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RETIREE'S WELFARE TRUST 401k Plan overview

Plan NameRETIREE'S WELFARE TRUST
Plan identification number 501

RETIREE'S WELFARE TRUST Benefits

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

401k Sponsoring company profile

RETIREE'S WELFARE TRUST BOARD OF TRUSTEES has sponsored the creation of one or more 401k plans.

Company Name:RETIREE'S WELFARE TRUST BOARD OF TRUSTEES
Employer identification number (EIN):916065367
NAIC Classification:484120
NAIC Description: General Freight Trucking, Long-Distance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREE'S WELFARE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01JOE TESSIER2023-10-13
5012021-01-01JOE TESSIER2022-10-12
5012020-01-01JOE TESSIER2021-10-10
5012019-01-01JOE TESSIER2020-08-19
5012018-01-01JOE TESSIER2019-08-29
5012017-01-01
5012016-01-01
5012015-01-01JOE TESSIER
5012014-01-01JOE TESSIER
5012013-01-01JOE TESSIER
5012012-01-01JOE TESSIER
5012011-01-01JOE TESSIER
5012010-01-01JOE TESSIER
5012009-01-01JOE TESSIER JOHN MACK2010-10-12

Plan Statistics for RETIREE'S WELFARE TRUST

401k plan membership statisitcs for RETIREE'S WELFARE TRUST

Measure Date Value
2022: RETIREE'S WELFARE TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-0118,811
Total number of active participants reported on line 7a of the Form 55002022-01-0113,429
Number of retired or separated participants receiving benefits2022-01-015,640
Total of all active and inactive participants2022-01-0119,069
Number of employers contributing to the scheme2022-01-01228
2021: RETIREE'S WELFARE TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-0117,981
Total number of active participants reported on line 7a of the Form 55002021-01-0113,284
Number of retired or separated participants receiving benefits2021-01-015,527
Total of all active and inactive participants2021-01-0118,811
Number of employers contributing to the scheme2021-01-01251
2020: RETIREE'S WELFARE TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-0117,609
Total number of active participants reported on line 7a of the Form 55002020-01-0112,616
Number of retired or separated participants receiving benefits2020-01-015,365
Total of all active and inactive participants2020-01-0117,981
Number of employers contributing to the scheme2020-01-01226
2019: RETIREE'S WELFARE TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-0117,456
Total number of active participants reported on line 7a of the Form 55002019-01-0112,228
Number of retired or separated participants receiving benefits2019-01-015,381
Total of all active and inactive participants2019-01-0117,609
Number of employers contributing to the scheme2019-01-01231
2018: RETIREE'S WELFARE TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-0117,281
Total number of active participants reported on line 7a of the Form 55002018-01-0112,106
Number of retired or separated participants receiving benefits2018-01-015,350
Total of all active and inactive participants2018-01-0117,456
Number of employers contributing to the scheme2018-01-01140
2017: RETIREE'S WELFARE TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-0117,091
Total number of active participants reported on line 7a of the Form 55002017-01-0111,990
Number of retired or separated participants receiving benefits2017-01-015,291
Total of all active and inactive participants2017-01-0117,281
Number of employers contributing to the scheme2017-01-01237
2016: RETIREE'S WELFARE TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-0117,059
Total number of active participants reported on line 7a of the Form 55002016-01-0111,776
Number of retired or separated participants receiving benefits2016-01-015,315
Total of all active and inactive participants2016-01-0117,091
Number of employers contributing to the scheme2016-01-01241
2015: RETIREE'S WELFARE TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-0116,881
Total number of active participants reported on line 7a of the Form 55002015-01-0111,762
Number of retired or separated participants receiving benefits2015-01-015,297
Total of all active and inactive participants2015-01-0117,059
Number of employers contributing to the scheme2015-01-01242
2014: RETIREE'S WELFARE TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-0116,686
Total number of active participants reported on line 7a of the Form 55002014-01-0111,597
Number of retired or separated participants receiving benefits2014-01-015,284
Total of all active and inactive participants2014-01-0116,881
Number of employers contributing to the scheme2014-01-01245
2013: RETIREE'S WELFARE TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-0116,478
Total number of active participants reported on line 7a of the Form 55002013-01-0111,343
Number of retired or separated participants receiving benefits2013-01-015,343
Total of all active and inactive participants2013-01-0116,686
Number of employers contributing to the scheme2013-01-01272
2012: RETIREE'S WELFARE TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-0116,642
Total number of active participants reported on line 7a of the Form 55002012-01-0111,071
Number of retired or separated participants receiving benefits2012-01-015,407
Total of all active and inactive participants2012-01-0116,478
Number of employers contributing to the scheme2012-01-01262
2011: RETIREE'S WELFARE TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-0117,471
Total number of active participants reported on line 7a of the Form 55002011-01-0111,139
Number of retired or separated participants receiving benefits2011-01-015,503
Total of all active and inactive participants2011-01-0116,642
Number of employers contributing to the scheme2011-01-01257
2010: RETIREE'S WELFARE TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-0117,576
Total number of active participants reported on line 7a of the Form 55002010-01-0111,772
Number of retired or separated participants receiving benefits2010-01-015,699
Total of all active and inactive participants2010-01-0117,471
Number of employers contributing to the scheme2010-01-01241
2009: RETIREE'S WELFARE TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-0118,837
Total number of active participants reported on line 7a of the Form 55002009-01-0111,923
Number of retired or separated participants receiving benefits2009-01-015,653
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0117,576

Financial Data on RETIREE'S WELFARE TRUST

Measure Date Value
2022 : RETIREE'S WELFARE TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-3,451,392
Total unrealized appreciation/depreciation of assets2022-12-31$-3,451,392
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$5,568,733
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$5,559,484
Total income from all sources (including contributions)2022-12-31$39,976,641
Total loss/gain on sale of assets2022-12-31$1,375
Total of all expenses incurred2022-12-31$37,391,371
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$33,559,268
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$49,135,409
Value of total assets at end of year2022-12-31$116,226,888
Value of total assets at beginning of year2022-12-31$113,632,369
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$3,832,103
Total interest from all sources2022-12-31$769,945
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$923,620
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$923,620
Administrative expenses professional fees incurred2022-12-31$623,969
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$17,708,001
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$382,833
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$243,074
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$1,895,690
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$1,850,150
Administrative expenses (other) incurred2022-12-31$60,875
Liabilities. Value of operating payables at end of year2022-12-31$43,526
Liabilities. Value of operating payables at beginning of year2022-12-31$23,143
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$2,585,270
Value of net assets at end of year (total assets less liabilities)2022-12-31$110,658,155
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$108,072,885
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$177,784
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$30,892,839
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$37,371,535
Income. Interest from US Government securities2022-12-31$595,144
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$8,258,731
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$12,408,284
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$12,408,284
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$174,801
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,053,639
Asset value of US Government securities at end of year2022-12-31$73,932,191
Asset value of US Government securities at beginning of year2022-12-31$60,512,753
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-7,402,316
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$31,427,408
Employer contributions (assets) at end of year2022-12-31$2,760,294
Employer contributions (assets) at beginning of year2022-12-31$3,096,723
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$32,505,629
Contract administrator fees2022-12-31$2,969,475
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$3,629,517
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$3,686,191
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$49,809,794
Aggregate carrying amount (costs) on sale of assets2022-12-31$49,808,419
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2022-12-31208149084
2021 : RETIREE'S WELFARE TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-701,087
Total unrealized appreciation/depreciation of assets2021-12-31$-701,087
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$5,559,484
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$4,889,171
Total income from all sources (including contributions)2021-12-31$47,886,470
Total loss/gain on sale of assets2021-12-31$7,173
Total of all expenses incurred2021-12-31$32,702,210
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$28,913,083
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$45,186,603
Value of total assets at end of year2021-12-31$113,632,369
Value of total assets at beginning of year2021-12-31$97,777,796
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$3,789,127
Total interest from all sources2021-12-31$446,544
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$466,579
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$466,579
Administrative expenses professional fees incurred2021-12-31$634,230
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$17,758,435
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$243,074
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$276,930
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$1,850,150
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$1,704,079
Administrative expenses (other) incurred2021-12-31$66,270
Liabilities. Value of operating payables at end of year2021-12-31$23,143
Liabilities. Value of operating payables at beginning of year2021-12-31$26,159
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$15,184,260
Value of net assets at end of year (total assets less liabilities)2021-12-31$108,072,885
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$92,888,625
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$180,227
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$37,371,535
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$18,424,296
Income. Interest from US Government securities2021-12-31$445,268
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$12,408,284
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$8,744,350
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$8,744,350
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$1,276
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,094,543
Asset value of US Government securities at end of year2021-12-31$60,512,753
Asset value of US Government securities at beginning of year2021-12-31$68,288,642
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$2,480,658
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$27,428,168
Employer contributions (assets) at end of year2021-12-31$3,096,723
Employer contributions (assets) at beginning of year2021-12-31$2,043,578
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$27,818,540
Contract administrator fees2021-12-31$2,908,400
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$3,686,191
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$3,158,933
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$123,046,873
Aggregate carrying amount (costs) on sale of assets2021-12-31$123,039,700
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2021-12-31208149084
2020 : RETIREE'S WELFARE TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$258,466
Total unrealized appreciation/depreciation of assets2020-12-31$258,466
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$4,889,171
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$4,772,131
Total income from all sources (including contributions)2020-12-31$45,964,263
Total loss/gain on sale of assets2020-12-31$7,255
Total of all expenses incurred2020-12-31$29,200,496
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$25,589,274
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$42,056,802
Value of total assets at end of year2020-12-31$97,777,796
Value of total assets at beginning of year2020-12-31$80,896,989
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$3,611,222
Total interest from all sources2020-12-31$753,535
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$519,906
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$519,906
Administrative expenses professional fees incurred2020-12-31$566,809
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$17,734,492
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$276,930
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$551,468
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$1,704,079
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$1,805,254
Administrative expenses (other) incurred2020-12-31$40,639
Liabilities. Value of operating payables at end of year2020-12-31$26,159
Liabilities. Value of operating payables at beginning of year2020-12-31$39,700
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$16,763,767
Value of net assets at end of year (total assets less liabilities)2020-12-31$92,888,625
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$76,124,858
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$160,653
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$18,424,296
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$15,536,092
Income. Interest from US Government securities2020-12-31$729,790
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$8,744,350
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$8,152,765
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$8,152,765
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$23,745
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$912,469
Asset value of US Government securities at end of year2020-12-31$68,288,642
Asset value of US Government securities at beginning of year2020-12-31$54,928,834
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$2,368,299
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$24,322,310
Employer contributions (assets) at end of year2020-12-31$2,043,578
Employer contributions (assets) at beginning of year2020-12-31$1,727,830
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$24,676,805
Contract administrator fees2020-12-31$2,843,121
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$3,158,933
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$2,927,177
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$140,102,126
Aggregate carrying amount (costs) on sale of assets2020-12-31$140,094,871
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2020-12-31208149084
2019 : RETIREE'S WELFARE TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$695,770
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$695,770
Total unrealized appreciation/depreciation of assets2019-12-31$695,770
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,772,131
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,772,131
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$5,114,410
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$5,114,410
Total income from all sources (including contributions)2019-12-31$45,264,215
Total income from all sources (including contributions)2019-12-31$45,264,215
Total loss/gain on sale of assets2019-12-31$12,522
Total loss/gain on sale of assets2019-12-31$12,522
Total of all expenses incurred2019-12-31$30,509,211
Total of all expenses incurred2019-12-31$30,509,211
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$26,994,923
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$26,994,923
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$41,110,946
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$41,110,946
Value of total assets at end of year2019-12-31$80,896,989
Value of total assets at end of year2019-12-31$80,896,989
Value of total assets at beginning of year2019-12-31$66,484,264
Value of total assets at beginning of year2019-12-31$66,484,264
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,514,288
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,514,288
Total interest from all sources2019-12-31$1,022,142
Total interest from all sources2019-12-31$1,022,142
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$324,662
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$324,662
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$324,662
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$324,662
Administrative expenses professional fees incurred2019-12-31$557,951
Administrative expenses professional fees incurred2019-12-31$557,951
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$17,811,017
Contributions received from participants2019-12-31$17,811,017
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$551,468
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$551,468
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$201,019
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1,805,254
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1,805,254
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$2,269,896
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$2,269,896
Administrative expenses (other) incurred2019-12-31$40,222
Administrative expenses (other) incurred2019-12-31$40,222
Liabilities. Value of operating payables at end of year2019-12-31$39,700
Liabilities. Value of operating payables at end of year2019-12-31$39,700
Liabilities. Value of operating payables at beginning of year2019-12-31$75,988
Liabilities. Value of operating payables at beginning of year2019-12-31$75,988
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$14,755,004
Value of net income/loss2019-12-31$14,755,004
Value of net assets at end of year (total assets less liabilities)2019-12-31$76,124,858
Value of net assets at end of year (total assets less liabilities)2019-12-31$76,124,858
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$61,369,854
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$61,369,854
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$153,124
Investment advisory and management fees2019-12-31$153,124
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$15,536,092
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$15,536,092
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$13,113,257
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$13,113,257
Income. Interest from US Government securities2019-12-31$866,431
Income. Interest from US Government securities2019-12-31$866,431
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$8,152,765
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$8,152,765
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,893,082
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,893,082
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,893,082
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,893,082
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$155,711
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$155,711
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$810,519
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$810,519
Asset value of US Government securities at end of year2019-12-31$54,928,834
Asset value of US Government securities at end of year2019-12-31$54,928,834
Asset value of US Government securities at beginning of year2019-12-31$47,304,400
Asset value of US Government securities at beginning of year2019-12-31$47,304,400
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,098,173
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$23,299,929
Contributions received in cash from employer2019-12-31$23,299,929
Employer contributions (assets) at end of year2019-12-31$1,727,830
Employer contributions (assets) at end of year2019-12-31$1,727,830
Employer contributions (assets) at beginning of year2019-12-31$972,506
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$26,184,404
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$26,184,404
Contract administrator fees2019-12-31$2,762,991
Contract administrator fees2019-12-31$2,762,991
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$2,927,177
Liabilities. Value of benefit claims payable at end of year2019-12-31$2,927,177
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$2,768,526
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$2,768,526
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$9,000,000
Aggregate proceeds on sale of assets2019-12-31$9,000,000
Aggregate carrying amount (costs) on sale of assets2019-12-31$8,987,478
Aggregate carrying amount (costs) on sale of assets2019-12-31$8,987,478
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm name2019-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2019-12-31208149084
Accountancy firm EIN2019-12-31208149084
2018 : RETIREE'S WELFARE TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$136,505
Total unrealized appreciation/depreciation of assets2018-12-31$136,505
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$5,114,410
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$5,067,369
Total income from all sources (including contributions)2018-12-31$31,766,321
Total loss/gain on sale of assets2018-12-31$36,769
Total of all expenses incurred2018-12-31$30,310,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$27,003,562
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$31,158,607
Value of total assets at end of year2018-12-31$66,484,264
Value of total assets at beginning of year2018-12-31$64,981,829
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,307,365
Total interest from all sources2018-12-31$734,407
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$333,239
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$427,129
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$17,667,615
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$201,019
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$261,221
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$2,269,896
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$1,862,611
Administrative expenses (other) incurred2018-12-31$45,460
Liabilities. Value of operating payables at end of year2018-12-31$75,988
Liabilities. Value of operating payables at beginning of year2018-12-31$57,193
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,455,394
Value of net assets at end of year (total assets less liabilities)2018-12-31$61,369,854
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$59,914,460
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$149,653
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$13,113,257
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$11,413,224
Income. Interest from US Government securities2018-12-31$701,443
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$4,893,082
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$2,921,636
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$2,921,636
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$32,964
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$4,370,318
Asset value of US Government securities at end of year2018-12-31$47,304,400
Asset value of US Government securities at beginning of year2018-12-31$49,171,100
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-633,206
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$13,490,992
Employer contributions (assets) at end of year2018-12-31$972,506
Employer contributions (assets) at beginning of year2018-12-31$1,214,648
Income. Dividends from common stock2018-12-31$333,239
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$22,633,244
Contract administrator fees2018-12-31$2,685,123
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$2,768,526
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$3,147,565
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$31,936,151
Aggregate carrying amount (costs) on sale of assets2018-12-31$31,899,382
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2018-12-31208149084
2017 : RETIREE'S WELFARE TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-47,290
Total unrealized appreciation/depreciation of assets2017-12-31$-47,290
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$5,067,369
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$4,945,376
Total income from all sources (including contributions)2017-12-31$32,971,162
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$30,133,015
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$26,823,645
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$30,937,249
Value of total assets at end of year2017-12-31$64,981,829
Value of total assets at beginning of year2017-12-31$62,021,689
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$3,309,370
Total interest from all sources2017-12-31$692,632
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$199,175
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$199,175
Administrative expenses professional fees incurred2017-12-31$505,440
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$17,340,298
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$261,221
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$224,922
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$1,862,611
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$1,748,143
Administrative expenses (other) incurred2017-12-31$48,545
Liabilities. Value of operating payables at end of year2017-12-31$57,193
Liabilities. Value of operating payables at beginning of year2017-12-31$40,549
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$2,838,147
Value of net assets at end of year (total assets less liabilities)2017-12-31$59,914,460
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$57,076,313
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$127,421
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$11,413,224
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$10,609,517
Income. Interest from US Government securities2017-12-31$677,540
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$2,921,636
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$815,586
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$815,586
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$15,092
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$4,801,331
Asset value of US Government securities at end of year2017-12-31$49,171,100
Asset value of US Government securities at beginning of year2017-12-31$49,218,390
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,189,396
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$13,596,951
Employer contributions (assets) at end of year2017-12-31$1,214,648
Employer contributions (assets) at beginning of year2017-12-31$1,153,274
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$22,022,314
Contract administrator fees2017-12-31$2,627,964
Liabilities. Value of benefit claims payable at end of year2017-12-31$3,147,565
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$3,156,684
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31ANASTASI, MOORE & MARTIN PLLC
Accountancy firm EIN2017-12-31208149084
2016 : RETIREE'S WELFARE TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$417,739
Total unrealized appreciation/depreciation of assets2016-12-31$417,739
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$4,945,376
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$4,953,432
Total income from all sources (including contributions)2016-12-31$31,913,062
Total loss/gain on sale of assets2016-12-31$-1,399
Total of all expenses incurred2016-12-31$28,602,292
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$25,391,317
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$30,748,560
Value of total assets at end of year2016-12-31$62,021,689
Value of total assets at beginning of year2016-12-31$58,718,975
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,210,975
Total interest from all sources2016-12-31$633,778
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$114,384
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$114,384
Administrative expenses professional fees incurred2016-12-31$392,197
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$17,134,807
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$224,922
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$169,745
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$1,748,143
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$2,838,860
Administrative expenses (other) incurred2016-12-31$51,223
Liabilities. Value of operating payables at end of year2016-12-31$40,549
Liabilities. Value of operating payables at beginning of year2016-12-31$115,105
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$3,310,770
Value of net assets at end of year (total assets less liabilities)2016-12-31$57,076,313
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$53,765,543
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$139,591
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$10,609,517
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$12,117,438
Income. Interest from US Government securities2016-12-31$622,768
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$815,586
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$576,387
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$576,387
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$11,010
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$4,395,223
Asset value of US Government securities at end of year2016-12-31$49,218,390
Asset value of US Government securities at beginning of year2016-12-31$44,713,370
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$13,613,753
Employer contributions (assets) at end of year2016-12-31$1,153,274
Employer contributions (assets) at beginning of year2016-12-31$1,142,035
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$20,996,094
Contract administrator fees2016-12-31$2,627,964
Liabilities. Value of benefit claims payable at end of year2016-12-31$3,156,684
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$1,999,467
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$6,000,000
Aggregate carrying amount (costs) on sale of assets2016-12-31$6,001,399
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2016-12-31208149084
2015 : RETIREE'S WELFARE TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-20,960
Total unrealized appreciation/depreciation of assets2015-12-31$-20,960
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$4,953,432
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$5,488,988
Total income from all sources (including contributions)2015-12-31$31,000,761
Total loss/gain on sale of assets2015-12-31$3,000
Total of all expenses incurred2015-12-31$26,893,991
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$23,713,885
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$30,453,329
Value of total assets at end of year2015-12-31$58,718,975
Value of total assets at beginning of year2015-12-31$55,147,761
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$3,180,106
Total interest from all sources2015-12-31$565,392
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$367,558
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$17,038,653
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$169,745
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$184,813
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$2,838,860
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$3,548,965
Administrative expenses (other) incurred2015-12-31$58,887
Liabilities. Value of operating payables at end of year2015-12-31$115,105
Liabilities. Value of operating payables at beginning of year2015-12-31$74,985
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$4,106,770
Value of net assets at end of year (total assets less liabilities)2015-12-31$53,765,543
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$49,658,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$141,720
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$12,117,438
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,969,177
Income. Interest from US Government securities2015-12-31$564,620
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$576,387
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,107,729
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,107,729
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$772
Asset value of US Government securities at end of year2015-12-31$44,713,370
Asset value of US Government securities at beginning of year2015-12-31$50,731,580
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$13,414,676
Employer contributions (assets) at end of year2015-12-31$1,142,035
Employer contributions (assets) at beginning of year2015-12-31$1,154,462
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$23,713,885
Contract administrator fees2015-12-31$2,611,941
Liabilities. Value of benefit claims payable at end of year2015-12-31$1,999,467
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$1,865,038
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$2,000,000
Aggregate carrying amount (costs) on sale of assets2015-12-31$1,997,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2015-12-31208149084
2014 : RETIREE'S WELFARE TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$255,590
Total unrealized appreciation/depreciation of assets2014-12-31$255,590
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$5,488,988
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$5,315,233
Total income from all sources (including contributions)2014-12-31$31,052,134
Total loss/gain on sale of assets2014-12-31$3,000
Total of all expenses incurred2014-12-31$26,898,471
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$23,828,394
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$30,305,432
Value of total assets at end of year2014-12-31$55,147,761
Value of total assets at beginning of year2014-12-31$50,820,343
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$3,070,077
Total interest from all sources2014-12-31$488,112
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$334,383
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$17,125,930
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$184,813
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$123,604
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$3,548,965
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$3,290,102
Administrative expenses (other) incurred2014-12-31$46,708
Liabilities. Value of operating payables at end of year2014-12-31$74,985
Liabilities. Value of operating payables at beginning of year2014-12-31$235,273
Total non interest bearing cash at end of year2014-12-31$1,107,729
Total non interest bearing cash at beginning of year2014-12-31$937,067
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$4,153,663
Value of net assets at end of year (total assets less liabilities)2014-12-31$49,658,773
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$45,505,110
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$140,747
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,969,177
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$7,244,354
Income. Interest from US Government securities2014-12-31$487,764
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$348
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,703,386
Asset value of US Government securities at end of year2014-12-31$50,731,580
Asset value of US Government securities at beginning of year2014-12-31$41,472,990
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$13,179,502
Employer contributions (assets) at end of year2014-12-31$1,154,462
Employer contributions (assets) at beginning of year2014-12-31$1,042,328
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$21,125,008
Contract administrator fees2014-12-31$2,548,239
Liabilities. Value of benefit claims payable at end of year2014-12-31$1,865,038
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,789,858
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$4,000,000
Aggregate carrying amount (costs) on sale of assets2014-12-31$3,997,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2014-12-31208149084
2013 : RETIREE'S WELFARE TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-592,275
Total unrealized appreciation/depreciation of assets2013-12-31$-592,275
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$5,315,233
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$5,228,072
Total income from all sources (including contributions)2013-12-31$30,016,247
Total loss/gain on sale of assets2013-12-31$5,050
Total of all expenses incurred2013-12-31$26,206,836
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$23,207,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$30,236,234
Value of total assets at end of year2013-12-31$50,820,343
Value of total assets at beginning of year2013-12-31$46,923,771
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,999,106
Total interest from all sources2013-12-31$367,238
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$279,306
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$17,399,446
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$123,604
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$130,266
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$3,290,102
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$3,008,466
Administrative expenses (other) incurred2013-12-31$77,102
Total non interest bearing cash at end of year2013-12-31$937,067
Total non interest bearing cash at beginning of year2013-12-31$500,794
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$3,809,411
Value of net assets at end of year (total assets less liabilities)2013-12-31$45,505,110
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$41,695,699
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$141,358
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$7,244,354
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$5,695,622
Income. Interest from US Government securities2013-12-31$366,917
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$321
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$3,278,288
Asset value of US Government securities at end of year2013-12-31$41,472,990
Asset value of US Government securities at beginning of year2013-12-31$39,563,215
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$12,836,788
Employer contributions (assets) at end of year2013-12-31$1,042,328
Employer contributions (assets) at beginning of year2013-12-31$1,033,874
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$19,929,442
Contract administrator fees2013-12-31$2,501,340
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$2,025,131
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$2,219,606
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$5,000,000
Aggregate carrying amount (costs) on sale of assets2013-12-31$4,994,950
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN2013-12-31208149084
2012 : RETIREE'S WELFARE TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$34,785
Total unrealized appreciation/depreciation of assets2012-12-31$34,785
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$5,228,072
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$5,857,550
Total income from all sources (including contributions)2012-12-31$30,376,827
Total loss/gain on sale of assets2012-12-31$1,840
Total of all expenses incurred2012-12-31$25,597,615
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$22,688,406
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$29,990,024
Value of total assets at end of year2012-12-31$46,923,771
Value of total assets at beginning of year2012-12-31$42,774,037
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,909,209
Total interest from all sources2012-12-31$350,178
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$237,663
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$17,181,103
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$130,266
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$308,422
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$3,008,466
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$3,738,260
Administrative expenses (other) incurred2012-12-31$58,312
Total non interest bearing cash at end of year2012-12-31$500,794
Total non interest bearing cash at beginning of year2012-12-31$108,418
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$4,779,212
Value of net assets at end of year (total assets less liabilities)2012-12-31$41,695,699
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$36,916,487
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$127,149
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$5,695,622
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$5,800,000
Income. Interest from US Government securities2012-12-31$350,010
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$168
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$730,458
Asset value of US Government securities at end of year2012-12-31$39,563,215
Asset value of US Government securities at beginning of year2012-12-31$35,536,480
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$12,808,921
Employer contributions (assets) at end of year2012-12-31$1,033,874
Employer contributions (assets) at beginning of year2012-12-31$1,020,717
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$21,957,948
Contract administrator fees2012-12-31$2,486,085
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$2,219,606
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$2,119,290
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$2,000,000
Aggregate carrying amount (costs) on sale of assets2012-12-31$1,998,160
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31ANASTASI, MOORE & MARTIN
Accountancy firm EIN2012-12-31208149084
2011 : RETIREE'S WELFARE TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$268,575
Total unrealized appreciation/depreciation of assets2011-12-31$268,575
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$5,857,550
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$6,550,689
Total income from all sources (including contributions)2011-12-31$30,841,389
Total loss/gain on sale of assets2011-12-31$3,420
Total of all expenses incurred2011-12-31$27,953,942
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$25,057,852
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$30,091,619
Value of total assets at end of year2011-12-31$42,774,037
Value of total assets at beginning of year2011-12-31$40,579,729
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$2,896,090
Total interest from all sources2011-12-31$477,775
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 year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$275,327
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$16,937,948
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$308,422
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$227,225
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$3,738,260
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$4,583,150
Administrative expenses (other) incurred2011-12-31$71,939
Total non interest bearing cash at end of year2011-12-31$108,418
Total non interest bearing cash at beginning of year2011-12-31$1,480,134
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$2,887,447
Value of net assets at end of year (total assets less liabilities)2011-12-31$36,916,487
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$34,029,040
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$123,384
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$5,800,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$6,000,000
Income. Interest from US Government securities2011-12-31$477,502
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$273
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$763,256
Asset value of US Government securities at end of year2011-12-31$35,536,480
Asset value of US Government securities at beginning of year2011-12-31$31,765,915
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$13,153,671
Employer contributions (assets) at end of year2011-12-31$1,020,717
Employer contributions (assets) at beginning of year2011-12-31$1,106,455
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$24,294,596
Contract administrator fees2011-12-31$2,425,440
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$2,119,290
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,967,539
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$5,000,000
Aggregate carrying amount (costs) on sale of assets2011-12-31$4,996,580
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31ANASTASI & MOORE, PLLC
Accountancy firm EIN2011-12-31208149084
2010 : RETIREE'S WELFARE TRUST 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-181,209
Total unrealized appreciation/depreciation of assets2010-12-31$-181,209
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$6,550,689
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$8,521,691
Total income from all sources (including contributions)2010-12-31$29,554,508
Total loss/gain on sale of assets2010-12-31$6,498
Total of all expenses incurred2010-12-31$25,257,649
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$22,400,819
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$29,132,811
Value of total assets at end of year2010-12-31$40,579,729
Value of total assets at beginning of year2010-12-31$38,253,872
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$2,856,830
Total interest from all sources2010-12-31$595,384
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$347,320
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$16,983,802
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$19,254
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$227,225
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$255,045
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$4,583,150
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$6,510,295
Other income not declared elsewhere2010-12-31$1,024
Administrative expenses (other) incurred2010-12-31$57,285
Total non interest bearing cash at end of year2010-12-31$1,480,134
Total non interest bearing cash at beginning of year2010-12-31$552,100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$4,296,859
Value of net assets at end of year (total assets less liabilities)2010-12-31$34,029,040
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$29,732,181
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$92,125
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$6,000,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$2,400,000
Income. Interest from US Government securities2010-12-31$594,931
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$453
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$751,195
Asset value of US Government securities at end of year2010-12-31$31,765,915
Asset value of US Government securities at beginning of year2010-12-31$34,044,049
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$12,129,755
Employer contributions (assets) at end of year2010-12-31$1,106,455
Employer contributions (assets) at beginning of year2010-12-31$1,002,678
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$21,649,624
Contract administrator fees2010-12-31$2,360,100
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,967,539
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$2,011,396
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$19,500,000
Aggregate carrying amount (costs) on sale of assets2010-12-31$19,493,502
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31ANASTASI & MOORE, PLLC
Accountancy firm EIN2010-12-31208149084

Form 5500 Responses for RETIREE'S WELFARE TRUST

2022: RETIREE'S WELFARE TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: RETIREE'S WELFARE TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedYes
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: RETIREE'S WELFARE TRUST 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: RETIREE'S WELFARE TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: RETIREE'S WELFARE TRUST 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: RETIREE'S WELFARE TRUST 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: RETIREE'S WELFARE TRUST 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: RETIREE'S WELFARE TRUST 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: RETIREE'S WELFARE TRUST 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: RETIREE'S WELFARE TRUST 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: RETIREE'S WELFARE TRUST 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: RETIREE'S WELFARE TRUST 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: RETIREE'S WELFARE TRUST 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: RETIREE'S WELFARE TRUST 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberWA164
Policy instance 2
Insurance contract or identification numberWA164
Number of Individuals Covered1454
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number801970
Policy instance 1
Insurance contract or identification number801970
Number of Individuals Covered3
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $17,988
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberWA164
Policy instance 2
Insurance contract or identification numberWA164
Number of Individuals Covered1390
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number801970
Policy instance 1
Insurance contract or identification number801970
Number of Individuals Covered3
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $19,136
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberWA164
Policy instance 2
Insurance contract or identification numberWA164
Number of Individuals Covered1361
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number801970
Policy instance 1
Insurance contract or identification number801970
Number of Individuals Covered3
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $25,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number801970
Policy instance 1
Insurance contract or identification number801970
Number of Individuals Covered5
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $31,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberWA164
Policy instance 2
Insurance contract or identification numberWA164
Number of Individuals Covered1327
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberA3338TEAM
Policy instance 1
Insurance contract or identification numberA3338TEAM
Number of Individuals Covered6136
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,655,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberK30165016
Policy instance 2
Insurance contract or identification numberK30165016
Number of Individuals Covered6136
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,223,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number801970
Policy instance 3
Insurance contract or identification number801970
Number of Individuals Covered5
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $38,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberWA164/Z213
Policy instance 4
Insurance contract or identification numberWA164/Z213
Number of Individuals Covered1258
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberWA164/Z213
Policy instance 4
Insurance contract or identification numberWA164/Z213
Number of Individuals Covered1213
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $723,391
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number801970
Policy instance 3
Insurance contract or identification number801970
Number of Individuals Covered6
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $38,811
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberK30165016
Policy instance 2
Insurance contract or identification numberK30165016
Number of Individuals Covered6120
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,331,795
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberA3338TEAM
Policy instance 1
Insurance contract or identification numberA3338TEAM
Number of Individuals Covered6120
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,713,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number801970
Policy instance 3
Insurance contract or identification number801970
Number of Individuals Covered9
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $58,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberA3338
Policy instance 1
Insurance contract or identification numberA3338
Number of Individuals Covered6101
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,698,109
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberK30165016
Policy instance 2
Insurance contract or identification numberK30165016
Number of Individuals Covered6101
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,859,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberWA164/Z213
Policy instance 4
Insurance contract or identification numberWA164/Z213
Number of Individuals Covered1751
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $675,954
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number801970
Policy instance 2
Insurance contract or identification number801970
Number of Individuals Covered11
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $53,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberA3338
Policy instance 3
Insurance contract or identification numberA3338
Number of Individuals Covered6234
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,984,697
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberWA164/Z213
Policy instance 1
Insurance contract or identification numberWA164/Z213
Number of Individuals Covered1142
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SILVERSCRIPT (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract numberK30165016
Policy instance 3
Insurance contract or identification numberK30165016
Number of Individuals Covered6206
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,556,005
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number801970
Policy instance 2
Insurance contract or identification number801970
Number of Individuals Covered13
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $71,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberZ213
Policy instance 1
Insurance contract or identification numberZ213
Number of Individuals Covered1127
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number801970
Policy instance 2
Insurance contract or identification number801970
Number of Individuals Covered16
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $89,423
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberZ213
Policy instance 1
Insurance contract or identification numberZ213
Number of Individuals Covered1095
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number801970
Policy instance 1
Insurance contract or identification number801970
Number of Individuals Covered18
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $90,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberZ213
Policy instance 2
Insurance contract or identification numberZ213
Number of Individuals Covered1147
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number801970
Policy instance 1
Insurance contract or identification number801970
Number of Individuals Covered23
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $111,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberZ213
Policy instance 2
Insurance contract or identification numberZ213
Number of Individuals Covered1134
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $639,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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