EVERGREEN SECURITY TRUST BOARD OF TRUSTEES has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2022 : EVERGREEN SECURITY TRUST 2022 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $14,502 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $17,598 |
| Total income from all sources (including contributions) | 2022-12-31 | $1,217,485 |
| Total of all expenses incurred | 2022-12-31 | $1,269,243 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $1,120,054 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $1,268,236 |
| Value of total assets at end of year | 2022-12-31 | $460,211 |
| Value of total assets at beginning of year | 2022-12-31 | $515,065 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $149,189 |
| Total interest from all sources | 2022-12-31 | $35 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-12-31 | $18,848 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-12-31 | $18,848 |
| Administrative expenses professional fees incurred | 2022-12-31 | $101,902 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2022-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Contributions received from participants | 2022-12-31 | $13,124 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $8,199 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-12-31 | $8,505 |
| Administrative expenses (other) incurred | 2022-12-31 | $11,287 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $1,982 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $2,540 |
| Total non interest bearing cash at end of year | 2022-12-31 | $202,296 |
| Total non interest bearing cash at beginning of year | 2022-12-31 | $197,897 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Value of net income/loss | 2022-12-31 | $-51,758 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $445,709 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $497,467 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-12-31 | $220,803 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-12-31 | $271,588 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-12-31 | $25,976 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-12-31 | $25,940 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-12-31 | $25,940 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-12-31 | $35 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $1,120,054 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-12-31 | $-69,634 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Contributions received in cash from employer | 2022-12-31 | $1,255,112 |
| Employer contributions (assets) at end of year | 2022-12-31 | $2,937 |
| Employer contributions (assets) at beginning of year | 2022-12-31 | $11,135 |
| Contract administrator fees | 2022-12-31 | $36,000 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2022-12-31 | $12,520 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-12-31 | $15,058 |
| Did the plan have assets held for investment | 2022-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | ANASTASI, MOORE & MARTIN, PLLC |
| Accountancy firm EIN | 2022-12-31 | 208149084 |
| 2021 : EVERGREEN SECURITY TRUST 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $17,598 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $56,378 |
| Total income from all sources (including contributions) | 2021-12-31 | $1,361,658 |
| Total of all expenses incurred | 2021-12-31 | $1,305,870 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $1,172,422 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $1,325,531 |
| Value of total assets at end of year | 2021-12-31 | $515,065 |
| Value of total assets at beginning of year | 2021-12-31 | $498,057 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $133,448 |
| Total interest from all sources | 2021-12-31 | $4 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-12-31 | $17,480 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-12-31 | $17,480 |
| Administrative expenses professional fees incurred | 2021-12-31 | $96,562 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2021-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Contributions received from participants | 2021-12-31 | $25,907 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-12-31 | $8,505 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-12-31 | $8,393 |
| Administrative expenses (other) incurred | 2021-12-31 | $12,886 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $2,540 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $21,596 |
| Total non interest bearing cash at end of year | 2021-12-31 | $197,897 |
| Total non interest bearing cash at beginning of year | 2021-12-31 | $211,546 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $55,788 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $497,467 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $441,679 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-12-31 | $271,588 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-12-31 | $235,466 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-12-31 | $25,940 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-12-31 | $25,936 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-12-31 | $25,936 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-12-31 | $4 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $1,172,422 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-12-31 | $18,643 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Contributions received in cash from employer | 2021-12-31 | $1,299,624 |
| Employer contributions (assets) at end of year | 2021-12-31 | $11,135 |
| Employer contributions (assets) at beginning of year | 2021-12-31 | $16,716 |
| Contract administrator fees | 2021-12-31 | $24,000 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2021-12-31 | $15,058 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-12-31 | $34,782 |
| Did the plan have assets held for investment | 2021-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | ANASTASI, MOORE & MARTIN, PLLC |
| Accountancy firm EIN | 2021-12-31 | 208149084 |
| 2020 : EVERGREEN SECURITY TRUST 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $56,378 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $46,064 |
| Total income from all sources (including contributions) | 2020-12-31 | $1,407,917 |
| Total of all expenses incurred | 2020-12-31 | $1,376,767 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $1,236,578 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $1,399,289 |
| Value of total assets at end of year | 2020-12-31 | $498,057 |
| Value of total assets at beginning of year | 2020-12-31 | $456,593 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $140,189 |
| Total interest from all sources | 2020-12-31 | $6 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-12-31 | $17,451 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-12-31 | $17,451 |
| Administrative expenses professional fees incurred | 2020-12-31 | $103,150 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2020-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Contributions received from participants | 2020-12-31 | $18,889 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $8,393 |
| Administrative expenses (other) incurred | 2020-12-31 | $13,039 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $21,596 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $5,649 |
| Total non interest bearing cash at end of year | 2020-12-31 | $211,546 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $190,301 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $31,150 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $441,679 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $410,529 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-12-31 | $235,466 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-12-31 | $240,093 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-12-31 | $25,936 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-12-31 | $12,680 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-12-31 | $12,680 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-12-31 | $6 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $1,236,578 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-12-31 | $-8,829 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $1,380,400 |
| Employer contributions (assets) at end of year | 2020-12-31 | $16,716 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $13,519 |
| Contract administrator fees | 2020-12-31 | $24,000 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2020-12-31 | $34,782 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-12-31 | $40,415 |
| Did the plan have assets held for investment | 2020-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | ANASTASI, MOORE & MARTIN, PLLC |
| Accountancy firm EIN | 2020-12-31 | 208149084 |
| 2019 : EVERGREEN SECURITY TRUST 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $46,064 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $42,371 |
| Total income from all sources (including contributions) | 2019-12-31 | $1,481,832 |
| Total of all expenses incurred | 2019-12-31 | $1,458,483 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $1,254,692 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $1,418,963 |
| Value of total assets at end of year | 2019-12-31 | $456,593 |
| Value of total assets at beginning of year | 2019-12-31 | $429,551 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $203,791 |
| Total interest from all sources | 2019-12-31 | $59 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $20,920 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-12-31 | $20,920 |
| Administrative expenses professional fees incurred | 2019-12-31 | $146,414 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $14,113 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $21,409 |
| Administrative expenses (other) incurred | 2019-12-31 | $16,551 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $5,649 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $9,598 |
| Total non interest bearing cash at end of year | 2019-12-31 | $190,301 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $14,865 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $23,349 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $410,529 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $387,180 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $240,093 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $371,176 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $12,680 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $18,728 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $18,728 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $59 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $1,254,692 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $41,890 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $1,404,850 |
| Employer contributions (assets) at end of year | 2019-12-31 | $13,519 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $3,373 |
| Contract administrator fees | 2019-12-31 | $40,826 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $40,415 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $32,773 |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | ANASTASI, MOORE & MARTIN, PLLC |
| Accountancy firm EIN | 2019-12-31 | 208149084 |
| 2018 : EVERGREEN SECURITY TRUST 2018 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2018-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $42,371 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $332,963 |
| Total income from all sources (including contributions) | 2018-12-31 | $1,402,266 |
| Total loss/gain on sale of assets | 2018-12-31 | $0 |
| Total of all expenses incurred | 2018-12-31 | $1,530,109 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $1,236,545 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $1,405,540 |
| Value of total assets at end of year | 2018-12-31 | $429,551 |
| Value of total assets at beginning of year | 2018-12-31 | $847,986 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $293,564 |
| Total interest from all sources | 2018-12-31 | $70 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $26,419 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-12-31 | $26,419 |
| Administrative expenses professional fees incurred | 2018-12-31 | $229,104 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Contributions received from participants | 2018-12-31 | $18,725 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $21,409 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $11,707 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-12-31 | $275,783 |
| Other income not declared elsewhere | 2018-12-31 | $21,000 |
| Administrative expenses (other) incurred | 2018-12-31 | $18,431 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $9,598 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $10,059 |
| Total non interest bearing cash at end of year | 2018-12-31 | $14,865 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $329,277 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $-127,843 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $387,180 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $515,023 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-12-31 | $371,176 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-12-31 | $428,816 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $18,728 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $40,361 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $40,361 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $70 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-12-31 | $-50,763 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $1,386,815 |
| Employer contributions (assets) at end of year | 2018-12-31 | $3,373 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $37,825 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-12-31 | $1,236,545 |
| Contract administrator fees | 2018-12-31 | $46,029 |
| Liabilities. Value of benefit claims payable at end of year | 2018-12-31 | $32,773 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-12-31 | $47,121 |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | ANASTASI, MOORE & MARTIN, PLLC |
| Accountancy firm EIN | 2018-12-31 | 208149084 |
| 2017 : EVERGREEN SECURITY TRUST 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-12-31 | $17,274 |
| Total unrealized appreciation/depreciation of assets | 2017-12-31 | $17,274 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $332,963 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $341,411 |
| Total income from all sources (including contributions) | 2017-12-31 | $1,276,737 |
| Total loss/gain on sale of assets | 2017-12-31 | $0 |
| Total of all expenses incurred | 2017-12-31 | $1,338,428 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $1,087,972 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $1,232,799 |
| Value of total assets at end of year | 2017-12-31 | $847,986 |
| Value of total assets at beginning of year | 2017-12-31 | $918,125 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $250,456 |
| Total interest from all sources | 2017-12-31 | $27 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $26,637 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-12-31 | $26,637 |
| Administrative expenses professional fees incurred | 2017-12-31 | $210,009 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Contributions received from participants | 2017-12-31 | $10,194 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $11,707 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $68,161 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-12-31 | $275,783 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-12-31 | $288,450 |
| Administrative expenses (other) incurred | 2017-12-31 | $17,929 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $10,059 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $8,662 |
| Total non interest bearing cash at end of year | 2017-12-31 | $329,277 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $-61,691 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $515,023 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $576,714 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-12-31 | $428,816 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-12-31 | $411,542 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $40,361 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $435,263 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $435,263 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $27 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $1,087,972 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $1,222,605 |
| Employer contributions (assets) at end of year | 2017-12-31 | $37,825 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $3,159 |
| Contract administrator fees | 2017-12-31 | $22,518 |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $47,121 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $44,299 |
| Did the plan have assets held for investment | 2017-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | ANASTASI, MOORE & MARTIN, PLLC |
| Accountancy firm EIN | 2017-12-31 | 208149084 |
| 2016 : EVERGREEN SECURITY TRUST 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-12-31 | $22,570 |
| Total unrealized appreciation/depreciation of assets | 2016-12-31 | $22,570 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $341,411 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $36,629 |
| Total income from all sources (including contributions) | 2016-12-31 | $819,995 |
| Total loss/gain on sale of assets | 2016-12-31 | $10,797 |
| Total of all expenses incurred | 2016-12-31 | $1,199,664 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $1,014,459 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $747,738 |
| Value of total assets at end of year | 2016-12-31 | $918,125 |
| Value of total assets at beginning of year | 2016-12-31 | $993,012 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $185,205 |
| Total interest from all sources | 2016-12-31 | $11 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $38,879 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-12-31 | $38,879 |
| Administrative expenses professional fees incurred | 2016-12-31 | $148,750 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Contributions received from participants | 2016-12-31 | $12,232 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $68,161 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $2,582 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-12-31 | $288,450 |
| Administrative expenses (other) incurred | 2016-12-31 | $20,751 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $8,662 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $4,108 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $-379,669 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $576,714 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $956,383 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-12-31 | $411,542 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-12-31 | $675,188 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $435,263 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $314,826 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $314,826 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $11 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $1,014,459 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $735,506 |
| Employer contributions (assets) at end of year | 2016-12-31 | $3,159 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $416 |
| Contract administrator fees | 2016-12-31 | $15,704 |
| Liabilities. Value of benefit claims payable at end of year | 2016-12-31 | $44,299 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-12-31 | $32,521 |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Aggregate proceeds on sale of assets | 2016-12-31 | $321,584 |
| Aggregate carrying amount (costs) on sale of assets | 2016-12-31 | $310,787 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | ANASTASI, MOORE & MARTIN, PLLC |
| Accountancy firm EIN | 2016-12-31 | 208149084 |
| 2015 : EVERGREEN SECURITY TRUST 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-12-31 | $-66,603 |
| Total unrealized appreciation/depreciation of assets | 2015-12-31 | $-66,603 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $36,629 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $875,087 |
| Total income from all sources (including contributions) | 2015-12-31 | $428,790 |
| Total loss/gain on sale of assets | 2015-12-31 | $-1,107 |
| Total of all expenses incurred | 2015-12-31 | $453,026 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $307,770 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $456,151 |
| Value of total assets at end of year | 2015-12-31 | $993,012 |
| Value of total assets at beginning of year | 2015-12-31 | $1,855,706 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $145,256 |
| Total interest from all sources | 2015-12-31 | $70 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $40,279 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-12-31 | $40,279 |
| Administrative expenses professional fees incurred | 2015-12-31 | $38,109 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $2,582 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $23,999 |
| Administrative expenses (other) incurred | 2015-12-31 | $87,529 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $4,108 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $56,635 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $23,968 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $-24,236 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $956,383 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $980,619 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-12-31 | $675,188 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-12-31 | $933,274 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $314,826 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $820,428 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $820,428 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $70 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $456,151 |
| Employer contributions (assets) at end of year | 2015-12-31 | $416 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $54,037 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $307,770 |
| Contract administrator fees | 2015-12-31 | $19,618 |
| Liabilities. Value of benefit claims payable at end of year | 2015-12-31 | $32,521 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-12-31 | $818,452 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Aggregate proceeds on sale of assets | 2015-12-31 | $191,249 |
| Aggregate carrying amount (costs) on sale of assets | 2015-12-31 | $192,356 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | ANASTASI, MOORE & MARTIN, PLLC |
| Accountancy firm EIN | 2015-12-31 | 208149084 |
| 2014 : EVERGREEN SECURITY TRUST 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-12-31 | $8,910 |
| Total unrealized appreciation/depreciation of assets | 2014-12-31 | $8,910 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $875,087 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $7,773,802 |
| Total income from all sources (including contributions) | 2014-12-31 | $33,237,695 |
| Total loss/gain on sale of assets | 2014-12-31 | $0 |
| Total of all expenses incurred | 2014-12-31 | $33,025,914 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $29,336,481 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $33,172,456 |
| Value of total assets at end of year | 2014-12-31 | $1,855,706 |
| Value of total assets at beginning of year | 2014-12-31 | $8,542,640 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $3,689,433 |
| Total interest from all sources | 2014-12-31 | $1,307 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-12-31 | $55,022 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-12-31 | $54,047 |
| Administrative expenses professional fees incurred | 2014-12-31 | $3,031,907 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $117,055 |
| Participant contributions at beginning of year | 2014-12-31 | $41,778 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $23,999 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $25,352 |
| Administrative expenses (other) incurred | 2014-12-31 | $46,502 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $56,635 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $854,164 |
| Total non interest bearing cash at end of year | 2014-12-31 | $23,968 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $5,375 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $211,781 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $980,619 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $768,838 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-12-31 | $916,731 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-12-31 | $916,731 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $820,428 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $3,926,556 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $3,926,556 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $1,307 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2014-12-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $29,336,481 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $33,055,401 |
| Employer contributions (assets) at end of year | 2014-12-31 | $54,037 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $3,615,762 |
| Income. Dividends from common stock | 2014-12-31 | $975 |
| Contract administrator fees | 2014-12-31 | $611,024 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2014-12-31 | $16,543 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2014-12-31 | $11,086 |
| Liabilities. Value of benefit claims payable at end of year | 2014-12-31 | $818,452 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $6,919,638 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | ANASTASI, MOORE & MARTIN, PLLC |
| Accountancy firm EIN | 2014-12-31 | 208149084 |
| 2013 : EVERGREEN SECURITY TRUST 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $-53,040 |
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $-53,040 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $7,773,802 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $6,271,665 |
| Total income from all sources (including contributions) | 2013-12-31 | $48,439,410 |
| Total loss/gain on sale of assets | 2013-12-31 | $13,497 |
| Total of all expenses incurred | 2013-12-31 | $48,425,249 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $43,190,413 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $48,427,090 |
| Value of total assets at end of year | 2013-12-31 | $8,542,640 |
| Value of total assets at beginning of year | 2013-12-31 | $7,026,342 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $5,234,836 |
| Total interest from all sources | 2013-12-31 | $1,229 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $50,634 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-12-31 | $50,029 |
| Administrative expenses professional fees incurred | 2013-12-31 | $4,334,939 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $380,329 |
| Participant contributions at end of year | 2013-12-31 | $41,778 |
| Participant contributions at beginning of year | 2013-12-31 | $33,450 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2013-12-31 | $585,475 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $25,352 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $13,043 |
| Administrative expenses (other) incurred | 2013-12-31 | $27,910 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $854,164 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $673,143 |
| Total non interest bearing cash at end of year | 2013-12-31 | $5,375 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $5,816 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $14,161 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $768,838 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $754,677 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-12-31 | $916,731 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-12-31 | $864,750 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $3,926,556 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $3,951,170 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $3,951,170 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $1,229 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2013-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2013-12-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $42,604,938 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $48,046,761 |
| Employer contributions (assets) at end of year | 2013-12-31 | $3,615,762 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $2,105,486 |
| Income. Dividends from common stock | 2013-12-31 | $605 |
| Contract administrator fees | 2013-12-31 | $871,987 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2013-12-31 | $11,086 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2013-12-31 | $52,627 |
| Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $6,919,638 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $5,598,522 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Aggregate proceeds on sale of assets | 2013-12-31 | $270,905 |
| Aggregate carrying amount (costs) on sale of assets | 2013-12-31 | $257,408 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | ANASTASI, MOORE & MARTIN, PLLC |
| Accountancy firm EIN | 2013-12-31 | 208149084 |
| 2012 : EVERGREEN SECURITY TRUST 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-12-31 | $49,917 |
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $49,917 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $6,271,665 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $5,353,814 |
| Total income from all sources (including contributions) | 2012-12-31 | $47,672,938 |
| Total loss/gain on sale of assets | 2012-12-31 | $-2,346 |
| Total of all expenses incurred | 2012-12-31 | $47,583,936 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $42,440,166 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $47,581,977 |
| Value of total assets at end of year | 2012-12-31 | $7,026,342 |
| Value of total assets at beginning of year | 2012-12-31 | $6,019,489 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $5,143,770 |
| Total interest from all sources | 2012-12-31 | $20,567 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $22,823 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-12-31 | $21,514 |
| Administrative expenses professional fees incurred | 2012-12-31 | $4,270,477 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $291,745 |
| Participant contributions at end of year | 2012-12-31 | $33,450 |
| Participant contributions at beginning of year | 2012-12-31 | $30,098 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2012-12-31 | $1,581,862 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $13,043 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $2,706 |
| Administrative expenses (other) incurred | 2012-12-31 | $16,736 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $673,143 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $571,909 |
| Total non interest bearing cash at end of year | 2012-12-31 | $5,816 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $4,443 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $89,002 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $754,677 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $665,675 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $864,750 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $663,579 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $3,951,170 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $2,814,767 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $2,814,767 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $20,567 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2012-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2012-12-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $40,858,304 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $47,290,232 |
| Employer contributions (assets) at end of year | 2012-12-31 | $2,105,486 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $2,337,634 |
| Income. Dividends from common stock | 2012-12-31 | $1,309 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2012-12-31 | $118,770 |
| Contract administrator fees | 2012-12-31 | $856,557 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2012-12-31 | $52,627 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2012-12-31 | $47,492 |
| Liabilities. Value of benefit claims payable at end of year | 2012-12-31 | $5,598,522 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $4,781,905 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Aggregate proceeds on sale of assets | 2012-12-31 | $126,473 |
| Aggregate carrying amount (costs) on sale of assets | 2012-12-31 | $128,819 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | ANASTASI, MOORE & MARTIN, PLLC |
| Accountancy firm EIN | 2012-12-31 | 208149084 |
| 2011 : EVERGREEN SECURITY TRUST 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-12-31 | $-3,506 |
| Total unrealized appreciation/depreciation of assets | 2011-12-31 | $-3,506 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $5,353,814 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $3,623,731 |
| Total income from all sources (including contributions) | 2011-12-31 | $34,109,257 |
| Total loss/gain on sale of assets | 2011-12-31 | $-5,482 |
| Total of all expenses incurred | 2011-12-31 | $34,056,197 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $30,416,549 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $34,099,200 |
| Value of total assets at end of year | 2011-12-31 | $6,019,489 |
| Value of total assets at beginning of year | 2011-12-31 | $4,236,346 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $3,639,648 |
| Total interest from all sources | 2011-12-31 | $19,045 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Administrative expenses professional fees incurred | 2011-12-31 | $3,012,104 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $281,328 |
| Participant contributions at end of year | 2011-12-31 | $30,098 |
| Participant contributions at beginning of year | 2011-12-31 | $32,583 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2011-12-31 | $1,088,954 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $2,706 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $9,647 |
| Administrative expenses (other) incurred | 2011-12-31 | $13,758 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $571,909 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $382,719 |
| Total non interest bearing cash at end of year | 2011-12-31 | $4,443 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $4,930 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $53,060 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $665,675 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $612,615 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-12-31 | $663,579 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-12-31 | $89,464 |
| Income. Interest from corporate debt instruments | 2011-12-31 | $10,121 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $2,814,767 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $2,724,723 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $2,724,723 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $8,924 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $29,327,595 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $33,817,872 |
| Employer contributions (assets) at end of year | 2011-12-31 | $2,337,634 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $1,152,534 |
| Asset. Corporate debt instrument debt (other) at end of year | 2011-12-31 | $118,770 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2011-12-31 | $158,315 |
| Contract administrator fees | 2011-12-31 | $613,786 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2011-12-31 | $47,492 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2011-12-31 | $64,150 |
| Liabilities. Value of benefit claims payable at end of year | 2011-12-31 | $4,781,905 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-12-31 | $3,241,012 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Aggregate proceeds on sale of assets | 2011-12-31 | $566,722 |
| Aggregate carrying amount (costs) on sale of assets | 2011-12-31 | $572,204 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | ANASTASI & MOORE, PLLC |
| Accountancy firm EIN | 2011-12-31 | 208149084 |
| 2010 : EVERGREEN SECURITY TRUST 2010 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2010-12-31 | $47,448 |
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $47,448 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $3,623,731 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $1,689,066 |
| Total income from all sources (including contributions) | 2010-12-31 | $20,710,118 |
| Total of all expenses incurred | 2010-12-31 | $20,630,510 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $18,423,799 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $20,642,200 |
| Value of total assets at end of year | 2010-12-31 | $4,236,346 |
| Value of total assets at beginning of year | 2010-12-31 | $2,222,073 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $2,206,711 |
| Total interest from all sources | 2010-12-31 | $15,277 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $5,193 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2010-12-31 | $4,357 |
| Administrative expenses professional fees incurred | 2010-12-31 | $1,816,396 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $396,774 |
| Participant contributions at end of year | 2010-12-31 | $32,583 |
| Participant contributions at beginning of year | 2010-12-31 | $17,882 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $9,647 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $1,784 |
| Administrative expenses (other) incurred | 2010-12-31 | $18,755 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $382,719 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $170,803 |
| Total non interest bearing cash at end of year | 2010-12-31 | $4,930 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $3,820 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $79,608 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $612,615 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $533,007 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-12-31 | $89,464 |
| Income. Interest from corporate debt instruments | 2010-12-31 | $10,250 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $2,724,723 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $1,327,565 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $1,327,565 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $5,027 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $18,423,799 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $20,245,426 |
| Employer contributions (assets) at end of year | 2010-12-31 | $1,152,534 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $606,541 |
| Income. Dividends from common stock | 2010-12-31 | $836 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2010-12-31 | $264,481 |
| Asset. Corporate debt instrument debt (other) at end of year | 2010-12-31 | $158,315 |
| Contract administrator fees | 2010-12-31 | $371,560 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2010-12-31 | $64,150 |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $3,241,012 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $1,518,263 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | ANASTASI & MOORE, PLLC |
| Accountancy firm EIN | 2010-12-31 | 208149084 |
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 00091 TO 00096 |
| Policy instance | 3 |
| Insurance contract or identification number | 00091 TO 00096 | | Number of Individuals Covered | 1921 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | WA300625 |
| Policy instance | 2 |
| Insurance contract or identification number | WA300625 | | Number of Individuals Covered | 2442 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $66,257 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 30044146 |
| Policy instance | 1 |
| Insurance contract or identification number | 30044146 | | Number of Individuals Covered | 1455 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 30044146 |
| Policy instance | 1 |
| Insurance contract or identification number | 30044146 | | Number of Individuals Covered | 1408 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | WA300625 |
| Policy instance | 2 |
| Insurance contract or identification number | WA300625 | | Number of Individuals Covered | 2462 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $70,318 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 00091 TO 00096 |
| Policy instance | 3 |
| Insurance contract or identification number | 00091 TO 00096 | | Number of Individuals Covered | 1991 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | WA300625 |
| Policy instance | 2 |
| Insurance contract or identification number | WA300625 | | Number of Individuals Covered | 2192 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $75,916 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 30044146 |
| Policy instance | 1 |
| Insurance contract or identification number | 30044146 | | Number of Individuals Covered | 1452 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 00091 TO 00096 |
| Policy instance | 3 |
| Insurance contract or identification number | 00091 TO 00096 | | Number of Individuals Covered | 1416 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | WA300625 |
| Policy instance | 2 |
| Insurance contract or identification number | WA300625 | | Number of Individuals Covered | 2622 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $74,607 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 30044146 |
| Policy instance | 1 |
| Insurance contract or identification number | 30044146 | | Number of Individuals Covered | 1636 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 00091 TO 00096 |
| Policy instance | 3 |
| Insurance contract or identification number | 00091 TO 00096 | | Number of Individuals Covered | 1550 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 30044146 |
| Policy instance | 2 |
| Insurance contract or identification number | 30044146 | | Number of Individuals Covered | 1424 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | WA300625 |
| Policy instance | 1 |
| Insurance contract or identification number | WA300625 | | Number of Individuals Covered | 2624 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $82,881 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 00091 TO 00096 |
| Policy instance | 3 |
| Insurance contract or identification number | 00091 TO 00096 | | Number of Individuals Covered | 1220 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 00091 TO 00096 |
| Policy instance | 3 |
| Insurance contract or identification number | 00091 TO 00096 | | Number of Individuals Covered | 1199 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | WA300625 |
| Policy instance | 1 |
| Insurance contract or identification number | WA300625 | | Number of Individuals Covered | 2507 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $75,335 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 30044146 |
| Policy instance | 2 |
| Insurance contract or identification number | 30044146 | | Number of Individuals Covered | 1466 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $94,585 |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 91-92-93-94 |
| Policy instance | 6 |
| Insurance contract or identification number | 91-92-93-94 | | Number of Individuals Covered | 562 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | WA300625 |
| Policy instance | 1 |
| Insurance contract or identification number | WA300625 | | Number of Individuals Covered | 920 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $20,022 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 30044146 500 |
| Policy instance | 2 |
| Insurance contract or identification number | 30044146 500 | | Number of Individuals Covered | 30 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 30044146 501 |
| Policy instance | 3 |
| Insurance contract or identification number | 30044146 501 | | Number of Individuals Covered | 114 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 30044146 503 |
| Policy instance | 5 |
| Insurance contract or identification number | 30044146 503 | | Number of Individuals Covered | 64 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) |
| Policy contract number | 30044146 502 |
| Policy instance | 4 |
| Insurance contract or identification number | 30044146 502 | | Number of Individuals Covered | 382 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | 100000026 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000026 | | Number of Individuals Covered | 25 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $33,161 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $30,483,651 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 480 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | TERRIL LEWIS & WILKE INSURANCE INC |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 253-256 |
| Policy instance | 2 |
| Insurance contract or identification number | 253-256 | | Number of Individuals Covered | 1007 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000026 |
| Policy instance | 4 |
| Insurance contract or identification number | 100000026 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of fees paid to insurance company | USD $1,916 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $2,426,504 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 140 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | WESTERN STATES INSURANCE - SPOKANE |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | WA05132W |
| Policy instance | 3 |
| Insurance contract or identification number | WA05132W | | Number of Individuals Covered | 1797 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $4,147 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $180,344 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,147 | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF WASHINGTON |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | WA05132W |
| Policy instance | 3 |
| Insurance contract or identification number | WA05132W | | Number of Individuals Covered | 4470 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $219,663 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | 100000026 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000026 | | Number of Individuals Covered | 6306 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $102,997 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $38,669,764 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,840 | | Insurance broker organization code? | 3 | | Insurance broker name | OLYMPIC CREST INSURANCE INC |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 253-256 |
| Policy instance | 2 |
| Insurance contract or identification number | 253-256 | | Number of Individuals Covered | 1612 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000026 |
| Policy instance | 4 |
| Insurance contract or identification number | 100000026 | | Number of Individuals Covered | 595 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $5,709 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $2,467,682 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,441 | | Insurance broker organization code? | 3 | | Insurance broker name | WESTERN STATES INSURANCE - SPOKANE |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 253-256 |
| Policy instance | 2 |
| Insurance contract or identification number | 253-256 | | Number of Individuals Covered | 1773 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | WA05132W |
| Policy instance | 3 |
| Insurance contract or identification number | WA05132W | | Number of Individuals Covered | 7093 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $236,824 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | 100000026 |
| Policy instance | 4 |
| Insurance contract or identification number | 100000026 | | Number of Individuals Covered | 653 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $7,381 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $2,687,217 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,580 | | Insurance broker organization code? | 3 | | Insurance broker name | WESTERN STATES INSURANCE - SPOKANE |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | 100000026 |
| Policy instance | 1 |
| Insurance contract or identification number | 100000026 | | Number of Individuals Covered | 10787 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $72,404 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $37,885,263 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,960 | | Insurance broker organization code? | 3 | | Insurance broker name | GAIL E GINN INSURANCE, INC. |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | VARIOUS |
| Policy instance | 1 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 492 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $2,003 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $2,400,218 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | VARIOUS |
| Policy instance | 2 |
| Insurance contract or identification number | VARIOUS | | Number of Individuals Covered | 5055 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $34,589 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $25,977,170 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | WA05132W |
| Policy instance | 3 |
| Insurance contract or identification number | WA05132W | | Number of Individuals Covered | 6181 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $180,559 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 253-257 |
| Policy instance | 4 |
| Insurance contract or identification number | 253-257 | | Number of Individuals Covered | 1018 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) |
| Policy contract number | E5 |
| Policy instance | 3 |
| Insurance contract or identification number | E5 | | Number of Individuals Covered | 3790 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $48,409 | | Total amount of fees paid to insurance company | USD $31,266 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,357,438 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $300 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 6443 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker name | BROWN & BROWN WA INC. |
|
| ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 ) |
| Policy contract number | E5 |
| Policy instance | 4 |
| Insurance contract or identification number | E5 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $3,088 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,292,111 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $225 | | Insurance broker organization code? | 3 | | Insurance broker name | WESTERN STATES BENEFIT PLANNING |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 253-257 |
| Policy instance | 1 |
| Insurance contract or identification number | 253-257 | | Number of Individuals Covered | 970 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | WA05132W |
| Policy instance | 2 |
| Insurance contract or identification number | WA05132W | | Number of Individuals Covered | 2610 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $66,116 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
