of year2022-01-01$0
Liabilities. Value of benefit claims payable at beginning of year2022-01-01$6,955
Did the plan have assets held for investment2022-01-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01SCHOEDEL & SCHOEDEL, CPAS PLLC
Accountancy firm EIN2022-01-01910614823
2021 : WORKING WATERFRONT COALITION HEALTH TRUST PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$68,685
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$20,309
Total income from all sources (including contributions)2021-12-31$820,155
Total of all expenses incurred2021-12-31$827,377
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$719,882
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$820,155
Value of total assets at end of year2021-12-31$55,071
Value of total assets at beginning of year2021-12-31$13,917
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$107,495
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$69,619
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$100,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$4,075
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$4,175
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$34,254
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$7,454
Administrative expenses (other) incurred2021-12-31$8,824
Liabilities. Value of operating payables at end of year2021-12-31$27,476
Liabilities. Value of operating payables at beginning of year2021-12-31$11,683
Total non interest bearing cash at end of year2021-12-31$44,718
Total non interest bearing cash at beginning of year2021-12-31$8,627
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-7,222
Value of net assets at end of year (total assets less liabilities)2021-12-31$-13,614
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$-6,392
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$719,882
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$820,155
Employer contributions (assets) at end of year2021-12-31$6,278
Employer contributions (assets) at beginning of year2021-12-31$1,115
Contract administrator fees2021-12-31$29,052
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$6,955
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$1,172
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31SCHOEDEL & SCHOEDEL, CPAS PLLC
Accountancy firm EIN2021-12-31910614823
2020 : WORKING WATERFRONT COALITION HEALTH TRUST PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$20,309
Total income from all sources (including contributions)2020-12-31$37,950
Total of all expenses incurred2020-12-31$44,342
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$32,846
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$37,930
Value of total assets at end of year2020-12-31$13,917
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$11,496
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$5,582
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$100,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$4,175
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$7,454
Other income not declared elsewhere2020-12-31$20
Administrative expenses (other) incurred2020-12-31$4,600
Liabilities. Value of operating payables at end of year2020-12-31$11,683
Total non interest bearing cash at end of year2020-12-31$8,627
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-6,392
Value of net assets at end of year (total assets less liabilities)2020-12-31$-6,392
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$32,846
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$37,930
Employer contributions (assets) at end of year2020-12-31$1,115
Contract administrator fees2020-12-31$1,314
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$1,172
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31SCHOEDEL & SCHOEDEL, CPAS PLLC
Accountancy firm EIN2020-12-31910614823

Form 5500 Responses for WORKING WATERFRONT COALITION HEALTH TRUST PLAN

2023: WORKING WATERFRONT COALITION HEALTH TRUST PLAN 2023 form 5500 responses
2023-01-01Type of plan entityMulitple employer plan
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: WORKING WATERFRONT COALITION HEALTH TRUST PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: WORKING WATERFRONT COALITION HEALTH TRUST PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: WORKING WATERFRONT COALITION HEALTH TRUST PLAN 2020 form 5500 responses
2020-10-01Type of plan entityMulitple employer plan
2020-10-01First time form 5500 has been submittedYes
2020-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberGRP00005906
Policy instance 4
Insurance contract or identification numberGRP00005906
Number of Individuals Covered493
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $13,553
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30044146
Policy instance 3
Insurance contract or identification number30044146
Number of Individuals Covered244
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number09681-09686
Policy instance 2
Insurance contract or identification number09681-09686
Number of Individuals Covered341
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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 $160,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000140
Policy instance 1
Insurance contract or identification number100000140
Number of Individuals Covered687
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,171,264
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberGRP00005906
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30044146
Policy instance 3
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number09681-09686
Policy instance 2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000140
Policy instance 1
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberGRP00005906
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30044146
Policy instance 3
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number09681-09686
Policy instance 2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000140
Policy instance 1
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberGRP00005906
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30044146
Policy instance 3
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number09681-09686
Policy instance 2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number100000140
Policy instance 1

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