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TEAMSTERS MULTI-BENEFIT TRUST 401k Plan overview

Plan NameTEAMSTERS MULTI-BENEFIT TRUST
Plan identification number 501

TEAMSTERS MULTI-BENEFIT TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Prepaid legal
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

BOARD OF TRUSTEES, TEAMSTERS MULTI-BENEFIT TRUST has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES, TEAMSTERS MULTI-BENEFIT TRUST
Employer identification number (EIN):936231741
NAIC Classification:424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEAMSTERS MULTI-BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01RICK MIDDLETON2023-10-12 RICK MIDDLETON2023-10-12
5012021-01-01RICK MIDDLETON2022-10-10 RICK MIDDLETON2022-10-10
5012020-01-01RICK MIDDLETON2021-10-13 RICK MIDDLETON2021-10-13
5012019-01-01RICK MIDDLETON2020-09-18 RICK MIDDLETON2020-09-18
5012018-01-01RICK MIDDLETON2019-09-30 RICK MIDDLETON2019-09-30
5012017-01-01
5012016-01-01MILLER KAPLAN ARASE LLP
5012015-01-01MILLER KAPLAN ARASE LLP MILLER KAPLAN ARASE LLP2016-10-13
5012014-01-01GEORGE DELYANNIS GEORGE DELYANNIS2015-10-12
5012013-01-01BURTON BABAKANI BURTON BABAKANI2014-09-30
5012012-01-01GEORGE DELYANNIS
5012011-01-01GEORGE DELYANNIS
5012010-01-01GEORGE DELYANNIS
5012009-01-01SANDY S. GARCIA SANDY S. GARCIA2010-10-15
5012009-01-01SANDY S. GARCIA SANDY S. GARCIA2010-10-15

Plan Statistics for TEAMSTERS MULTI-BENEFIT TRUST

401k plan membership statisitcs for TEAMSTERS MULTI-BENEFIT TRUST

Measure Date Value
2022: TEAMSTERS MULTI-BENEFIT TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-011,602
Total number of active participants reported on line 7a of the Form 55002022-01-011,763
Total of all active and inactive participants2022-01-011,763
Number of employers contributing to the scheme2022-01-0140
2021: TEAMSTERS MULTI-BENEFIT TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-011,759
Total number of active participants reported on line 7a of the Form 55002021-01-011,602
Total of all active and inactive participants2021-01-011,602
Number of employers contributing to the scheme2021-01-0140
2020: TEAMSTERS MULTI-BENEFIT TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-011,838
Total number of active participants reported on line 7a of the Form 55002020-01-011,759
Total of all active and inactive participants2020-01-011,759
Number of employers contributing to the scheme2020-01-0142
2019: TEAMSTERS MULTI-BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-011,785
Total number of active participants reported on line 7a of the Form 55002019-01-011,838
Total of all active and inactive participants2019-01-011,838
Number of employers contributing to the scheme2019-01-0151
2018: TEAMSTERS MULTI-BENEFIT TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-014,294
Total number of active participants reported on line 7a of the Form 55002018-01-011,785
Total of all active and inactive participants2018-01-011,785
Number of employers contributing to the scheme2018-01-0151
2017: TEAMSTERS MULTI-BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-014,780
Total number of active participants reported on line 7a of the Form 55002017-01-014,294
Total of all active and inactive participants2017-01-014,294
Number of employers contributing to the scheme2017-01-0150
2016: TEAMSTERS MULTI-BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-014,194
Total number of active participants reported on line 7a of the Form 55002016-01-014,780
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 participants2016-01-014,780
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-014,780
Number of participants with account balances2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
Number of employers contributing to the scheme2016-01-0154
2015: TEAMSTERS MULTI-BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-015,379
Total number of active participants reported on line 7a of the Form 55002015-01-014,194
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 participants2015-01-014,194
Total participants2015-01-014,194
Number of employers contributing to the scheme2015-01-0162
2014: TEAMSTERS MULTI-BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-015,667
Total number of active participants reported on line 7a of the Form 55002014-01-015,378
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 participants2014-01-015,378
Total participants2014-01-015,378
Number of employers contributing to the scheme2014-01-0140
2013: TEAMSTERS MULTI-BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-013,773
Total number of active participants reported on line 7a of the Form 55002013-01-015,667
Total of all active and inactive participants2013-01-015,667
Total participants2013-01-015,667
Number of employers contributing to the scheme2013-01-0142
2012: TEAMSTERS MULTI-BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-012,693
Total number of active participants reported on line 7a of the Form 55002012-01-013,773
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-013,773
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-013,773
Number of participants with account balances2012-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
Number of employers contributing to the scheme2012-01-0182
2011: TEAMSTERS MULTI-BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-011,725
Total number of active participants reported on line 7a of the Form 55002011-01-012,693
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-012,693
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-012,693
Number of participants with account balances2011-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
Number of employers contributing to the scheme2011-01-0160
2010: TEAMSTERS MULTI-BENEFIT TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-012,334
Total number of active participants reported on line 7a of the Form 55002010-01-011,725
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-011,725
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-011,725
Number of participants with account balances2010-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
Number of employers contributing to the scheme2010-01-0118
2009: TEAMSTERS MULTI-BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-012,248
Total number of active participants reported on line 7a of the Form 55002009-01-012,334
Total of all active and inactive participants2009-01-012,334
Total participants2009-01-012,334

Financial Data on TEAMSTERS MULTI-BENEFIT TRUST

Measure Date Value
2022 : TEAMSTERS MULTI-BENEFIT TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-920,517
Total unrealized appreciation/depreciation of assets2022-12-31$-920,517
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,070,049
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,058,328
Total income from all sources (including contributions)2022-12-31$21,842,895
Total loss/gain on sale of assets2022-12-31$1,433
Total of all expenses incurred2022-12-31$23,139,141
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$22,547,712
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$22,616,848
Value of total assets at end of year2022-12-31$14,409,925
Value of total assets at beginning of year2022-12-31$15,694,450
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$591,429
Total interest from all sources2022-12-31$145,131
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$115,939
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$34,011
Assets. Other investments not covered elsewhere at end of year2022-12-31$1,151,991
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$1,149,908
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$30,080
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$46,121
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$1,017,689
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$1,008,955
Administrative expenses (other) incurred2022-12-31$54,692
Liabilities. Value of operating payables at end of year2022-12-31$52,360
Liabilities. Value of operating payables at beginning of year2022-12-31$49,373
Total non interest bearing cash at end of year2022-12-31$1,003,704
Total non interest bearing cash at beginning of year2022-12-31$1,693,048
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,296,246
Value of net assets at end of year (total assets less liabilities)2022-12-31$13,339,876
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$14,636,122
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$31,183
Income. Interest from US Government securities2022-12-31$74,204
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$3,466,168
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$4,573,179
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$4,573,179
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$70,927
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$22,517,728
Asset value of US Government securities at end of year2022-12-31$8,563,989
Asset value of US Government securities at beginning of year2022-12-31$8,232,194
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$22,582,837
Employer contributions (assets) at end of year2022-12-31$193,993
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$29,984
Contract administrator fees2022-12-31$389,615
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$2,709,433
Aggregate carrying amount (costs) on sale of assets2022-12-31$2,708,000
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2022-12-31542189926
2021 : TEAMSTERS MULTI-BENEFIT TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-231,195
Total unrealized appreciation/depreciation of assets2021-12-31$-231,195
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,058,328
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$937,302
Total income from all sources (including contributions)2021-12-31$20,445,986
Total of all expenses incurred2021-12-31$20,365,896
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$19,782,348
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$20,501,929
Value of total assets at end of year2021-12-31$15,694,450
Value of total assets at beginning of year2021-12-31$15,493,334
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$583,548
Total interest from all sources2021-12-31$137,999
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$106,096
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$30,085
Assets. Other investments not covered elsewhere at end of year2021-12-31$1,149,908
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$1,145,373
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$46,121
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$40,597
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$1,008,955
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$878,449
Other income not declared elsewhere2021-12-31$37,253
Administrative expenses (other) incurred2021-12-31$62,969
Liabilities. Value of operating payables at end of year2021-12-31$49,373
Liabilities. Value of operating payables at beginning of year2021-12-31$58,853
Total non interest bearing cash at end of year2021-12-31$1,693,048
Total non interest bearing cash at beginning of year2021-12-31$1,384,471
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$80,090
Value of net assets at end of year (total assets less liabilities)2021-12-31$14,636,122
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$14,556,032
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$32,426
Income. Interest from US Government securities2021-12-31$45,848
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$4,573,179
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$7,996,545
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$7,996,545
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$92,151
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$19,745,162
Asset value of US Government securities at end of year2021-12-31$8,232,194
Asset value of US Government securities at beginning of year2021-12-31$4,893,330
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$20,471,844
Employer contributions (assets) at end of year2021-12-31$0
Employer contributions (assets) at beginning of year2021-12-31$33,018
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$37,186
Contract administrator fees2021-12-31$382,057
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
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 name2021-12-31HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2021-12-31542189926
2020 : TEAMSTERS MULTI-BENEFIT TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$42,735
Total unrealized appreciation/depreciation of assets2020-12-31$42,735
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$937,302
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,765,538
Total income from all sources (including contributions)2020-12-31$21,902,189
Total loss/gain on sale of assets2020-12-31$2,098
Total of all expenses incurred2020-12-31$21,540,297
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$20,937,569
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$21,646,901
Value of total assets at end of year2020-12-31$15,493,334
Value of total assets at beginning of year2020-12-31$15,959,678
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$602,728
Total interest from all sources2020-12-31$210,455
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$120,541
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$36,767
Assets. Other investments not covered elsewhere at end of year2020-12-31$1,145,373
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$1,151,618
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$40,597
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$46,709
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$878,449
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$1,694,951
Administrative expenses (other) incurred2020-12-31$49,567
Liabilities. Value of operating payables at end of year2020-12-31$58,853
Liabilities. Value of operating payables at beginning of year2020-12-31$70,587
Total non interest bearing cash at end of year2020-12-31$1,384,471
Total non interest bearing cash at beginning of year2020-12-31$2,134,695
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$361,892
Value of net assets at end of year (total assets less liabilities)2020-12-31$14,556,032
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$14,194,140
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$32,172
Income. Interest from US Government securities2020-12-31$70,134
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$7,996,545
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$7,528,446
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$7,528,446
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$140,321
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$20,892,935
Asset value of US Government securities at end of year2020-12-31$4,893,330
Asset value of US Government securities at beginning of year2020-12-31$5,098,210
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$21,610,134
Employer contributions (assets) at end of year2020-12-31$33,018
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$44,634
Contract administrator fees2020-12-31$400,448
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$1,549,000
Aggregate carrying amount (costs) on sale of assets2020-12-31$1,546,902
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31HENNINGFIELD & ASSOCIATES, INC
Accountancy firm EIN2020-12-31542189926
2019 : TEAMSTERS MULTI-BENEFIT TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$278,346
Total unrealized appreciation/depreciation of assets2019-12-31$278,346
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,765,538
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,096,133
Total income from all sources (including contributions)2019-12-31$21,053,903
Total loss/gain on sale of assets2019-12-31$78
Total of all expenses incurred2019-12-31$19,590,054
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$18,966,813
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$20,456,410
Value of total assets at end of year2019-12-31$15,959,678
Value of total assets at beginning of year2019-12-31$13,826,424
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$623,241
Total interest from all sources2019-12-31$208,905
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$152,437
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
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
Contributions received from participants2019-12-31$26,938
Assets. Other investments not covered elsewhere at end of year2019-12-31$1,151,618
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$1,884,928
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$46,709
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$28,550
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1,694,951
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$1,046,708
Other income not declared elsewhere2019-12-31$110,164
Administrative expenses (other) incurred2019-12-31$48,810
Liabilities. Value of operating payables at end of year2019-12-31$70,587
Liabilities. Value of operating payables at beginning of year2019-12-31$49,425
Total non interest bearing cash at end of year2019-12-31$2,134,695
Total non interest bearing cash at beginning of year2019-12-31$1,634,872
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$1,463,849
Value of net assets at end of year (total assets less liabilities)2019-12-31$14,194,140
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$12,730,291
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$30,284
Income. Interest from US Government securities2019-12-31$60,734
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$7,528,446
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$5,725,496
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$5,725,496
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$148,171
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$18,924,082
Asset value of US Government securities at end of year2019-12-31$5,098,210
Asset value of US Government securities at beginning of year2019-12-31$4,552,578
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$20,429,472
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$42,731
Contract administrator fees2019-12-31$391,710
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$250,000
Aggregate carrying amount (costs) on sale of assets2019-12-31$249,922
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2019-12-31542189926
2018 : TEAMSTERS MULTI-BENEFIT TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-74,725
Total unrealized appreciation/depreciation of assets2018-12-31$-74,725
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,096,133
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,593,177
Total income from all sources (including contributions)2018-12-31$20,111,888
Total of all expenses incurred2018-12-31$19,564,625
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$18,972,475
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$20,018,313
Value of total assets at end of year2018-12-31$13,826,424
Value of total assets at beginning of year2018-12-31$13,776,205
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$592,150
Total interest from all sources2018-12-31$168,300
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$132,712
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$25,823
Assets. Other investments not covered elsewhere at end of year2018-12-31$1,884,928
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$1,885,667
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$28,550
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$76,007
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$1,046,708
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$1,539,710
Administrative expenses (other) incurred2018-12-31$48,519
Liabilities. Value of operating payables at end of year2018-12-31$49,425
Liabilities. Value of operating payables at beginning of year2018-12-31$53,467
Total non interest bearing cash at end of year2018-12-31$1,634,872
Total non interest bearing cash at beginning of year2018-12-31$1,632,344
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$547,263
Value of net assets at end of year (total assets less liabilities)2018-12-31$12,730,291
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$12,183,028
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$25,504
Income. Interest from US Government securities2018-12-31$62,114
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$5,725,496
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$5,888,021
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$5,888,021
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$106,186
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$18,902,386
Asset value of US Government securities at end of year2018-12-31$4,552,578
Asset value of US Government securities at beginning of year2018-12-31$4,294,166
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$19,992,490
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$70,089
Contract administrator fees2018-12-31$385,415
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2018-12-31542189926
2017 : TEAMSTERS MULTI-BENEFIT TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-29,720
Total unrealized appreciation/depreciation of assets2017-12-31$-29,720
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,593,177
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,510,197
Total income from all sources (including contributions)2017-12-31$22,221,264
Total loss/gain on sale of assets2017-12-31$5,576
Total of all expenses incurred2017-12-31$22,100,972
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$21,435,786
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$22,103,524
Value of total assets at end of year2017-12-31$13,776,205
Value of total assets at beginning of year2017-12-31$13,572,933
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$665,186
Total interest from all sources2017-12-31$141,884
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$184,533
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$71,666
Assets. Other investments not covered elsewhere at end of year2017-12-31$1,885,667
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$1,886,151
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$76,007
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$529,714
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$1,539,710
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$1,464,551
Administrative expenses (other) incurred2017-12-31$54,763
Liabilities. Value of operating payables at end of year2017-12-31$53,467
Liabilities. Value of operating payables at beginning of year2017-12-31$45,646
Total non interest bearing cash at end of year2017-12-31$1,632,344
Total non interest bearing cash at beginning of year2017-12-31$1,585,069
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$120,292
Value of net assets at end of year (total assets less liabilities)2017-12-31$12,183,028
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$12,062,736
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$24,318
Income. Interest from US Government securities2017-12-31$57,298
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$5,888,021
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$4,592,074
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$4,592,074
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$84,586
Asset value of US Government securities at end of year2017-12-31$4,294,166
Asset value of US Government securities at beginning of year2017-12-31$4,979,925
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$22,031,858
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$21,435,786
Contract administrator fees2017-12-31$401,572
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$1,930,201
Aggregate carrying amount (costs) on sale of assets2017-12-31$1,924,625
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31HENNINGFIELD AND ASSOCIATES, INC.
Accountancy firm EIN2017-12-31542189926
2016 : TEAMSTERS MULTI-BENEFIT TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-77,318
Total unrealized appreciation/depreciation of assets2016-12-31$-77,318
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,510,197
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,405,906
Total income from all sources (including contributions)2016-12-31$26,631,896
Total loss/gain on sale of assets2016-12-31$100,040
Total of all expenses incurred2016-12-31$26,766,912
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$25,912,059
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$26,459,786
Value of total assets at end of year2016-12-31$13,572,933
Value of total assets at beginning of year2016-12-31$13,603,658
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$854,853
Total interest from all sources2016-12-31$149,388
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$162,089
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$93,315
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$529,714
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$48,334
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$1,464,551
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$1,373,013
Administrative expenses (other) incurred2016-12-31$76,269
Liabilities. Value of operating payables at end of year2016-12-31$45,646
Liabilities. Value of operating payables at beginning of year2016-12-31$32,893
Total non interest bearing cash at end of year2016-12-31$1,585,069
Total non interest bearing cash at beginning of year2016-12-31$2,409,358
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-135,016
Value of net assets at end of year (total assets less liabilities)2016-12-31$12,062,736
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$12,197,752
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$23,970
Income. Interest from US Government securities2016-12-31$81,615
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$4,592,074
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$2,683,838
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$2,683,838
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$67,773
Asset value of US Government securities at end of year2016-12-31$4,979,925
Asset value of US Government securities at beginning of year2016-12-31$6,691,026
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$26,366,471
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$25,912,059
Contract administrator fees2016-12-31$592,525
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$1,886,151
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$1,771,102
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$7,960,450
Aggregate carrying amount (costs) on sale of assets2016-12-31$7,860,410
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 name2016-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2016-12-31952036255
2015 : TEAMSTERS MULTI-BENEFIT TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$74,705
Total unrealized appreciation/depreciation of assets2015-12-31$74,705
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,405,906
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,320,666
Total income from all sources (including contributions)2015-12-31$27,516,455
Total loss/gain on sale of assets2015-12-31$8,774
Total of all expenses incurred2015-12-31$26,450,885
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$25,525,398
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$27,259,878
Value of total assets at end of year2015-12-31$13,603,658
Value of total assets at beginning of year2015-12-31$12,452,848
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$925,487
Total interest from all sources2015-12-31$173,098
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$149,791
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$102,280
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$48,334
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$42,877
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$1,373,013
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$1,300,713
Administrative expenses (other) incurred2015-12-31$220,549
Liabilities. Value of operating payables at end of year2015-12-31$32,893
Liabilities. Value of operating payables at beginning of year2015-12-31$19,953
Total non interest bearing cash at end of year2015-12-31$2,409,358
Total non interest bearing cash at beginning of year2015-12-31$638,100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,065,570
Value of net assets at end of year (total assets less liabilities)2015-12-31$12,197,752
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$11,132,182
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$23,234
Income. Interest from US Government securities2015-12-31$137,789
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$2,683,838
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,967,411
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,967,411
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$35,309
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$25,525,398
Asset value of US Government securities at end of year2015-12-31$6,691,026
Asset value of US Government securities at beginning of year2015-12-31$7,156,333
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$27,157,598
Contract administrator fees2015-12-31$531,913
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$1,771,102
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$2,648,127
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$1,934,243
Aggregate carrying amount (costs) on sale of assets2015-12-31$1,925,469
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 name2015-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2015-12-31952036255
2014 : TEAMSTERS MULTI-BENEFIT TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$314,814
Total unrealized appreciation/depreciation of assets2014-12-31$314,814
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,320,666
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,519,177
Total income from all sources (including contributions)2014-12-31$41,524,466
Total loss/gain on sale of assets2014-12-31$20,238
Total of all expenses incurred2014-12-31$41,501,759
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$40,203,866
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$40,995,138
Value of total assets at end of year2014-12-31$12,452,848
Value of total assets at beginning of year2014-12-31$12,628,652
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,297,893
Total interest from all sources2014-12-31$194,276
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$112,209
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$134,927
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$42,877
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$66,789
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$1,300,713
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$1,490,908
Administrative expenses (other) incurred2014-12-31$344,464
Liabilities. Value of operating payables at end of year2014-12-31$19,953
Liabilities. Value of operating payables at beginning of year2014-12-31$28,269
Total non interest bearing cash at end of year2014-12-31$638,100
Total non interest bearing cash at beginning of year2014-12-31$625,429
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$22,707
Value of net assets at end of year (total assets less liabilities)2014-12-31$11,132,182
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$11,109,475
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$30,078
Income. Interest from US Government securities2014-12-31$147,937
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,967,411
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$4,661,704
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$4,661,704
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$46,339
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$40,203,866
Asset value of US Government securities at end of year2014-12-31$7,156,333
Asset value of US Government securities at beginning of year2014-12-31$7,274,730
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$40,860,211
Contract administrator fees2014-12-31$811,142
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$2,648,127
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$0
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$6,601,688
Aggregate carrying amount (costs) on sale of assets2014-12-31$6,581,450
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2014-12-31952036255
2013 : TEAMSTERS MULTI-BENEFIT TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-534,139
Total unrealized appreciation/depreciation of assets2013-12-31$-534,139
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,519,177
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$957,780
Total income from all sources (including contributions)2013-12-31$32,876,515
Total loss/gain on sale of assets2013-12-31$-15,159
Total of all expenses incurred2013-12-31$34,044,521
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$32,518,007
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$33,239,376
Value of total assets at end of year2013-12-31$12,628,652
Value of total assets at beginning of year2013-12-31$13,235,261
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,526,514
Total interest from all sources2013-12-31$186,437
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$86,833
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$122,383
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$66,789
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$59,565
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$1,490,908
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$941,330
Administrative expenses (other) incurred2013-12-31$453,802
Liabilities. Value of operating payables at end of year2013-12-31$28,269
Liabilities. Value of operating payables at beginning of year2013-12-31$16,450
Total non interest bearing cash at end of year2013-12-31$625,429
Total non interest bearing cash at beginning of year2013-12-31$870,934
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-1,168,006
Value of net assets at end of year (total assets less liabilities)2013-12-31$11,109,475
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$12,277,481
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$30,501
Income. Interest from US Government securities2013-12-31$126,018
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$4,661,704
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$6,501,607
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$6,501,607
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$60,419
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$32,518,007
Asset value of US Government securities at end of year2013-12-31$7,274,730
Asset value of US Government securities at beginning of year2013-12-31$5,803,155
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$33,116,993
Contract administrator fees2013-12-31$955,378
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$3,758,372
Aggregate carrying amount (costs) on sale of assets2013-12-31$3,773,531
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 name2013-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2013-12-31952036255
2012 : TEAMSTERS MULTI-BENEFIT TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$41,110
Total unrealized appreciation/depreciation of assets2012-12-31$41,110
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$957,780
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$358,760
Total income from all sources (including contributions)2012-12-31$26,880,851
Total loss/gain on sale of assets2012-12-31$-879
Total of all expenses incurred2012-12-31$26,520,719
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$25,225,014
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$26,672,021
Value of total assets at end of year2012-12-31$13,235,261
Value of total assets at beginning of year2012-12-31$12,276,109
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,295,705
Total interest from all sources2012-12-31$168,599
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$93,310
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$99,870
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$59,565
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$29,767
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$941,330
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$300,708
Administrative expenses (other) incurred2012-12-31$356,800
Liabilities. Value of operating payables at end of year2012-12-31$16,450
Liabilities. Value of operating payables at beginning of year2012-12-31$58,052
Total non interest bearing cash at end of year2012-12-31$870,934
Total non interest bearing cash at beginning of year2012-12-31$125,366
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$360,132
Value of net assets at end of year (total assets less liabilities)2012-12-31$12,277,481
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$11,917,349
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$30,702
Income. Interest from US Government securities2012-12-31$83,235
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$6,501,607
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$7,644,335
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$7,644,335
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$85,364
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$25,173,579
Asset value of US Government securities at end of year2012-12-31$5,803,155
Asset value of US Government securities at beginning of year2012-12-31$4,476,641
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$26,572,151
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$51,435
Contract administrator fees2012-12-31$814,893
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$744,755
Aggregate carrying amount (costs) on sale of assets2012-12-31$745,634
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2012-12-31952036255
2011 : TEAMSTERS MULTI-BENEFIT TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-42,632
Total unrealized appreciation/depreciation of assets2011-12-31$-42,632
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$358,760
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$9,135
Total income from all sources (including contributions)2011-12-31$5,687,626
Total loss/gain on sale of assets2011-12-31$26,115
Total of all expenses incurred2011-12-31$6,029,625
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$5,574,399
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$5,581,054
Value of total assets at end of year2011-12-31$12,276,109
Value of total assets at beginning of year2011-12-31$12,268,483
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$455,226
Total interest from all sources2011-12-31$123,089
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$86,242
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$29,767
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$37,872
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$300,708
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$0
Administrative expenses (other) incurred2011-12-31$105,731
Liabilities. Value of operating payables at end of year2011-12-31$58,052
Liabilities. Value of operating payables at beginning of year2011-12-31$9,135
Total non interest bearing cash at end of year2011-12-31$125,366
Total non interest bearing cash at beginning of year2011-12-31$120,381
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-341,999
Value of net assets at end of year (total assets less liabilities)2011-12-31$11,917,349
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$12,259,348
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$30,379
Income. Interest from US Government securities2011-12-31$105,666
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$7,644,335
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,536,345
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,536,345
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$17,423
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$5,513,766
Asset value of US Government securities at end of year2011-12-31$4,476,641
Asset value of US Government securities at beginning of year2011-12-31$10,573,885
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$5,581,054
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$60,633
Contract administrator fees2011-12-31$232,874
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$16,745,000
Aggregate carrying amount (costs) on sale of assets2011-12-31$16,718,885
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 name2011-12-31MILLER, KAPLAN, ARASE & CO., LLP
Accountancy firm EIN2011-12-31952036255
2010 : TEAMSTERS MULTI-BENEFIT TRUST 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$13,461
Total unrealized appreciation/depreciation of assets2010-12-31$13,461
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$9,135
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$7,757
Total income from all sources (including contributions)2010-12-31$1,238,804
Total loss/gain on sale of assets2010-12-31$-28,025
Total of all expenses incurred2010-12-31$1,565,960
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,346,021
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$999,315
Value of total assets at end of year2010-12-31$12,268,483
Value of total assets at beginning of year2010-12-31$12,594,261
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$219,939
Total interest from all sources2010-12-31$254,053
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$87,039
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$37,872
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$97,516
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$247
Administrative expenses (other) incurred2010-12-31$19,307
Liabilities. Value of operating payables at end of year2010-12-31$9,135
Liabilities. Value of operating payables at beginning of year2010-12-31$7,510
Total non interest bearing cash at end of year2010-12-31$120,381
Total non interest bearing cash at beginning of year2010-12-31$74,720
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-327,156
Value of net assets at end of year (total assets less liabilities)2010-12-31$12,259,348
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$12,586,504
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$31,148
Income. Interest from US Government securities2010-12-31$105,489
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,536,345
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$5,461,643
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$5,461,643
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$148,564
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$1,307,163
Asset value of US Government securities at end of year2010-12-31$10,573,885
Asset value of US Government securities at beginning of year2010-12-31$6,960,382
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$999,315
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$38,858
Contract administrator fees2010-12-31$82,445
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$8,411,671
Aggregate carrying amount (costs) on sale of assets2010-12-31$8,439,696
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 name2010-12-31MILLER, KAPLAN, ARASE & CO., LLP
Accountancy firm EIN2010-12-31952036255

Form 5500 Responses for TEAMSTERS MULTI-BENEFIT TRUST

2022: TEAMSTERS MULTI-BENEFIT TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: TEAMSTERS MULTI-BENEFIT TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: TEAMSTERS MULTI-BENEFIT TRUST 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: TEAMSTERS MULTI-BENEFIT TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: TEAMSTERS MULTI-BENEFIT TRUST 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: TEAMSTERS MULTI-BENEFIT TRUST 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: TEAMSTERS MULTI-BENEFIT TRUST 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: TEAMSTERS MULTI-BENEFIT TRUST 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: TEAMSTERS MULTI-BENEFIT TRUST 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: TEAMSTERS MULTI-BENEFIT TRUST 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: TEAMSTERS MULTI-BENEFIT TRUST 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: TEAMSTERS MULTI-BENEFIT TRUST 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: TEAMSTERS MULTI-BENEFIT TRUST 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: TEAMSTERS MULTI-BENEFIT TRUST 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number108601
Policy instance 1
Insurance contract or identification number108601
Number of Individuals Covered1442
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,255,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053657
Policy instance 2
Insurance contract or identification numberW0053657
Number of Individuals Covered207
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,485,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number403
Policy instance 3
Insurance contract or identification number403
Number of Individuals Covered56
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $134,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number5321H
Policy instance 4
Insurance contract or identification number5321H
Number of Individuals Covered85
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100372-100397
Policy instance 5
Insurance contract or identification number100372-100397
Number of Individuals Covered1161
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $289,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number897211
Policy instance 6
Insurance contract or identification number897211
Number of Individuals Covered340
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $121,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberPCF-007
Policy instance 7
Insurance contract or identification numberPCF-007
Number of Individuals Covered1227
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $192,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number108601
Policy instance 1
Insurance contract or identification number108601
Number of Individuals Covered2349
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,981,363
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number403
Policy instance 3
Insurance contract or identification number403
Number of Individuals Covered78
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $171,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number5321H
Policy instance 4
Insurance contract or identification number5321H
Number of Individuals Covered140
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100372-100397
Policy instance 5
Insurance contract or identification number100372-100397
Number of Individuals Covered1106
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberPCF-007
Policy instance 7
Insurance contract or identification numberPCF-007
Number of Individuals Covered1361
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $173,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number897211
Policy instance 6
Insurance contract or identification number897211
Number of Individuals Covered324
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $131,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053657
Policy instance 2
Insurance contract or identification numberW0053657
Number of Individuals Covered232
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,968,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number5321H
Policy instance 4
Insurance contract or identification number5321H
Number of Individuals Covered220
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number108601
Policy instance 1
Insurance contract or identification number108601
Number of Individuals Covered2301
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,067,108
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053657
Policy instance 2
Insurance contract or identification numberW0053657
Number of Individuals Covered781
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,864,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number403
Policy instance 3
Insurance contract or identification number403
Number of Individuals Covered116
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $230,407
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100372-100397
Policy instance 5
Insurance contract or identification number100372-100397
Number of Individuals Covered1942
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number897211
Policy instance 6
Insurance contract or identification number897211
Number of Individuals Covered672
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $109,289
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number897211
Policy instance 9
Insurance contract or identification number897211
Number of Individuals Covered43
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberLA801W*000
Policy instance 8
Insurance contract or identification numberLA801W*000
Number of Individuals Covered1325
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACUPUNCTURE/CHIROPRACTIC
Welfare Benefit Premiums Paid to CarrierUSD $1,355
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberPCF-007
Policy instance 7
Insurance contract or identification numberPCF-007
Number of Individuals Covered2202
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $191,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number403
Policy instance 3
Insurance contract or identification number403
Number of Individuals Covered103
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $242,416
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number5321H
Policy instance 4
Insurance contract or identification number5321H
Number of Individuals Covered185
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number108601
Policy instance 1
Insurance contract or identification number108601
Number of Individuals Covered2547
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,612,878
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100372-100397
Policy instance 5
Insurance contract or identification number100372-100397
Number of Individuals Covered2219
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053657
Policy instance 2
Insurance contract or identification numberW0053657
Number of Individuals Covered552
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,259,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number897211
Policy instance 9
Insurance contract or identification number897211
Number of Individuals Covered51
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number897211
Policy instance 6
Insurance contract or identification number897211
Number of Individuals Covered588
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,428
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberPCF-007
Policy instance 7
Insurance contract or identification numberPCF-007
Number of Individuals Covered2491
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $189,356
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberLA801W*000
Policy instance 8
Insurance contract or identification numberLA801W*000
Number of Individuals Covered1304
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACUPUNCTURE/CHIROPRACTIC
Welfare Benefit Premiums Paid to CarrierUSD $18,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number108601
Policy instance 1
Insurance contract or identification number108601
Number of Individuals Covered2472
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,454,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberLA801W*000
Policy instance 9
Insurance contract or identification numberLA801W*000
Number of Individuals Covered1206
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACUPUNCTURE/CHIROPRACTIC
Welfare Benefit Premiums Paid to CarrierUSD $17,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberPCF-007
Policy instance 8
Insurance contract or identification numberPCF-007
Number of Individuals Covered1434
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $190,659
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract numberVARIOUS
Policy instance 6
Insurance contract or identification numberVARIOUS
Number of Individuals Covered51
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,703
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract numberVARIOUS
Policy instance 5
Insurance contract or identification numberVARIOUS
Number of Individuals Covered1238
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number403
Policy instance 3
Insurance contract or identification number403
Number of Individuals Covered79
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $199,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number5321H
Policy instance 4
Insurance contract or identification number5321H
Number of Individuals Covered185
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,856
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: 00000 )
Policy contract number12152423
Policy instance 10
Insurance contract or identification number12152423
Number of Individuals Covered241
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract numberVARIOUS
Policy instance 7
Insurance contract or identification numberVARIOUS
Number of Individuals Covered589
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $96,671
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053657
Policy instance 2
Insurance contract or identification numberW0053657
Number of Individuals Covered579
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,587,929
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number108601
Policy instance 1
Insurance contract or identification number108601
Number of Individuals Covered3000
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,118,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053657
Policy instance 2
Insurance contract or identification numberW0053657
Number of Individuals Covered612
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,760,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number703
Policy instance 3
Insurance contract or identification number703
Number of Individuals Covered90
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $212,841
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number5321H
Policy instance 4
Insurance contract or identification number5321H
Number of Individuals Covered126
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract numberVARIOUS
Policy instance 5
Insurance contract or identification numberVARIOUS
Number of Individuals Covered2451
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract numberVARIOUS
Policy instance 6
Insurance contract or identification numberVARIOUS
Number of Individuals Covered54
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract numberVARIOUS
Policy instance 7
Insurance contract or identification numberVARIOUS
Number of Individuals Covered542
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $115,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberPCF-007
Policy instance 8
Insurance contract or identification numberPCF-007
Number of Individuals Covered2559
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $210,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberLA801W*000
Policy instance 9
Insurance contract or identification numberLA801W*000
Number of Individuals Covered1151
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACUPUNCTURE/CHIROPRACTIC
Welfare Benefit Premiums Paid to CarrierUSD $24,636
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: 00000 )
Policy contract number12152423
Policy instance 10
Insurance contract or identification number12152423
Number of Individuals Covered162
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract numberSEE FOOTNOTES
Policy instance 7
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered751
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract numberSEE FOOTNOTES
Policy instance 5
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered3296
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberPCF-007
Policy instance 8
Insurance contract or identification numberPCF-007
Number of Individuals Covered4473
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $332,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberLH801W*000
Policy instance 9
Insurance contract or identification numberLH801W*000
Number of Individuals Covered1345
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Other welfare benefits providedACUPUNCTURE/CHIROPRACTIC
Welfare Benefit Premiums Paid to CarrierUSD $103,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number5123H-1
Policy instance 4
Insurance contract or identification number5123H-1
Number of Individuals Covered181
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $72,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number403 & 9403
Policy instance 3
Insurance contract or identification number403 & 9403
Number of Individuals Covered612
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,001,668
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract numberSEE FOOTNOTES
Policy instance 2
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered596
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $592,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number108601
Policy instance 1
Insurance contract or identification number108601
Number of Individuals Covered3951
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,365,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053657
Policy instance 11
Insurance contract or identification numberW0053657
Number of Individuals Covered715
Insurance policy start date2015-02-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,316,604
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract numberSEE FOOTNOTES
Policy instance 6
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered185
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number5123H-1
Policy instance 2
Insurance contract or identification number5123H-1
Number of Individuals Covered1058
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $434,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract numberSEE FOOTNOTES
Policy instance 1
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered621
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,121,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH MANAGEMENT CONCEPTS, INC. (National Association of Insurance Commissioners NAIC id number: ** )
Policy contract numberTMBT
Policy instance 7
Insurance contract or identification numberTMBT
Number of Individuals Covered4177
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Other welfare benefits providedMENTAL HEALTH, LEGAL
Welfare Benefit Premiums Paid to CarrierUSD $89,167
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number403
Policy instance 8
Insurance contract or identification number403
Number of Individuals Covered581
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $911,303
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number108601
Policy instance 9
Insurance contract or identification number108601
Number of Individuals Covered5626
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,180,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberLH801W*000
Policy instance 3
Insurance contract or identification numberLH801W*000
Number of Individuals Covered5210
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Other welfare benefits providedACUPUNCTURE/CHIROPRACTIC
Welfare Benefit Premiums Paid to CarrierUSD $118,277
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract numberSEE FOOTNOTES
Policy instance 4
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered240
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,383
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract numberSEE FOOTNOTES
Policy instance 10
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered1143
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberPCF-007
Policy instance 6
Insurance contract or identification numberPCF-007
Number of Individuals Covered7035
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $556,591
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerINSURANCE FEES
Insurance broker organization code?3
Insurance broker nameHIGHMARK LIFE INSURANCE COMPANY
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract numberSEE FOOTNOTES
Policy instance 5
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered3720
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH MANAGEMENT CONCEPTS, INC. (National Association of Insurance Commissioners NAIC id number: ** )
Policy contract numberTMBT
Policy instance 10
Insurance contract or identification numberTMBT
Number of Individuals Covered4145
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Other welfare benefits providedMENTAL HEALTH
Welfare Benefit Premiums Paid to CarrierUSD $74,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberPCF-007
Policy instance 8
Insurance contract or identification numberPCF-007
Number of Individuals Covered7881
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of fees paid to insurance companyUSD $22,587
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $501,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees22587
Additional information about fees paid to insurance brokerINSURANCE FEES
Insurance broker organization code?3
Insurance broker nameHIGHMARK LIFE INSURANCE COMPANY
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number403
Policy instance 7
Insurance contract or identification number403
Number of Individuals Covered574
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $808,407
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract numberSEE FOOTNOTES
Policy instance 6
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered1048
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $160,286
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number5123H-1
Policy instance 5
Insurance contract or identification number5123H-1
Number of Individuals Covered1226
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $426,571
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract numberSEE FOOTNOTES
Policy instance 3
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered770
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,820,657
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract numberSEE FOOTNOTES
Policy instance 2
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered174
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $79,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract numberSEE FOOTNOTES
Policy instance 1
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered4045
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $410,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberLH801W*000
Policy instance 9
Insurance contract or identification numberLH801W*000
Number of Individuals Covered1384
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Other welfare benefits providedACUPUNCTURE/CHIROPRACTIC
Welfare Benefit Premiums Paid to CarrierUSD $109,108
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number108601
Policy instance 4
Insurance contract or identification number108601
Number of Individuals Covered6503
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,891,383
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberPCF-007
Policy instance 9
Insurance contract or identification numberPCF-007
Number of Individuals Covered6668
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of fees paid to insurance companyUSD $18,289
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $406,413
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees18289
Additional information about fees paid to insurance brokerINSURANCE FEES
Insurance broker organization code?3
Insurance broker nameHIGHMARK LIFE INSURANCE COMPANY
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number108601
Policy instance 8
Insurance contract or identification number108601
Number of Individuals Covered5119
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,181,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract numberSEE FOOTNOTES
Policy instance 7
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered2965
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $342,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract numberSEE FOOTNOTES
Policy instance 6
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered906
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $143,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberLH801W*000
Policy instance 4
Insurance contract or identification numberLH801W*000
Number of Individuals Covered2127
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedACUPUNCTURE/CHIROPRACTIC
Welfare Benefit Premiums Paid to CarrierUSD $104,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH MANAGEMENT CONCEPTS, INC. (National Association of Insurance Commissioners NAIC id number: ** )
Policy contract numberTMBT
Policy instance 5
Insurance contract or identification numberTMBT
Number of Individuals Covered4170
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedMENTAL HEALTH
Welfare Benefit Premiums Paid to CarrierUSD $71,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract numberSEE FOOTNOTES
Policy instance 3
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered159
Insurance policy start date2012-09-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number403
Policy instance 10
Insurance contract or identification number403
Number of Individuals Covered547
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $791,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number5123H-1
Policy instance 2
Insurance contract or identification number5123H-1
Number of Individuals Covered1157
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $399,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract numberSEE FOOTNOTES
Policy instance 1
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered704
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,163,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract numberSEE FOOTNOTES
Policy instance 12
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered423
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $282,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberLH801W*000
Policy instance 11
Insurance contract or identification numberLH801W*000
Number of Individuals Covered1818
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Other welfare benefits providedACUPUNCTURE/CHIROPRACTIC
Welfare Benefit Premiums Paid to CarrierUSD $50,407
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number1653-0002
Policy instance 10
Insurance contract or identification number1653-0002
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract numberSEE FOOTNOTES
Policy instance 8
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered2141
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberKM05752758
Policy instance 7
Insurance contract or identification numberKM05752758
Number of Individuals Covered188
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,033
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number400156
Policy instance 6
Insurance contract or identification number400156
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number403
Policy instance 5
Insurance contract or identification number403
Number of Individuals Covered576
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $649,841
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract numberSEE FOOTNOTES
Policy instance 4
Insurance contract or identification numberSEE FOOTNOTES
Number of Individuals Covered677
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberPCF-007
Policy instance 3
Insurance contract or identification numberPCF-007
Number of Individuals Covered1574
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of fees paid to insurance companyUSD $2,790
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,998
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 )
Policy contract number5123H
Policy instance 2
Insurance contract or identification number5123H
Number of Individuals Covered932
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED BEHAVIORAL HEALTH DBA OPTUM (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number10000490
Policy instance 1
Insurance contract or identification number10000490
Number of Individuals Covered2674
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Other welfare benefits providedMENTAL HEALTH
Welfare Benefit Premiums Paid to CarrierUSD $19,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number108601
Policy instance 9
Insurance contract or identification number108601
Number of Individuals Covered4089
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,822,817
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number400156
Policy instance 5
Insurance contract or identification number400156
Number of Individuals Covered32
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $409,038
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberKM05752758
Policy instance 4
Insurance contract or identification numberKM05752758
Number of Individuals Covered190
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,349
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number1653-0002
Policy instance 3
Insurance contract or identification number1653-0002
Number of Individuals Covered78
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,615
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number108601
Policy instance 2
Insurance contract or identification number108601
Number of Individuals Covered238
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $769,218
PACIFICARE BEHAVIORAL HEALTH (National Association of Insurance Commissioners NAIC id number: 70785 )
Policy contract number10000490
Policy instance 1
Insurance contract or identification number10000490
Number of Individuals Covered184
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedMENTAL HEALTH
Welfare Benefit Premiums Paid to CarrierUSD $12,995

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