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TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN 401k Plan overview

Plan NameTAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN
Plan identification number 501

TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN Benefits

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

401k Sponsoring company profile

TRUSTEES OF LOCAL 754 AND TAMPA POLICE BENEVOLENT ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES OF LOCAL 754 AND TAMPA POLICE BENEVOLENT ASSOCIATION
Employer identification number (EIN):856152252
NAIC Classification:921000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01ANDREW CARTER2022-06-15
5012020-01-01ANDREW CARTER2021-09-27

Plan Statistics for TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN

401k plan membership statisitcs for TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN

Measure Date Value
2022: TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,541
Total number of active participants reported on line 7a of the Form 55002022-01-011,536
Number of retired or separated participants receiving benefits2022-01-0148
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,584
Total participants2022-01-011,584
2021: TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-010
Total of all active and inactive participants2021-01-010
Total participants2021-01-010
Number of employers contributing to the scheme2021-01-011
2020: TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-010
Total number of active participants reported on line 7a of the Form 55002020-01-010
Total of all active and inactive participants2020-01-010
Total participants2020-01-010

Financial Data on TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN

Measure Date Value
2022 : TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-108,264
Total unrealized appreciation/depreciation of assets2022-12-31$-108,264
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$116,381
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$11,286
Total income from all sources (including contributions)2022-12-31$22,531,790
Total loss/gain on sale of assets2022-12-31$-39,960
Total of all expenses incurred2022-12-31$18,921,837
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$18,356,794
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$22,636,105
Value of total assets at end of year2022-12-31$7,158,272
Value of total assets at beginning of year2022-12-31$3,443,224
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$565,043
Total interest from all sources2022-12-31$43,909
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$243,001
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$6,871,593
Participant contributions at end of year2022-12-31$192,733
Assets. Other investments not covered elsewhere at end of year2022-12-31$1,867,525
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$8,649
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$294,952
Administrative expenses (other) incurred2022-12-31$66,951
Liabilities. Value of operating payables at end of year2022-12-31$116,381
Liabilities. Value of operating payables at beginning of year2022-12-31$11,286
Total non interest bearing cash at end of year2022-12-31$2,113,998
Total non interest bearing cash at beginning of year2022-12-31$1,479,399
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$3,609,953
Value of net assets at end of year (total assets less liabilities)2022-12-31$7,041,891
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$3,431,938
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
Investment advisory and management fees2022-12-31$5,484
Interest earned on other investments2022-12-31$917
Income. Interest from US Government securities2022-12-31$11,523
Income. Interest from corporate debt instruments2022-12-31$30,617
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$27,509
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$35,300
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$35,300
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$852
Asset value of US Government securities at end of year2022-12-31$1,336,240
Asset value of US Government securities at beginning of year2022-12-31$721,306
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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$15,764,512
Employer contributions (assets) at beginning of year2022-12-31$7,793
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$18,356,794
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$1,325,315
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$1,190,777
Contract administrator fees2022-12-31$249,607
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2022-12-31$2,824,606
Aggregate carrying amount (costs) on sale of assets2022-12-31$2,864,566
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31LAPADULA CARLSON & CO
Accountancy firm EIN2022-12-31650292391
2021 : TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-56,951
Total unrealized appreciation/depreciation of assets2021-12-31$-56,951
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$11,286
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,200,444
Total income from all sources (including contributions)2021-12-31$20,406,804
Total of all expenses incurred2021-12-31$18,948,800
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$18,439,813
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$20,422,785
Value of total assets at end of year2021-12-31$3,443,224
Value of total assets at beginning of year2021-12-31$3,174,378
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$508,987
Total interest from all sources2021-12-31$40,970
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$87,100
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
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
Contributions received from participants2021-12-31$5,884,433
Assets. Other investments not covered elsewhere at end of year2021-12-31$8,649
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$1,199,291
Administrative expenses (other) incurred2021-12-31$178,760
Liabilities. Value of operating payables at end of year2021-12-31$11,286
Liabilities. Value of operating payables at beginning of year2021-12-31$1,153
Total non interest bearing cash at end of year2021-12-31$1,479,399
Total non interest bearing cash at beginning of year2021-12-31$1,199,621
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$1,458,004
Value of net assets at end of year (total assets less liabilities)2021-12-31$3,431,938
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,973,934
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
Investment advisory and management fees2021-12-31$6,252
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$35,300
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,974,757
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,974,757
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$40,970
Asset value of US Government securities at end of year2021-12-31$721,306
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$14,538,352
Employer contributions (assets) at end of year2021-12-31$7,793
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$18,439,813
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$1,190,777
Contract administrator fees2021-12-31$236,875
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2021-12-31LAPADULA CARLSON & CO
Accountancy firm EIN2021-12-31650292391
2020 : TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,200,444
Total income from all sources (including contributions)2020-12-31$2,074,757
Total of all expenses incurred2020-12-31$100,823
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,074,742
Value of total assets at end of year2020-12-31$3,174,378
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$100,823
Total interest from all sources2020-12-31$15
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$45,500
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$1,199,291
Administrative expenses (other) incurred2020-12-31$15,998
Liabilities. Value of operating payables at end of year2020-12-31$1,153
Total non interest bearing cash at end of year2020-12-31$3,174,378
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$1,973,934
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,973,934
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
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$15
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
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$2,074,742
Contract administrator fees2020-12-31$39,325
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2020-12-31LAPADULA CARLSON & CO
Accountancy firm EIN2020-12-31650292391

Form 5500 Responses for TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN

2022: TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: TAMPA FIREFIGHTERS AND POLICE OFFICERS EMPLOYERS HELATH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number921917
Policy instance 1
Insurance contract or identification number921917
Number of Individuals Covered1584
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,019,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number
Policy instance 2
Number of Individuals Covered1498
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $930,308
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number
Policy instance 3
Number of Individuals Covered1041
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $222,521
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number921917
Policy instance 1
Insurance contract or identification number921917
Number of Individuals Covered1387
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,840,044
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number
Policy instance 2
Number of Individuals Covered580
Insurance policy start date2021-12-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $875,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number
Policy instance 3
Number of Individuals Covered580
Insurance policy start date2021-12-01
Insurance policy end date2022-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $212,073
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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