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HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 401k Plan overview

Plan NameHAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN
Plan identification number 501

HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN Benefits

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

401k Sponsoring company profile

HAMILTON CONSTRUCTION COMPANY has sponsored the creation of one or more 401k plans.

Company Name:HAMILTON CONSTRUCTION COMPANY
Employer identification number (EIN):930465501
NAIC Classification:237310
NAIC Description:Highway, Street, and Bridge Construction

Additional information about HAMILTON CONSTRUCTION COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 881796

More information about HAMILTON CONSTRUCTION COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01SCOTT WILLIAMS
5012016-01-01ROBERT N. SHERMAN
5012015-01-01SCOTT WILLIAMS
5012014-01-01SCOTT WILLIAMS
5012013-01-01SCOTT WILLIAMS
5012012-01-01SCOTT WILLIAMS SCOTT WILLIAMS2013-10-01
5012011-01-01JOSIE BLACKWELL
5012010-01-01JOSIE BLACKWELL
5012009-01-01SCOTT WILLIAMS

Plan Statistics for HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN

401k plan membership statisitcs for HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN

Measure Date Value
2022: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01385
Total number of active participants reported on line 7a of the Form 55002022-01-01272
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01272
2021: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01333
Total number of active participants reported on line 7a of the Form 55002021-01-01385
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01385
2020: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01283
Total number of active participants reported on line 7a of the Form 55002020-01-01333
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01333
2019: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01264
Total number of active participants reported on line 7a of the Form 55002019-01-01283
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01283
2018: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01212
Total number of active participants reported on line 7a of the Form 55002018-01-01264
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01264
2017: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01190
Total number of active participants reported on line 7a of the Form 55002017-01-01212
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01212
2016: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01164
Total number of active participants reported on line 7a of the Form 55002016-01-01190
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01190
2015: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01150
Total number of active participants reported on line 7a of the Form 55002015-01-01164
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01164
2014: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01150
Total number of active participants reported on line 7a of the Form 55002014-01-01150
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01150
2013: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01154
Total number of active participants reported on line 7a of the Form 55002013-01-01150
Total of all active and inactive participants2013-01-01150
2012: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01131
Total number of active participants reported on line 7a of the Form 55002012-01-01154
Total of all active and inactive participants2012-01-01154
2011: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01138
Total number of active participants reported on line 7a of the Form 55002011-01-01127
Number of retired or separated participants receiving benefits2011-01-014
Total of all active and inactive participants2011-01-01131
Total participants2011-01-01131
2010: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01151
Total number of active participants reported on line 7a of the Form 55002010-01-01134
Number of retired or separated participants receiving benefits2010-01-014
Total of all active and inactive participants2010-01-01138
Total participants2010-01-01138
2009: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01140
Total number of active participants reported on line 7a of the Form 55002009-01-01151
Number of retired or separated participants receiving benefits2009-01-012
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01153

Financial Data on HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN

Measure Date Value
2022 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2022 401k financial data
Total transfer of assets from this plan2022-12-31$1,477,139
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,735,673
Total income from all sources (including contributions)2022-12-31$3,649,937
Total of all expenses incurred2022-12-31$538,234
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$499,159
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,017,946
Value of total assets at end of year2022-12-31$1,604,457
Value of total assets at beginning of year2022-12-31$2,705,566
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$39,075
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$9,100
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$147,714
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
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$18,999
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$2,730,773
Other income not declared elsewhere2022-12-31$2,631,991
Administrative expenses (other) incurred2022-12-31$13,187
Liabilities. Value of operating payables at beginning of year2022-12-31$4,900
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$3,111,703
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,604,457
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$-30,107
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
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$2,609,354
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$2,609,354
Assets. Value of investments in 103.12 investment entities at end of year2022-12-31$1,546,550
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,017,946
Employer contributions (assets) at end of year2022-12-31$57,907
Employer contributions (assets) at beginning of year2022-12-31$77,213
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$499,159
Contract administrator fees2022-12-31$16,788
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm EIN2022-12-31931015766
2021 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,629,500
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,954,054
Total income from all sources (including contributions)2021-12-31$2,142,716
Total of all expenses incurred2021-12-31$2,034,002
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,997,109
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,141,935
Value of total assets at end of year2021-12-31$2,657,300
Value of total assets at beginning of year2021-12-31$1,873,140
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$36,893
Total interest from all sources2021-12-31$781
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$12,722
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$18,999
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$18,010
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$2,624,600
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$1,953,046
Administrative expenses (other) incurred2021-12-31$25
Liabilities. Value of operating payables at end of year2021-12-31$4,900
Liabilities. Value of operating payables at beginning of year2021-12-31$1,008
Total non interest bearing cash at beginning of year2021-12-31$418,077
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$108,714
Value of net assets at end of year (total assets less liabilities)2021-12-31$27,800
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$-80,914
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$2,609,354
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,362,889
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,362,889
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$781
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,154,131
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$2,141,935
Employer contributions (assets) at end of year2021-12-31$28,947
Employer contributions (assets) at beginning of year2021-12-31$74,164
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$842,978
Contract administrator fees2021-12-31$24,146
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm EIN2021-12-31931015766
2020 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,954,055
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,581,121
Total income from all sources (including contributions)2020-12-31$1,668,258
Total of all expenses incurred2020-12-31$1,723,562
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,666,818
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,659,886
Value of total assets at end of year2020-12-31$1,873,141
Value of total assets at beginning of year2020-12-31$1,555,511
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$56,744
Total interest from all sources2020-12-31$8,372
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$13,223
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$18,010
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$18,115
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$1,953,047
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$1,581,121
Administrative expenses (other) incurred2020-12-31$28,800
Liabilities. Value of operating payables at end of year2020-12-31$1,008
Total non interest bearing cash at end of year2020-12-31$418,077
Total non interest bearing cash at beginning of year2020-12-31$105,728
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-55,304
Value of net assets at end of year (total assets less liabilities)2020-12-31$-80,914
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$-25,610
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,362,889
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,354,517
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,354,517
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$8,372
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,133,950
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,659,886
Employer contributions (assets) at end of year2020-12-31$74,165
Employer contributions (assets) at beginning of year2020-12-31$77,151
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$532,868
Contract administrator fees2020-12-31$14,721
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm EIN2020-12-31931015766
2019 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,581,121
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,581,121
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,411,478
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,411,478
Total income from all sources (including contributions)2019-12-31$1,421,369
Total income from all sources (including contributions)2019-12-31$1,421,369
Total of all expenses incurred2019-12-31$1,427,188
Total of all expenses incurred2019-12-31$1,427,188
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,375,620
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,375,620
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,413,095
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,413,095
Value of total assets at end of year2019-12-31$1,555,511
Value of total assets at end of year2019-12-31$1,555,511
Value of total assets at beginning of year2019-12-31$1,391,687
Value of total assets at beginning of year2019-12-31$1,391,687
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$51,568
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$51,568
Total interest from all sources2019-12-31$8,274
Total interest from all sources2019-12-31$8,274
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$11,468
Administrative expenses professional fees incurred2019-12-31$11,468
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$18,115
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$18,115
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$18,115
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$18,115
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1,581,121
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1,581,121
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$1,411,478
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$1,411,478
Administrative expenses (other) incurred2019-12-31$31,200
Administrative expenses (other) incurred2019-12-31$31,200
Total non interest bearing cash at end of year2019-12-31$105,728
Total non interest bearing cash at end of year2019-12-31$105,728
Total non interest bearing cash at beginning of year2019-12-31$917,431
Total non interest bearing cash at beginning of year2019-12-31$917,431
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-5,819
Value of net income/loss2019-12-31$-5,819
Value of net assets at end of year (total assets less liabilities)2019-12-31$-25,610
Value of net assets at end of year (total assets less liabilities)2019-12-31$-25,610
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-19,791
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-19,791
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,354,517
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,354,517
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$346,243
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$346,243
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$346,243
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$346,243
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$8,274
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$8,274
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,207,224
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,207,224
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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$1,413,095
Contributions received in cash from employer2019-12-31$1,413,095
Employer contributions (assets) at end of year2019-12-31$77,151
Employer contributions (assets) at end of year2019-12-31$77,151
Employer contributions (assets) at beginning of year2019-12-31$109,898
Employer contributions (assets) at beginning of year2019-12-31$109,898
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$168,396
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$168,396
Contract administrator fees2019-12-31$8,900
Contract administrator fees2019-12-31$8,900
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
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 name2019-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm name2019-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm EIN2019-12-31931015766
Accountancy firm EIN2019-12-31931015766
2018 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,411,478
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,151,965
Total income from all sources (including contributions)2018-12-31$1,645,279
Total of all expenses incurred2018-12-31$1,665,447
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,618,021
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,642,814
Value of total assets at end of year2018-12-31$1,391,687
Value of total assets at beginning of year2018-12-31$1,152,342
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$47,426
Total interest from all sources2018-12-31$2,465
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$7,105
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$18,115
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$15,140
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$1,411,478
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$1,151,965
Administrative expenses (other) incurred2018-12-31$30,850
Total non interest bearing cash at end of year2018-12-31$917,431
Total non interest bearing cash at beginning of year2018-12-31$690,306
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-20,168
Value of net assets at end of year (total assets less liabilities)2018-12-31$-19,791
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$377
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$346,243
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$343,778
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$343,778
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$2,465
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,414,791
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
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$1,642,814
Employer contributions (assets) at end of year2018-12-31$109,898
Employer contributions (assets) at beginning of year2018-12-31$103,118
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$203,230
Contract administrator fees2018-12-31$9,471
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
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 name2018-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm EIN2018-12-31931015766
2017 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,151,965
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$909,462
Total income from all sources (including contributions)2017-12-31$1,577,661
Total of all expenses incurred2017-12-31$1,599,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,548,992
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,576,357
Value of total assets at end of year2017-12-31$1,152,342
Value of total assets at beginning of year2017-12-31$931,836
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$50,666
Total interest from all sources2017-12-31$1,304
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$7,979
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$15,140
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$15,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$1,151,965
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$904,976
Administrative expenses (other) incurred2017-12-31$32,350
Liabilities. Value of operating payables at beginning of year2017-12-31$4,486
Total non interest bearing cash at end of year2017-12-31$690,306
Total non interest bearing cash at beginning of year2017-12-31$418,080
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-21,997
Value of net assets at end of year (total assets less liabilities)2017-12-31$377
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$22,374
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$343,778
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$342,474
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$342,474
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,304
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,346,794
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
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$1,576,357
Employer contributions (assets) at end of year2017-12-31$103,118
Employer contributions (assets) at beginning of year2017-12-31$156,282
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$202,198
Contract administrator fees2017-12-31$10,337
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 name2017-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm EIN2017-12-31931015766
2016 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$909,462
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$699,417
Total income from all sources (including contributions)2016-12-31$1,461,079
Total of all expenses incurred2016-12-31$1,468,402
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,412,784
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,460,444
Value of total assets at end of year2016-12-31$931,836
Value of total assets at beginning of year2016-12-31$729,114
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$55,618
Total interest from all sources2016-12-31$635
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$15,066
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$15,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$15,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$904,976
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$699,417
Administrative expenses (other) incurred2016-12-31$25,550
Liabilities. Value of operating payables at end of year2016-12-31$4,486
Total non interest bearing cash at end of year2016-12-31$418,080
Total non interest bearing cash at beginning of year2016-12-31$283,276
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-7,323
Value of net assets at end of year (total assets less liabilities)2016-12-31$22,374
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$29,697
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$342,474
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$341,839
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$341,839
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$635
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,283,234
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
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$1,460,444
Employer contributions (assets) at end of year2016-12-31$156,282
Employer contributions (assets) at beginning of year2016-12-31$88,999
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$129,550
Contract administrator fees2016-12-31$15,002
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
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 name2016-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm EIN2016-12-31931015766
2015 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$699,417
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$625,169
Total income from all sources (including contributions)2015-12-31$1,214,218
Total of all expenses incurred2015-12-31$1,234,416
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,166,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,213,671
Value of total assets at end of year2015-12-31$729,114
Value of total assets at beginning of year2015-12-31$675,064
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$67,615
Total interest from all sources2015-12-31$547
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$11,106
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$15,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$15,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$699,417
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$624,270
Administrative expenses (other) incurred2015-12-31$25,981
Liabilities. Value of operating payables at beginning of year2015-12-31$899
Total non interest bearing cash at end of year2015-12-31$283,276
Total non interest bearing cash at beginning of year2015-12-31$224,866
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-20,198
Value of net assets at end of year (total assets less liabilities)2015-12-31$29,697
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$49,895
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$341,839
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$341,292
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$341,292
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$547
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,047,495
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
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$1,213,671
Employer contributions (assets) at end of year2015-12-31$88,999
Employer contributions (assets) at beginning of year2015-12-31$93,906
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$119,306
Contract administrator fees2015-12-31$30,528
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
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 name2015-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm EIN2015-12-31931015766
2014 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$625,169
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$544,302
Total income from all sources (including contributions)2014-12-31$1,137,992
Total of all expenses incurred2014-12-31$1,171,376
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,097,762
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,137,412
Value of total assets at end of year2014-12-31$675,064
Value of total assets at beginning of year2014-12-31$627,581
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$73,614
Total interest from all sources2014-12-31$580
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$16,675
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
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$88,929
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$15,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$15,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$624,270
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$520,262
Administrative expenses (other) incurred2014-12-31$25,499
Liabilities. Value of operating payables at end of year2014-12-31$899
Liabilities. Value of operating payables at beginning of year2014-12-31$24,040
Total non interest bearing cash at end of year2014-12-31$224,866
Total non interest bearing cash at beginning of year2014-12-31$126,653
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-33,384
Value of net assets at end of year (total assets less liabilities)2014-12-31$49,895
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$83,279
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$341,292
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$340,713
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$340,713
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$580
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,008,833
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
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$1,137,412
Employer contributions (assets) at end of year2014-12-31$93,906
Employer contributions (assets) at beginning of year2014-12-31$145,215
Contract administrator fees2014-12-31$31,440
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
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 name2014-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm EIN2014-12-31931015766
2013 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$544,302
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$500,156
Total income from all sources (including contributions)2013-12-31$1,119,694
Total of all expenses incurred2013-12-31$1,162,795
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,069,990
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,119,116
Value of total assets at end of year2013-12-31$627,581
Value of total assets at beginning of year2013-12-31$626,536
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$92,805
Total interest from all sources2013-12-31$578
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$38,813
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
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$136,371
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$15,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$15,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$520,262
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$498,188
Administrative expenses (other) incurred2013-12-31$25,550
Liabilities. Value of operating payables at end of year2013-12-31$24,040
Liabilities. Value of operating payables at beginning of year2013-12-31$1,968
Total non interest bearing cash at end of year2013-12-31$126,653
Total non interest bearing cash at beginning of year2013-12-31$169,349
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-43,101
Value of net assets at end of year (total assets less liabilities)2013-12-31$83,279
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$126,380
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$340,713
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$340,134
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$340,134
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$578
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$933,619
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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$1,119,116
Employer contributions (assets) at end of year2013-12-31$145,215
Employer contributions (assets) at beginning of year2013-12-31$102,053
Contract administrator fees2013-12-31$28,442
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
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 name2013-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm EIN2013-12-31931015766
2012 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$500,156
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$429,539
Total income from all sources (including contributions)2012-12-31$1,026,045
Total of all expenses incurred2012-12-31$1,040,325
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$988,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,025,176
Value of total assets at end of year2012-12-31$626,536
Value of total assets at beginning of year2012-12-31$570,199
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$51,742
Total interest from all sources2012-12-31$869
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
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
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$145,583
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$15,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$15,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$498,188
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$424,213
Liabilities. Value of operating payables at end of year2012-12-31$1,968
Liabilities. Value of operating payables at beginning of year2012-12-31$5,326
Total non interest bearing cash at end of year2012-12-31$169,349
Total non interest bearing cash at beginning of year2012-12-31$148,457
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-14,280
Value of net assets at end of year (total assets less liabilities)2012-12-31$126,380
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$140,660
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$340,134
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$339,265
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$339,265
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$869
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$843,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
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$1,025,176
Employer contributions (assets) at end of year2012-12-31$102,053
Employer contributions (assets) at beginning of year2012-12-31$67,477
Contract administrator fees2012-12-31$51,742
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
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 name2012-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm EIN2012-12-31931015766
2011 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$429,539
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$517,047
Total income from all sources (including contributions)2011-12-31$910,649
Total of all expenses incurred2011-12-31$879,446
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$826,270
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$908,210
Value of total assets at end of year2011-12-31$570,199
Value of total assets at beginning of year2011-12-31$626,504
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$53,176
Total interest from all sources2011-12-31$2,439
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$35,000
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
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$131,655
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$15,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$15,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$424,213
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$516,329
Liabilities. Value of operating payables at end of year2011-12-31$5,326
Liabilities. Value of operating payables at beginning of year2011-12-31$718
Total non interest bearing cash at end of year2011-12-31$148,457
Total non interest bearing cash at beginning of year2011-12-31$226,871
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$31,203
Value of net assets at end of year (total assets less liabilities)2011-12-31$140,660
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$109,457
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$339,265
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$336,826
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$336,826
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$2,439
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$694,615
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
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$908,210
Employer contributions (assets) at end of year2011-12-31$67,477
Employer contributions (assets) at beginning of year2011-12-31$47,807
Contract administrator fees2011-12-31$53,176
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
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
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 name2011-12-31BJORKLUND & MONTPLAISIR CPAS
Accountancy firm EIN2011-12-31931015766
2010 : HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$517,047
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$460,881
Total income from all sources (including contributions)2010-12-31$904,503
Total of all expenses incurred2010-12-31$918,438
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$879,408
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$899,968
Value of total assets at end of year2010-12-31$626,504
Value of total assets at beginning of year2010-12-31$584,273
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$39,030
Total interest from all sources2010-12-31$4,535
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$35,000
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
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$140,582
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$15,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$15,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$516,329
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$457,084
Liabilities. Value of operating payables at end of year2010-12-31$718
Liabilities. Value of operating payables at beginning of year2010-12-31$3,797
Total non interest bearing cash at end of year2010-12-31$226,871
Total non interest bearing cash at beginning of year2010-12-31$174,492
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-13,935
Value of net assets at end of year (total assets less liabilities)2010-12-31$109,457
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$123,392
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$336,826
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$332,291
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$332,291
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$4,535
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$738,826
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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$899,968
Employer contributions (assets) at end of year2010-12-31$47,807
Employer contributions (assets) at beginning of year2010-12-31$62,490
Contract administrator fees2010-12-31$39,030
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
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
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 name2010-12-31MOSS ADAMS, LLP
Accountancy firm EIN2010-12-31910189318

Form 5500 Responses for HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN

2022: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle 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 planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle 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 – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: HAMILTON CONSTRUCTION CO. DOLLAR BANK HRA PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number
Policy instance 2
Number of Individuals Covered201
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0020215
Policy instance 1
Insurance contract or identification numberG0020215
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Other welfare benefits providedCHIROPRACTIC CARE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30045188
Policy instance 2
Insurance contract or identification number30045188
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00628468
Policy instance 3
Insurance contract or identification number00628468
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number206
Policy instance 4
Insurance contract or identification number206
Number of Individuals Covered201
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,139,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number
Policy instance 5
Number of Individuals Covered201
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number206
Policy instance 1
Insurance contract or identification number206
Number of Individuals Covered201
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,149,908
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00628468
Policy instance 3
Insurance contract or identification number00628468
Number of Individuals Covered31
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $191,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30045188
Policy instance 2
Insurance contract or identification number30045188
Number of Individuals Covered155
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0020215
Policy instance 1
Insurance contract or identification numberG0020215
Number of Individuals Covered342
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Other welfare benefits providedCHIROPRACTIC CARE
Welfare Benefit Premiums Paid to CarrierUSD $932,263
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30045188
Policy instance 2
Insurance contract or identification number30045188
Number of Individuals Covered132
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,308
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0020215
Policy instance 1
Insurance contract or identification numberG0020215
Number of Individuals Covered372
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Other welfare benefits providedCHIROPRACTIC CARE
Welfare Benefit Premiums Paid to CarrierUSD $1,366,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30045188
Policy instance 2
Insurance contract or identification number30045188
Number of Individuals Covered153
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0020215
Policy instance 1
Insurance contract or identification numberG0020215
Number of Individuals Covered444
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Other welfare benefits providedCHIROPRACTIC CARE
Welfare Benefit Premiums Paid to CarrierUSD $1,607,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30045188
Policy instance 2
Insurance contract or identification number30045188
Number of Individuals Covered137
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,715
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0020215
Policy instance 1
Insurance contract or identification numberG0020215
Number of Individuals Covered407
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Other welfare benefits providedCHIROPRACTIC CARE
Welfare Benefit Premiums Paid to CarrierUSD $1,529,277
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0020215
Policy instance 1
Insurance contract or identification numberG0020215
Number of Individuals Covered400
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Other welfare benefits providedCHIROPRACTIC CARE
Welfare Benefit Premiums Paid to CarrierUSD $962,736
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30045188
Policy instance 2
Insurance contract or identification number30045188
Number of Individuals Covered116
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30045188
Policy instance 2
Insurance contract or identification number30045188
Number of Individuals Covered91
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0020215
Policy instance 1
Insurance contract or identification numberG0020215
Number of Individuals Covered391
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Other welfare benefits providedCHIROPRACTIC CARE
Welfare Benefit Premiums Paid to CarrierUSD $889,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0020215
Policy instance 1
Insurance contract or identification numberG0020215
Number of Individuals Covered401
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedCHIROPRACTIC CARE
Welfare Benefit Premiums Paid to CarrierUSD $935,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0020215
Policy instance 1
Insurance contract or identification numberG0020215
Number of Individuals Covered397
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedCHIROPRACTIC CARE
Welfare Benefit Premiums Paid to CarrierUSD $1,351,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0020215
Policy instance 1
Insurance contract or identification numberG0020215
Number of Individuals Covered361
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
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedCHIROPRACTIC CARE
Welfare Benefit Premiums Paid to CarrierUSD $1,300,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0020215
Policy instance 1
Insurance contract or identification numberG0020215
Number of Individuals Covered367
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedCHIROPRACTIC CARE
Welfare Benefit Premiums Paid to CarrierUSD $741,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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