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DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 401k Plan overview

Plan NameDAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN
Plan identification number 519

DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

DAIMLER TRUCK NORTH AMERICA has sponsored the creation of one or more 401k plans.

Company Name:DAIMLER TRUCK NORTH AMERICA
Employer identification number (EIN):930790608

Additional information about DAIMLER TRUCK NORTH AMERICA

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 0912343

More information about DAIMLER TRUCK NORTH AMERICA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5192024-01-01ERIK LINVOG
5192023-01-01
5192023-01-01ERIK LINVOG
5192022-01-01
5192022-01-01ERIK LINVOG
5192021-01-01
5192021-01-01ERIK LINVOG
5192020-01-01
5192019-01-01
5192018-01-01
5192017-01-01GREG SALWIN
5192016-01-01GREG SALWIN
5192015-01-01MARK PAGET
5192014-01-01LARRY ABBIATTI
5192013-01-01LARRY ABBIATTI
5192012-01-01LARRY ABBIATTI
5192011-01-01LARRY ABBIATTI

Financial Data on DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN

Measure Date Value
2015 : DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$312,162
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$4,340,682
Total income from all sources (including contributions)2015-12-31$54,491,303
Total loss/gain on sale of assets2015-12-31$2,449
Total of all expenses incurred2015-12-31$61,306,326
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$57,849,692
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$54,485,494
Value of total assets at end of year2015-12-31$312,162
Value of total assets at beginning of year2015-12-31$11,155,705
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$3,456,634
Total interest from all sources2015-12-31$3,360
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$95,901
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$15,286,636
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$-4,271,236
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$245,620
Administrative expenses (other) incurred2015-12-31$676,428
Liabilities. Value of operating payables at end of year2015-12-31$312,162
Liabilities. Value of operating payables at beginning of year2015-12-31$69,446
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-6,815,023
Value of net assets at end of year (total assets less liabilities)2015-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,815,023
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$21,766
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$10,888,422
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$3,360
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$9,217,929
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$39,198,858
Employer contributions (assets) at end of year2015-12-31$312,162
Employer contributions (assets) at beginning of year2015-12-31$21,663
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$52,902,999
Contract administrator fees2015-12-31$2,662,539
Liabilities. Value of benefit claims payable at end of year2015-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$4,271,236
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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$2,449
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 name2015-12-31MOSS ADAMS LLP
Accountancy firm EIN2015-12-31910189318
2014 : DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$4,340,682
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$3,862,481
Total income from all sources (including contributions)2014-12-31$49,213,920
Total loss/gain on sale of assets2014-12-31$1,614
Total of all expenses incurred2014-12-31$58,622,898
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$55,600,400
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$49,210,814
Value of total assets at end of year2014-12-31$11,155,705
Value of total assets at beginning of year2014-12-31$20,086,482
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$3,022,498
Total interest from all sources2014-12-31$1,492
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$89,310
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$15,807,859
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$496,672
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$245,620
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$246,095
Administrative expenses (other) incurred2014-12-31$238,705
Liabilities. Value of operating payables at end of year2014-12-31$69,446
Liabilities. Value of operating payables at beginning of year2014-12-31$87,917
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-9,408,978
Value of net assets at end of year (total assets less liabilities)2014-12-31$6,815,023
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$16,224,001
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$21,895
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$10,888,422
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$19,812,631
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$1,492
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$9,232,610
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$33,402,955
Employer contributions (assets) at end of year2014-12-31$21,663
Employer contributions (assets) at beginning of year2014-12-31$27,756
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$45,871,118
Contract administrator fees2014-12-31$2,672,588
Liabilities. Value of benefit claims payable at end of year2014-12-31$4,271,236
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$3,774,564
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$1,614
Aggregate carrying amount (costs) on sale of assets2014-12-31$0
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 name2014-12-31MOSS ADAMS LLP
Accountancy firm EIN2014-12-31910189318
2013 : DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$3,862,481
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$4,408,822
Total income from all sources (including contributions)2013-12-31$62,957,110
Total of all expenses incurred2013-12-31$59,721,450
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$56,478,182
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$62,951,382
Value of total assets at end of year2013-12-31$20,086,482
Value of total assets at beginning of year2013-12-31$17,397,163
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$3,243,268
Total interest from all sources2013-12-31$4,729
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$86,969
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$15,504,410
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$393,066
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$-602,175
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$246,095
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$667,041
Administrative expenses (other) incurred2013-12-31$346,937
Liabilities. Value of operating payables at end of year2013-12-31$87,917
Liabilities. Value of operating payables at beginning of year2013-12-31$32,083
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$3,235,660
Value of net assets at end of year (total assets less liabilities)2013-12-31$16,224,001
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$12,988,341
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$22,130
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$19,812,631
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$16,730,122
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$4,729
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$9,623,546
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$999
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$47,053,906
Employer contributions (assets) at end of year2013-12-31$27,756
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$47,456,811
Contract administrator fees2013-12-31$2,787,232
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$3,774,564
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$4,376,739
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 name2013-12-31MOSS ADAMS LLP
Accountancy firm EIN2013-12-31910189318
2012 : DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$4,408,822
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,967,619
Total income from all sources (including contributions)2012-12-31$49,094,443
Total of all expenses incurred2012-12-31$57,506,608
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$54,424,509
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$49,080,087
Value of total assets at end of year2012-12-31$17,397,163
Value of total assets at beginning of year2012-12-31$24,368,125
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$3,082,099
Total interest from all sources2012-12-31$14,356
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$86,293
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$14,286,328
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$389,623
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$1,443,383
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$667,041
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$307,103
Administrative expenses (other) incurred2012-12-31$511,630
Liabilities. Value of operating payables at end of year2012-12-31$32,083
Liabilities. Value of operating payables at beginning of year2012-12-31$34,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-8,412,165
Value of net assets at end of year (total assets less liabilities)2012-12-31$12,988,341
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$21,400,506
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$21,483
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$16,730,122
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$0
Interest earned on other investments2012-12-31$8,544
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest in common/collective trusts at beginning of year2012-12-31$20,711,211
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$3,349,811
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$3,349,811
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$5,812
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$8,580,703
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$34,404,136
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$44,400,423
Contract administrator fees2012-12-31$2,462,693
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$4,376,739
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$2,933,356
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
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 name2012-12-31MOSS ADAMS LLP
Accountancy firm EIN2012-12-31910189318
2011 : DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2011 401k financial data
Total transfer of assets to this plan2011-12-31$34,074,919
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,967,619
Total income from all sources (including contributions)2011-12-31$41,080,013
Total of all expenses incurred2011-12-31$53,754,426
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$51,113,139
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$40,762,033
Value of total assets at end of year2011-12-31$24,368,125
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$2,641,287
Total interest from all sources2011-12-31$14,827
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$137,099
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
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$10,114,294
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$4,518,372
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$2,941,110
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$307,103
Other income not declared elsewhere2011-12-31$303,153
Administrative expenses (other) incurred2011-12-31$4,939
Liabilities. Value of operating payables at end of year2011-12-31$34,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-12,674,413
Value of net assets at end of year (total assets less liabilities)2011-12-31$21,400,506
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$20,858
Interest earned on other investments2011-12-31$6,034
Value of interest in common/collective trusts at end of year2011-12-31$20,711,211
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$3,349,811
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$8,793
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$5,447,509
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$26,129,367
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$42,724,520
Contract administrator fees2011-12-31$2,478,391
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$2,933,356
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 name2011-12-31MOSS ADAMS LLP
Accountancy firm EIN2011-12-31910189318

Form 5500 Responses for DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN

2023: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS 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: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS 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: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS 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: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS 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 benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: DAIMLER TRUCK NORTH AMERICA LLC WELFARE BENEFITS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number160938
Policy instance 3
Insurance contract or identification number160938
Number of Individuals Covered15950
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $13,350
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117550
Policy instance 2
Insurance contract or identification number0117550
Number of Individuals Covered11422
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $46
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,379,937
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1331
Policy instance 1
Insurance contract or identification number1331
Number of Individuals Covered708
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,050,198
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1331
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117550
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number160938
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number160938
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117550
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1331
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1331
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117550
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number160938
Policy instance 3
OREGON DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 54941 )
Policy contract number10008258
Policy instance 4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number160938
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117550
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1331
Policy instance 1
OREGON DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 54941 )
Policy contract number10008258
Policy instance 4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number160938
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117550
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1331
Policy instance 1
OREGON DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 54941 )
Policy contract number10008258
Policy instance 5
OREGON DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 54941 )
Policy contract number10008258
Policy instance 4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number160938
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117550
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1331
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1331
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117550
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117550
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1331
Policy instance 1
MODA HEALTH (National Association of Insurance Commissioners NAIC id number: 33251 )
Policy contract number10008258
Policy instance 3
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1331
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117550
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117550
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1331
Policy instance 1
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number00305A
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0117550
Policy instance 2
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1331
Policy instance 1

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