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IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 401k Plan overview

Plan NameIBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND
Plan identification number 501

IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W 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)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

BOARD OF TRUSTEES IBEW LOCAL NO 640 & ARIZONA CHAPTER NECA H&W has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES IBEW LOCAL NO 640 & ARIZONA CHAPTER NECA H&W
Employer identification number (EIN):866052414
NAIC Classification:238210
NAIC Description:Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01DEBRA MARGRAF DEAN WINE2018-10-05
5012016-01-01DEBRA MARGRAF DEAN WINE2017-10-16
5012015-01-01DEBRA MARGRAF DEAN WINE2016-09-26
5012014-01-01DEBRA MARGRAF DEAN WINE2015-09-30
5012013-01-01DEAN WINE DEBRA MARGRAF2014-10-06
5012012-01-01PATRICK CAMPBELL DEAN WINE, UNION TRUSTEE2013-09-26
5012011-01-01PATRICK CAMPBELL DEAN WINE UNION TRUSTEE2012-10-03
5012010-01-01DEBRA MARGRAF MGT TRUSTEE DEAN WINE UNION TRUSTEE2011-10-03
5012009-01-01DEBRA MARGRAF MGT TRUSTEE DEAN WINE UNION TRUSTEE2010-10-13

Plan Statistics for IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND

401k plan membership statisitcs for IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND

Measure Date Value
2022: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2022 401k membership
Total participants, beginning-of-year2022-01-012,123
Total number of active participants reported on line 7a of the Form 55002022-01-011,592
Number of retired or separated participants receiving benefits2022-01-01137
Total of all active and inactive participants2022-01-011,729
Total participants2022-01-011,729
Number of employers contributing to the scheme2022-01-01121
2021: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-01-011,507
Total number of active participants reported on line 7a of the Form 55002021-01-011,971
Number of retired or separated participants receiving benefits2021-01-01152
Total of all active and inactive participants2021-01-012,123
Total participants2021-01-012,123
Number of employers contributing to the scheme2021-01-0140
2020: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-01-011,507
Total number of active participants reported on line 7a of the Form 55002020-01-011,346
Number of retired or separated participants receiving benefits2020-01-01161
Total of all active and inactive participants2020-01-011,507
Total participants2020-01-011,507
Number of employers contributing to the scheme2020-01-0153
2019: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-01-011,728
Total number of active participants reported on line 7a of the Form 55002019-01-011,346
Number of retired or separated participants receiving benefits2019-01-01161
Total of all active and inactive participants2019-01-011,507
Total participants2019-01-011,507
Number of employers contributing to the scheme2019-01-0156
2018: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-01-011,272
Total number of active participants reported on line 7a of the Form 55002018-01-011,561
Number of retired or separated participants receiving benefits2018-01-01167
Total of all active and inactive participants2018-01-011,728
Total participants2018-01-011,728
Number of employers contributing to the scheme2018-01-0146
2017: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-01-011,287
Total number of active participants reported on line 7a of the Form 55002017-01-011,091
Number of retired or separated participants receiving benefits2017-01-01181
Total of all active and inactive participants2017-01-011,272
Total participants2017-01-011,272
Number of employers contributing to the scheme2017-01-0146
2016: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2016 401k membership
Total participants, beginning-of-year2016-01-011,172
Total number of active participants reported on line 7a of the Form 55002016-01-011,106
Number of retired or separated participants receiving benefits2016-01-01181
Total of all active and inactive participants2016-01-011,287
Total participants2016-01-011,287
Number of employers contributing to the scheme2016-01-0181
2015: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2015 401k membership
Total participants, beginning-of-year2015-01-011,743
Total number of active participants reported on line 7a of the Form 55002015-01-01944
Number of retired or separated participants receiving benefits2015-01-01228
Total of all active and inactive participants2015-01-011,172
Total participants2015-01-011,172
Number of employers contributing to the scheme2015-01-0156
2014: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2014 401k membership
Total participants, beginning-of-year2014-01-011,824
Total number of active participants reported on line 7a of the Form 55002014-01-011,743
Total of all active and inactive participants2014-01-011,743
Total participants2014-01-011,743
Number of employers contributing to the scheme2014-01-0156
2013: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2013 401k membership
Total participants, beginning-of-year2013-01-011,893
Total number of active participants reported on line 7a of the Form 55002013-01-011,824
Total of all active and inactive participants2013-01-011,824
Total participants2013-01-011,824
Number of employers contributing to the scheme2013-01-0146
2012: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2012 401k membership
Total participants, beginning-of-year2012-01-011,870
Total number of active participants reported on line 7a of the Form 55002012-01-011,893
Total of all active and inactive participants2012-01-011,893
Total participants2012-01-010
Number of employers contributing to the scheme2012-01-0146
2011: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2011 401k membership
Total participants, beginning-of-year2011-01-011,539
Total number of active participants reported on line 7a of the Form 55002011-01-011,870
Total of all active and inactive participants2011-01-011,870
Total participants2011-01-011,870
Number of employers contributing to the scheme2011-01-0149
2010: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2010 401k membership
Total participants, beginning-of-year2010-01-011,216
Total number of active participants reported on line 7a of the Form 55002010-01-011,539
Total of all active and inactive participants2010-01-011,539
Total participants2010-01-011,539
Number of employers contributing to the scheme2010-01-0158
2009: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2009 401k membership
Total participants, beginning-of-year2009-01-011,346
Total number of active participants reported on line 7a of the Form 55002009-01-011,216
Total of all active and inactive participants2009-01-011,216
Total participants2009-01-011,216
Number of employers contributing to the scheme2009-01-01103

Financial Data on IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND

Measure Date Value
2022 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$11,587,821
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$11,231,678
Total income from all sources (including contributions)2022-12-31$30,446,637
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$20,712,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$19,016,130
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$33,238,831
Value of total assets at end of year2022-12-31$35,183,361
Value of total assets at beginning of year2022-12-31$25,093,179
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,696,468
Total interest from all sources2022-12-31$60,124
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$681,609
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$681,609
Administrative expenses professional fees incurred2022-12-31$150,342
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$757,032
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$231,110
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$261,031
Administrative expenses (other) incurred2022-12-31$1,076,167
Liabilities. Value of operating payables at end of year2022-12-31$1,227,839
Liabilities. Value of operating payables at beginning of year2022-12-31$747,834
Total non interest bearing cash at end of year2022-12-31$713,014
Total non interest bearing cash at beginning of year2022-12-31$955,771
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$9,734,039
Value of net assets at end of year (total assets less liabilities)2022-12-31$23,595,540
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$13,861,501
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$32,861
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$23,863,148
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$19,529,125
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$6,523,240
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,522,876
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,522,876
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$60,124
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$2,855,815
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-3,533,927
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$32,481,799
Employer contributions (assets) at end of year2022-12-31$3,852,849
Employer contributions (assets) at beginning of year2022-12-31$2,824,376
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$16,160,315
Contract administrator fees2022-12-31$437,098
Liabilities. Value of benefit claims payable at end of year2022-12-31$10,359,982
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$10,483,844
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
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BALDWIN MOFFITT BEHM LLP
Accountancy firm EIN2022-12-31464370753
2021 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$11,231,678
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$8,350,741
Total income from all sources (including contributions)2021-12-31$24,635,421
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$22,634,086
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$21,264,245
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$23,817,786
Value of total assets at end of year2021-12-31$25,093,179
Value of total assets at beginning of year2021-12-31$20,210,907
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,369,841
Total interest from all sources2021-12-31$147
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$420,602
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$420,602
Administrative expenses professional fees incurred2021-12-31$157,635
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$924,728
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$261,031
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$260,769
Administrative expenses (other) incurred2021-12-31$840,712
Liabilities. Value of operating payables at end of year2021-12-31$747,834
Liabilities. Value of operating payables at beginning of year2021-12-31$545,055
Total non interest bearing cash at end of year2021-12-31$955,771
Total non interest bearing cash at beginning of year2021-12-31$1,012,513
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$2,001,335
Value of net assets at end of year (total assets less liabilities)2021-12-31$13,861,501
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$11,860,166
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$20,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$19,529,125
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$16,264,886
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,522,876
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,046,233
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,046,233
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$147
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$2,455,801
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$396,886
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
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$22,893,058
Employer contributions (assets) at end of year2021-12-31$2,824,376
Employer contributions (assets) at beginning of year2021-12-31$1,626,506
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$18,808,444
Contract administrator fees2021-12-31$351,494
Liabilities. Value of benefit claims payable at end of year2021-12-31$10,483,844
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$7,805,686
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
Aggregate proceeds on sale of assets2021-12-31$25,257,389
Aggregate carrying amount (costs) on sale of assets2021-12-31$25,257,389
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BALDWIN MOFFITT BEHM LLP
Accountancy firm EIN2021-12-31464370753
2020 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$8,350,741
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$7,393,095
Total income from all sources (including contributions)2020-12-31$21,743,892
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$18,943,924
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$17,437,891
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$20,146,893
Value of total assets at end of year2020-12-31$20,210,907
Value of total assets at beginning of year2020-12-31$16,453,293
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,506,033
Total interest from all sources2020-12-31$3,957
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$371,807
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$371,807
Administrative expenses professional fees incurred2020-12-31$228,879
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$819,349
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$39,586
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$260,769
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$172,711
Other income not declared elsewhere2020-12-31$199
Administrative expenses (other) incurred2020-12-31$900,280
Liabilities. Value of operating payables at end of year2020-12-31$545,055
Liabilities. Value of operating payables at beginning of year2020-12-31$564,629
Total non interest bearing cash at end of year2020-12-31$1,012,513
Total non interest bearing cash at beginning of year2020-12-31$682,820
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$2,799,968
Value of net assets at end of year (total assets less liabilities)2020-12-31$11,860,166
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$9,060,198
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
Investment advisory and management fees2020-12-31$20,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$16,264,886
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$11,888,162
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,046,233
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,860,588
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,860,588
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$3,957
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$3,098,321
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,221,036
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$19,327,544
Employer contributions (assets) at end of year2020-12-31$1,626,506
Employer contributions (assets) at beginning of year2020-12-31$1,849,012
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$14,299,984
Contract administrator fees2020-12-31$356,874
Liabilities. Value of benefit claims payable at end of year2020-12-31$7,805,686
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$6,828,466
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
Aggregate proceeds on sale of assets2020-12-31$23,081,651
Aggregate carrying amount (costs) on sale of assets2020-12-31$23,081,651
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BALDWIN MOFFITT BEHM LLP
Accountancy firm EIN2020-12-31464370753
2019 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$7,393,095
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$7,918,491
Total income from all sources (including contributions)2019-12-31$22,645,097
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$17,454,721
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$16,030,838
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$21,408,374
Value of total assets at end of year2019-12-31$16,453,293
Value of total assets at beginning of year2019-12-31$11,788,313
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,423,883
Total interest from all sources2019-12-31$25,677
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$337,497
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$337,497
Administrative expenses professional fees incurred2019-12-31$152,597
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$847,765
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$1,790,150
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$172,711
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$242,459
Other income not declared elsewhere2019-12-31$97
Administrative expenses (other) incurred2019-12-31$908,770
Liabilities. Value of operating payables at end of year2019-12-31$564,629
Liabilities. Value of operating payables at beginning of year2019-12-31$501,491
Total non interest bearing cash at end of year2019-12-31$682,820
Total non interest bearing cash at beginning of year2019-12-31$1,164,873
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$5,190,376
Value of net assets at end of year (total assets less liabilities)2019-12-31$9,060,198
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,869,822
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$20,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$11,888,162
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$7,574,714
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,860,588
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,174,495
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,174,495
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$25,677
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$3,119,674
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$873,452
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$20,560,609
Employer contributions (assets) at end of year2019-12-31$1,849,012
Employer contributions (assets) at beginning of year2019-12-31$1,631,772
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$11,121,014
Contract administrator fees2019-12-31$342,516
Liabilities. Value of benefit claims payable at end of year2019-12-31$6,828,466
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$7,417,000
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$19,691,596
Aggregate carrying amount (costs) on sale of assets2019-12-31$19,691,596
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BALDWIN MOFFITT PLLC
Accountancy firm EIN2019-12-31464370753
2018 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$7,918,491
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$7,346,085
Total income from all sources (including contributions)2018-12-31$16,202,211
Total loss/gain on sale of assets2018-12-31$313,941
Total of all expenses incurred2018-12-31$17,375,704
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$16,235,159
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$16,291,346
Value of total assets at end of year2018-12-31$11,788,313
Value of total assets at beginning of year2018-12-31$12,389,400
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,140,545
Total interest from all sources2018-12-31$44,569
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$245,687
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$228,127
Administrative expenses professional fees incurred2018-12-31$117,976
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$738,230
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$890,479
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$1,929,683
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$242,459
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$296,259
Other income not declared elsewhere2018-12-31$17,054
Administrative expenses (other) incurred2018-12-31$732,271
Liabilities. Value of operating payables at end of year2018-12-31$501,491
Liabilities. Value of operating payables at beginning of year2018-12-31$239,085
Total non interest bearing cash at end of year2018-12-31$1,164,873
Total non interest bearing cash at beginning of year2018-12-31$1,720,830
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,173,493
Value of net assets at end of year (total assets less liabilities)2018-12-31$3,869,822
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,043,315
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$19,829
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$7,574,714
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,094,851
Income. Interest from US Government securities2018-12-31$11,189
Income. Interest from corporate debt instruments2018-12-31$22,420
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,174,495
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$276,123
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$276,123
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$10,960
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$2,863,715
Asset value of US Government securities at beginning of year2018-12-31$2,303,624
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-710,386
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$15,400,867
Employer contributions (assets) at end of year2018-12-31$1,631,772
Employer contributions (assets) at beginning of year2018-12-31$1,322,745
Income. Dividends from preferred stock2018-12-31$623
Income. Dividends from common stock2018-12-31$16,937
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$11,441,761
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$2,146,988
Contract administrator fees2018-12-31$270,469
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$2,489,750
Liabilities. Value of benefit claims payable at end of year2018-12-31$7,417,000
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$7,107,000
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$32,452,687
Aggregate carrying amount (costs) on sale of assets2018-12-31$32,138,746
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31BALDWIN & BALDWIN PLLC
Accountancy firm EIN2018-12-31464370753
2017 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$339,465
Total unrealized appreciation/depreciation of assets2017-12-31$339,465
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$7,346,085
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$6,034,780
Total income from all sources (including contributions)2017-12-31$15,313,124
Total loss/gain on sale of assets2017-12-31$69,454
Total of all expenses incurred2017-12-31$17,004,723
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$15,743,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$14,598,699
Value of total assets at end of year2017-12-31$12,389,400
Value of total assets at beginning of year2017-12-31$12,769,694
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,261,195
Total interest from all sources2017-12-31$175,912
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$123,386
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$49,768
Administrative expenses professional fees incurred2017-12-31$165,749
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-12-31$738,230
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$942,108
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$960,827
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$296,259
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$574,129
Administrative expenses (other) incurred2017-12-31$802,446
Liabilities. Value of operating payables at end of year2017-12-31$239,085
Liabilities. Value of operating payables at beginning of year2017-12-31$205,280
Total non interest bearing cash at end of year2017-12-31$1,720,830
Total non interest bearing cash at beginning of year2017-12-31$1,009,773
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-1,691,599
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,043,315
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,734,914
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$53,215
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,094,851
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$757,936
Income. Interest from US Government securities2017-12-31$50,680
Income. Interest from corporate debt instruments2017-12-31$122,479
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$276,123
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$774,296
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$774,296
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$2,753
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,498,632
Asset value of US Government securities at end of year2017-12-31$2,303,624
Asset value of US Government securities at beginning of year2017-12-31$2,194,639
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$6,208
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$13,637,872
Employer contributions (assets) at end of year2017-12-31$1,322,745
Employer contributions (assets) at beginning of year2017-12-31$1,262,588
Income. Dividends from preferred stock2017-12-31$1,096
Income. Dividends from common stock2017-12-31$72,522
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$14,244,896
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$2,146,988
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$2,551,050
Contract administrator fees2017-12-31$239,785
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$2,489,750
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$2,703,175
Liabilities. Value of benefit claims payable at end of year2017-12-31$7,107,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$5,829,500
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$26,251,547
Aggregate carrying amount (costs) on sale of assets2017-12-31$26,182,093
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BALDWIN & BALDWIN PLLC
Accountancy firm EIN2017-12-31464370753
2016 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$156,195
Total unrealized appreciation/depreciation of assets2016-12-31$156,195
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$6,034,780
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$5,319,464
Total income from all sources (including contributions)2016-12-31$13,294,142
Total loss/gain on sale of assets2016-12-31$-47,331
Total of all expenses incurred2016-12-31$12,957,374
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$11,788,707
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$12,824,810
Value of total assets at end of year2016-12-31$12,769,694
Value of total assets at beginning of year2016-12-31$11,717,610
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,168,667
Total interest from all sources2016-12-31$218,010
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$140,276
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$20,332
Administrative expenses professional fees incurred2016-12-31$137,924
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-12-31$942,108
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-12-31$1,283,284
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$949,221
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$574,129
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$99,000
Administrative expenses (other) incurred2016-12-31$754,643
Liabilities. Value of operating payables at end of year2016-12-31$205,280
Liabilities. Value of operating payables at beginning of year2016-12-31$298,911
Total non interest bearing cash at end of year2016-12-31$1,009,773
Total non interest bearing cash at beginning of year2016-12-31$740,956
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$336,768
Value of net assets at end of year (total assets less liabilities)2016-12-31$6,734,914
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$6,398,146
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$56,170
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$757,936
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$496,164
Income. Interest from US Government securities2016-12-31$34,997
Income. Interest from corporate debt instruments2016-12-31$182,793
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$774,296
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$916,082
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$916,082
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$220
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$587,912
Asset value of US Government securities at end of year2016-12-31$2,194,639
Asset value of US Government securities at beginning of year2016-12-31$1,607,589
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$2,182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$11,875,589
Employer contributions (assets) at end of year2016-12-31$1,262,588
Employer contributions (assets) at beginning of year2016-12-31$948,762
Income. Dividends from preferred stock2016-12-31$14,130
Income. Dividends from common stock2016-12-31$105,814
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$11,200,795
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$2,551,050
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$2,940,043
Contract administrator fees2016-12-31$219,930
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$2,703,175
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$2,685,730
Liabilities. Value of benefit claims payable at end of year2016-12-31$5,829,500
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$5,020,553
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$26,698,280
Aggregate carrying amount (costs) on sale of assets2016-12-31$26,745,611
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BALDWIN & BALDWIN PLLC
Accountancy firm EIN2016-12-31464370753
2015 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$47,751
Total unrealized appreciation/depreciation of assets2015-12-31$47,751
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$5,319,464
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$4,540,718
Total income from all sources (including contributions)2015-12-31$9,487,321
Total loss/gain on sale of assets2015-12-31$-206,763
Total of all expenses incurred2015-12-31$10,827,434
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$9,728,976
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$9,349,944
Value of total assets at end of year2015-12-31$11,717,610
Value of total assets at beginning of year2015-12-31$12,278,977
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,098,458
Total interest from all sources2015-12-31$157,815
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$149,917
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$13,606
Administrative expenses professional fees incurred2015-12-31$241,394
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-12-31$1,283,284
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-12-31$1,177,869
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,132,687
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$99,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$436,664
Administrative expenses (other) incurred2015-12-31$291,104
Liabilities. Value of operating payables at end of year2015-12-31$298,911
Liabilities. Value of operating payables at beginning of year2015-12-31$304,517
Total non interest bearing cash at end of year2015-12-31$740,956
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-1,340,113
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,398,146
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$7,738,259
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$56,103
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$496,164
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$402,739
Income. Interest from US Government securities2015-12-31$23,133
Income. Interest from corporate debt instruments2015-12-31$134,596
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$916,082
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,256,618
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,256,618
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$86
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$491,481
Asset value of US Government securities at end of year2015-12-31$1,607,589
Asset value of US Government securities at beginning of year2015-12-31$2,849,601
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-11,343
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$8,217,257
Employer contributions (assets) at end of year2015-12-31$948,762
Employer contributions (assets) at beginning of year2015-12-31$716,399
Income. Dividends from preferred stock2015-12-31$22,660
Income. Dividends from common stock2015-12-31$113,651
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$9,237,495
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$2,940,043
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$3,273,708
Contract administrator fees2015-12-31$509,857
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$2,685,730
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$2,165,379
Liabilities. Value of benefit claims payable at end of year2015-12-31$5,020,553
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$4,236,201
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$23,670,280
Aggregate carrying amount (costs) on sale of assets2015-12-31$23,877,043
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BALDWIN & BALDWIN PLLC
Accountancy firm EIN2015-12-31464370753
2014 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$198,343
Total unrealized appreciation/depreciation of assets2014-12-31$198,343
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$4,540,718
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$5,505,346
Total income from all sources (including contributions)2014-12-31$11,741,408
Total loss/gain on sale of assets2014-12-31$125,683
Total of all expenses incurred2014-12-31$9,543,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$8,399,059
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$11,057,799
Value of total assets at end of year2014-12-31$12,278,977
Value of total assets at beginning of year2014-12-31$11,045,795
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,144,539
Total interest from all sources2014-12-31$152,951
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$206,632
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$7,424
Administrative expenses professional fees incurred2014-12-31$211,394
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-12-31$1,177,869
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-12-31$1,272,676
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,019,381
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$436,664
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$233,347
Administrative expenses (other) incurred2014-12-31$539,697
Liabilities. Value of operating payables at end of year2014-12-31$304,517
Liabilities. Value of operating payables at beginning of year2014-12-31$396,423
Total non interest bearing cash at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$2,197,810
Value of net assets at end of year (total assets less liabilities)2014-12-31$7,738,259
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,540,449
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$56,036
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$402,739
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$3,509
Income. Interest from US Government securities2014-12-31$32,411
Income. Interest from corporate debt instruments2014-12-31$120,441
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,256,618
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$750,892
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$750,892
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$99
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$580,375
Asset value of US Government securities at end of year2014-12-31$2,849,601
Asset value of US Government securities at beginning of year2014-12-31$3,317,606
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$10,038,418
Employer contributions (assets) at end of year2014-12-31$716,399
Employer contributions (assets) at beginning of year2014-12-31$1,033,491
Income. Dividends from preferred stock2014-12-31$87,149
Income. Dividends from common stock2014-12-31$112,059
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$7,818,684
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$3,273,708
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$2,832,614
Contract administrator fees2014-12-31$337,412
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$2,165,379
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$1,601,660
Liabilities. Value of benefit claims payable at end of year2014-12-31$4,236,201
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$5,108,923
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$30,079,494
Aggregate carrying amount (costs) on sale of assets2014-12-31$29,953,811
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BALDWIN & BALDWIN, PLLC
Accountancy firm EIN2014-12-31464370753
2013 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-25,224
Total unrealized appreciation/depreciation of assets2013-12-31$-25,224
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$5,505,346
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$5,230,616
Total income from all sources (including contributions)2013-12-31$11,192,839
Total loss/gain on sale of assets2013-12-31$-76,882
Total of all expenses incurred2013-12-31$10,788,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$9,893,278
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$11,015,178
Value of total assets at end of year2013-12-31$11,045,795
Value of total assets at beginning of year2013-12-31$10,366,341
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$894,837
Total interest from all sources2013-12-31$158,527
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$109,721
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$45
Administrative expenses professional fees incurred2013-12-31$161,467
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-12-31$1,272,676
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-12-31$799,906
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$950,384
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$233,347
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$181,836
Other income not declared elsewhere2013-12-31$11,519
Administrative expenses (other) incurred2013-12-31$357,365
Liabilities. Value of operating payables at end of year2013-12-31$396,423
Liabilities. Value of operating payables at beginning of year2013-12-31$255,863
Total non interest bearing cash at end of year2013-12-31$0
Total non interest bearing cash at beginning of year2013-12-31$192,200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$404,724
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,540,449
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,135,725
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$48,860
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$3,509
Income. Interest from US Government securities2013-12-31$17,216
Income. Interest from corporate debt instruments2013-12-31$141,198
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$750,892
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$2,977,414
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$2,977,414
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$113
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$604,043
Asset value of US Government securities at end of year2013-12-31$3,317,606
Asset value of US Government securities at beginning of year2013-12-31$2,539,516
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$10,064,794
Employer contributions (assets) at end of year2013-12-31$1,033,491
Employer contributions (assets) at beginning of year2013-12-31$854,190
Income. Dividends from preferred stock2013-12-31$65,460
Income. Dividends from common stock2013-12-31$44,216
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$9,289,235
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$2,832,614
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$2,821,279
Contract administrator fees2013-12-31$327,145
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$1,601,660
Liabilities. Value of benefit claims payable at end of year2013-12-31$5,108,923
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$4,974,753
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$31,590,674
Aggregate carrying amount (costs) on sale of assets2013-12-31$31,667,556
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BALDWIN & BALDWIN, PLLC
Accountancy firm EIN2013-12-31464370753
2012 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$277,657
Total unrealized appreciation/depreciation of assets2012-12-31$277,657
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$5,230,616
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$5,248,370
Total income from all sources (including contributions)2012-12-31$11,493,988
Total loss/gain on sale of assets2012-12-31$30,116
Total of all expenses incurred2012-12-31$9,459,130
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$8,486,742
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$11,008,827
Value of total assets at end of year2012-12-31$10,366,341
Value of total assets at beginning of year2012-12-31$8,349,237
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$972,388
Total interest from all sources2012-12-31$175,414
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$32,364
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$177,837
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-12-31$799,906
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-12-31$335,121
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,015,999
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$181,836
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$310,569
Other income not declared elsewhere2012-12-31$11,409
Administrative expenses (other) incurred2012-12-31$420,671
Liabilities. Value of operating payables at end of year2012-12-31$255,863
Liabilities. Value of operating payables at beginning of year2012-12-31$125,109
Total non interest bearing cash at end of year2012-12-31$192,200
Total non interest bearing cash at beginning of year2012-12-31$234,540
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$2,034,858
Value of net assets at end of year (total assets less liabilities)2012-12-31$5,135,725
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,100,867
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$21,294
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,521,185
Interest earned on other investments2012-12-31$4,054
Income. Interest from US Government securities2012-12-31$26,745
Income. Interest from corporate debt instruments2012-12-31$144,338
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$2,977,414
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$635,926
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$635,926
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$277
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$670,119
Asset value of US Government securities at end of year2012-12-31$2,539,516
Asset value of US Government securities at beginning of year2012-12-31$661,207
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$-41,799
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$9,992,828
Employer contributions (assets) at end of year2012-12-31$854,190
Employer contributions (assets) at beginning of year2012-12-31$795,342
Income. Dividends from preferred stock2012-12-31$32,364
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$7,816,623
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$2,821,279
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$3,855,347
Contract administrator fees2012-12-31$352,586
Liabilities. Value of benefit claims payable at end of year2012-12-31$4,974,753
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$5,123,261
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$19,304,509
Aggregate carrying amount (costs) on sale of assets2012-12-31$19,274,393
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31CLEVELAND ESTES AVELLONE, PLLC
Accountancy firm EIN2012-12-31205717151
2011 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$29,615
Total unrealized appreciation/depreciation of assets2011-12-31$29,615
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$5,248,370
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$5,746,403
Total income from all sources (including contributions)2011-12-31$9,147,947
Total loss/gain on sale of assets2011-12-31$-19,213
Total of all expenses incurred2011-12-31$10,478,881
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$9,456,908
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$9,044,519
Value of total assets at end of year2011-12-31$8,349,237
Value of total assets at beginning of year2011-12-31$10,178,204
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,021,973
Total interest from all sources2011-12-31$236,361
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$35,315
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$16,966
Administrative expenses professional fees incurred2011-12-31$172,483
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-12-31$335,121
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,119,231
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$310,569
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$164,625
Administrative expenses (other) incurred2011-12-31$454,302
Liabilities. Value of operating payables at end of year2011-12-31$125,109
Liabilities. Value of operating payables at beginning of year2011-12-31$162,086
Total non interest bearing cash at end of year2011-12-31$234,540
Total non interest bearing cash at beginning of year2011-12-31$228,288
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,330,934
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,100,867
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,431,801
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$24,024
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,521,185
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,682,870
Income. Interest from US Government securities2011-12-31$34,284
Income. Interest from corporate debt instruments2011-12-31$201,981
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$635,926
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$891,642
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$891,642
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$96
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$626,129
Asset value of US Government securities at end of year2011-12-31$661,207
Asset value of US Government securities at beginning of year2011-12-31$1,854,886
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-178,650
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$7,925,288
Employer contributions (assets) at end of year2011-12-31$795,342
Employer contributions (assets) at beginning of year2011-12-31$995,916
Income. Dividends from preferred stock2011-12-31$18,349
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$8,830,779
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$3,855,347
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$4,359,977
Contract administrator fees2011-12-31$371,164
Liabilities. Value of benefit claims payable at end of year2011-12-31$5,123,261
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$5,584,317
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$18,706,097
Aggregate carrying amount (costs) on sale of assets2011-12-31$18,725,310
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31CLEVELAND ESTES AVELLONE, PLLC
Accountancy firm EIN2011-12-31205717151
2010 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$140,185
Total unrealized appreciation/depreciation of assets2010-12-31$140,185
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$5,746,403
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$4,898,205
Total income from all sources (including contributions)2010-12-31$9,275,234
Total loss/gain on sale of assets2010-12-31$20,114
Total of all expenses incurred2010-12-31$9,429,328
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$8,552,035
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$8,531,899
Value of total assets at end of year2010-12-31$10,178,204
Value of total assets at beginning of year2010-12-31$9,484,100
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$877,293
Total interest from all sources2010-12-31$275,096
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$29,263
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$29,263
Administrative expenses professional fees incurred2010-12-31$175,674
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,372,594
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$164,625
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$273,456
Administrative expenses (other) incurred2010-12-31$363,761
Liabilities. Value of operating payables at end of year2010-12-31$162,086
Liabilities. Value of operating payables at beginning of year2010-12-31$74,127
Total non interest bearing cash at end of year2010-12-31$228,288
Total non interest bearing cash at beginning of year2010-12-31$280,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-154,094
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,431,801
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,585,895
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$24,479
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,682,870
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,671,650
Income. Interest from US Government securities2010-12-31$52,193
Income. Interest from corporate debt instruments2010-12-31$222,758
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$891,642
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$355,942
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$355,942
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$145
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$473,431
Asset value of US Government securities at end of year2010-12-31$1,854,886
Asset value of US Government securities at beginning of year2010-12-31$1,524,160
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$278,677
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$7,159,305
Employer contributions (assets) at end of year2010-12-31$995,916
Employer contributions (assets) at beginning of year2010-12-31$455,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$8,078,604
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$4,359,977
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$4,923,497
Contract administrator fees2010-12-31$313,379
Liabilities. Value of benefit claims payable at end of year2010-12-31$5,584,317
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$4,824,078
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$15,180,955
Aggregate carrying amount (costs) on sale of assets2010-12-31$15,160,841
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31CLEVELAND ESTES AVELLONE, PLLC
Accountancy firm EIN2010-12-31205717151

Form 5500 Responses for IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND

2022: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number1601031400
Policy instance 5
Insurance contract or identification number1601031400
Number of Individuals Covered1729
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 $664,235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VALUEOPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 62199 )
Policy contract number
Policy instance 4
Number of Individuals Covered1729
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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
Other welfare benefits providedEAP PROGRAM
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 $61,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2911C4202
Policy instance 3
Insurance contract or identification numberG2911C4202
Number of Individuals Covered1729
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $64,163
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number306705 306707
Policy instance 2
Insurance contract or identification number306705 306707
Number of Individuals Covered1729
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,024,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees28000
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSIONS
Insurance broker organization code?3
DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 )
Policy contract number4957
Policy instance 1
Insurance contract or identification number4957
Number of Individuals Covered1729
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,041,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2911C4202
Policy instance 1
Insurance contract or identification numberG2911C4202
Number of Individuals Covered1376
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $61,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1348
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSIONS
Insurance broker organization code?3
DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 )
Policy contract number4957
Policy instance 2
Insurance contract or identification number4957
Number of Individuals Covered2059
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $828,123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number306705 306707
Policy instance 3
Insurance contract or identification number306705 306707
Number of Individuals Covered230
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 BenefitYes
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 $897,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSIONS
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number1601031400
Policy instance 5
Insurance contract or identification number1601031400
Number of Individuals Covered1898
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 $617,905
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VALUEOPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 62199 )
Policy contract number
Policy instance 4
Number of Individuals Covered1898
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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
Other welfare benefits providedEAP PROGRAM
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 $51,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number1601031400
Policy instance 1
Insurance contract or identification number1601031400
Number of Individuals Covered1679
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $9,888
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 $922,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,888
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSIONS
Insurance broker organization code?3
VALUEOPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 62199 )
Policy contract number
Policy instance 5
Number of Individuals Covered1871
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEAP PROGRAM
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 $59,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2911C4202
Policy instance 2
Insurance contract or identification numberG2911C4202
Number of Individuals Covered1300
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $1,102
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $61,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,102
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSIONS
Insurance broker organization code?3
DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 )
Policy contract number4957
Policy instance 3
Insurance contract or identification number4957
Number of Individuals Covered1664
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number306705 306707
Policy instance 4
Insurance contract or identification number306705 306707
Number of Individuals Covered282
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $29,700
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,072,657
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,700
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSIONS
Insurance broker organization code?3
DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 )
Policy contract number4957
Policy instance 3
Insurance contract or identification number4957
Number of Individuals Covered1795
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2911C4202
Policy instance 2
Insurance contract or identification numberG2911C4202
Number of Individuals Covered1346
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $1,405
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $58,275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,450
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSIONS
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number1601031400
Policy instance 1
Insurance contract or identification number1601031400
Number of Individuals Covered1875
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 $979,445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number306705 306707
Policy instance 4
Insurance contract or identification number306705 306707
Number of Individuals Covered289
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $31,400
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,054,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,400
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSIONS
Insurance broker organization code?3
VALUEOPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 62199 )
Policy contract number
Policy instance 5
Number of Individuals Covered2045
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
Other welfare benefits providedEAP PROGRAM
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 $47,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2911 C4202
Policy instance 2
Insurance contract or identification numberG2911 C4202
Number of Individuals Covered1500
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $51,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 )
Policy contract number4957
Policy instance 3
Insurance contract or identification number4957
Number of Individuals Covered1694
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-010314-00
Policy instance 1
Insurance contract or identification number16-010314-00
Number of Individuals Covered1300
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 $758,375
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number306705
Policy instance 4
Insurance contract or identification number306705
Number of Individuals Covered300
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,200
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,187,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,200
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number4128
Policy instance 3
Insurance contract or identification number4128
Number of Individuals Covered1359
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $737,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-010314-00
Policy instance 1
Insurance contract or identification number16-010314-00
Number of Individuals Covered1372
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 $683,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2911 C4202
Policy instance 2
Insurance contract or identification numberG2911 C4202
Number of Individuals Covered800
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
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
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $48,074
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-010314-000
Policy instance 1
Insurance contract or identification number16-010314-000
Number of Individuals Covered953
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $397,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2911 C4202
Policy instance 2
Insurance contract or identification numberG2911 C4202
Number of Individuals Covered722
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $1,140
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $43,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,140
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSION AGREEMENT
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG2911 C4202
Policy instance 2
Insurance contract or identification numberG2911 C4202
Number of Individuals Covered1048
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $1,272
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $50,998
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,272
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSION AGREEMENT
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-010314-000
Policy instance 1
Insurance contract or identification number16-010314-000
Number of Individuals Covered1036
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $430,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG-2911 C-4202
Policy instance 2
Insurance contract or identification numberG-2911 C-4202
Number of Individuals Covered975
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $1,274
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $51,141
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,274
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSION AGREEMENT
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-010314-000
Policy instance 1
Insurance contract or identification number16-010314-000
Number of Individuals Covered1093
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $453,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberOTBMT-28985
Policy instance 1
Insurance contract or identification numberOTBMT-28985
Number of Individuals Covered1127
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedORGAN & BONE MARROW TRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $76,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-010314-000
Policy instance 2
Insurance contract or identification number16-010314-000
Number of Individuals Covered1245
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Welfare Benefit Premiums Paid to CarrierUSD $457,344
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG-2911 C-4202
Policy instance 3
Insurance contract or identification numberG-2911 C-4202
Number of Individuals Covered1063
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $48,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberOTBMT-28985
Policy instance 1
Insurance contract or identification numberOTBMT-28985
Number of Individuals Covered1030
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Other welfare benefits providedORGAN & BONE MARROW TRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $66,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-010314-000
Policy instance 2
Insurance contract or identification number16-010314-000
Number of Individuals Covered1037
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Welfare Benefit Premiums Paid to CarrierUSD $422,401
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG-2911 C-4202
Policy instance 3
Insurance contract or identification numberG-2911 C-4202
Number of Individuals Covered982
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $1,242
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $48,986
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-010314-000
Policy instance 2
Insurance contract or identification number16-010314-000
Number of Individuals Covered1141
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Welfare Benefit Premiums Paid to CarrierUSD $353,926
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG-2911 C-4202
Policy instance 3
Insurance contract or identification numberG-2911 C-4202
Number of Individuals Covered741
Insurance policy start date2009-07-01
Insurance policy end date2010-06-30
Total amount of fees paid to insurance companyUSD $1,162
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $44,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1162
Additional information about fees paid to insurance brokerFULLFILLMENT OF COMMISSION AGREEMENT
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberOTBMT-28985
Policy instance 1
Insurance contract or identification numberOTBMT-28985
Number of Individuals Covered1118
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Other welfare benefits providedORGAN & BONE MARROW TRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $46,592
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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