BOARD OF TRUSTEES, TEAMSTERS MULTI-BENEFIT TRUST has sponsored the creation of one or more 401k plans.
Measure | Date | Value |
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2022 : TEAMSTERS MULTI-BENEFIT TRUST 2022 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2022-12-31 | $-920,517 |
Total unrealized appreciation/depreciation of assets | 2022-12-31 | $-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 assets | 2022-12-31 | $1,433 |
Total of all expenses incurred | 2022-12-31 | $23,139,141 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $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 year | 2022-12-31 | $14,409,925 |
Value of total assets at beginning of year | 2022-12-31 | $15,694,450 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $591,429 |
Total interest from all sources | 2022-12-31 | $145,131 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
Administrative expenses professional fees incurred | 2022-12-31 | $115,939 |
Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
Value of fidelity bond cover | 2022-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2022-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
Contributions received from participants | 2022-12-31 | $34,011 |
Assets. Other investments not covered elsewhere at end of year | 2022-12-31 | $1,151,991 |
Assets. Other investments not covered elsewhere at beginning of year | 2022-12-31 | $1,149,908 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $30,080 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-12-31 | $46,121 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-12-31 | $1,017,689 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-12-31 | $1,008,955 |
Administrative expenses (other) incurred | 2022-12-31 | $54,692 |
Liabilities. Value of operating payables at end of year | 2022-12-31 | $52,360 |
Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $49,373 |
Total non interest bearing cash at end of year | 2022-12-31 | $1,003,704 |
Total non interest bearing cash at beginning of year | 2022-12-31 | $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 appraiser | 2022-12-31 | No |
Value of net income/loss | 2022-12-31 | $-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) | 2022-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
Investment advisory and management fees | 2022-12-31 | $31,183 |
Income. Interest from US Government securities | 2022-12-31 | $74,204 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-12-31 | $3,466,168 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-12-31 | $4,573,179 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-12-31 | $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 benefits | 2022-12-31 | $22,517,728 |
Asset value of US Government securities at end of year | 2022-12-31 | $8,563,989 |
Asset value of US Government securities at beginning of year | 2022-12-31 | $8,232,194 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
Contributions received in cash from employer | 2022-12-31 | $22,582,837 |
Employer contributions (assets) at end of year | 2022-12-31 | $193,993 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-12-31 | $29,984 |
Contract administrator fees | 2022-12-31 | $389,615 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-12-31 | No |
Did the plan have assets held for investment | 2022-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
Aggregate proceeds on sale of assets | 2022-12-31 | $2,709,433 |
Aggregate carrying amount (costs) on sale of assets | 2022-12-31 | $2,708,000 |
Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
Accountancy firm name | 2022-12-31 | HENNINGFIELD & ASSOCIATES, INC. |
Accountancy firm EIN | 2022-12-31 | 542189926 |
2021 : TEAMSTERS MULTI-BENEFIT TRUST 2021 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2021-12-31 | $-231,195 |
Total unrealized appreciation/depreciation of assets | 2021-12-31 | $-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 incurred | 2021-12-31 | $20,365,896 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $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 year | 2021-12-31 | $15,694,450 |
Value of total assets at beginning of year | 2021-12-31 | $15,493,334 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $583,548 |
Total interest from all sources | 2021-12-31 | $137,999 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
Administrative expenses professional fees incurred | 2021-12-31 | $106,096 |
Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
Value of fidelity bond cover | 2021-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2021-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
Contributions received from participants | 2021-12-31 | $30,085 |
Assets. Other investments not covered elsewhere at end of year | 2021-12-31 | $1,149,908 |
Assets. Other investments not covered elsewhere at beginning of year | 2021-12-31 | $1,145,373 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-12-31 | $46,121 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-12-31 | $40,597 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-12-31 | $1,008,955 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-12-31 | $878,449 |
Other income not declared elsewhere | 2021-12-31 | $37,253 |
Administrative expenses (other) incurred | 2021-12-31 | $62,969 |
Liabilities. Value of operating payables at end of year | 2021-12-31 | $49,373 |
Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $58,853 |
Total non interest bearing cash at end of year | 2021-12-31 | $1,693,048 |
Total non interest bearing cash at beginning of year | 2021-12-31 | $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 appraiser | 2021-12-31 | No |
Value of net income/loss | 2021-12-31 | $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) | 2021-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
Investment advisory and management fees | 2021-12-31 | $32,426 |
Income. Interest from US Government securities | 2021-12-31 | $45,848 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-12-31 | $4,573,179 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-12-31 | $7,996,545 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-12-31 | $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 benefits | 2021-12-31 | $19,745,162 |
Asset value of US Government securities at end of year | 2021-12-31 | $8,232,194 |
Asset value of US Government securities at beginning of year | 2021-12-31 | $4,893,330 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
Contributions received in cash from employer | 2021-12-31 | $20,471,844 |
Employer contributions (assets) at end of year | 2021-12-31 | $0 |
Employer contributions (assets) at beginning of year | 2021-12-31 | $33,018 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-12-31 | $37,186 |
Contract administrator fees | 2021-12-31 | $382,057 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-12-31 | No |
Did the plan have assets held for investment | 2021-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
Accountancy firm name | 2021-12-31 | HENNINGFIELD & ASSOCIATES, INC. |
Accountancy firm EIN | 2021-12-31 | 542189926 |
2020 : TEAMSTERS MULTI-BENEFIT TRUST 2020 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2020-12-31 | $42,735 |
Total unrealized appreciation/depreciation of assets | 2020-12-31 | $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 assets | 2020-12-31 | $2,098 |
Total of all expenses incurred | 2020-12-31 | $21,540,297 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $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 year | 2020-12-31 | $15,493,334 |
Value of total assets at beginning of year | 2020-12-31 | $15,959,678 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $602,728 |
Total interest from all sources | 2020-12-31 | $210,455 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
Administrative expenses professional fees incurred | 2020-12-31 | $120,541 |
Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
Value of fidelity bond cover | 2020-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2020-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
Contributions received from participants | 2020-12-31 | $36,767 |
Assets. Other investments not covered elsewhere at end of year | 2020-12-31 | $1,145,373 |
Assets. Other investments not covered elsewhere at beginning of year | 2020-12-31 | $1,151,618 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $40,597 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $46,709 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-12-31 | $878,449 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-12-31 | $1,694,951 |
Administrative expenses (other) incurred | 2020-12-31 | $49,567 |
Liabilities. Value of operating payables at end of year | 2020-12-31 | $58,853 |
Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $70,587 |
Total non interest bearing cash at end of year | 2020-12-31 | $1,384,471 |
Total non interest bearing cash at beginning of year | 2020-12-31 | $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 appraiser | 2020-12-31 | No |
Value of net income/loss | 2020-12-31 | $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) | 2020-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
Investment advisory and management fees | 2020-12-31 | $32,172 |
Income. Interest from US Government securities | 2020-12-31 | $70,134 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-12-31 | $7,996,545 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-12-31 | $7,528,446 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-12-31 | $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 benefits | 2020-12-31 | $20,892,935 |
Asset value of US Government securities at end of year | 2020-12-31 | $4,893,330 |
Asset value of US Government securities at beginning of year | 2020-12-31 | $5,098,210 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
Contributions received in cash from employer | 2020-12-31 | $21,610,134 |
Employer contributions (assets) at end of year | 2020-12-31 | $33,018 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-12-31 | $44,634 |
Contract administrator fees | 2020-12-31 | $400,448 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-12-31 | No |
Did the plan have assets held for investment | 2020-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
Aggregate proceeds on sale of assets | 2020-12-31 | $1,549,000 |
Aggregate carrying amount (costs) on sale of assets | 2020-12-31 | $1,546,902 |
Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
Accountancy firm name | 2020-12-31 | HENNINGFIELD & ASSOCIATES, INC |
Accountancy firm EIN | 2020-12-31 | 542189926 |
2019 : TEAMSTERS MULTI-BENEFIT TRUST 2019 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2019-12-31 | $278,346 |
Total unrealized appreciation/depreciation of assets | 2019-12-31 | $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 assets | 2019-12-31 | $78 |
Total of all expenses incurred | 2019-12-31 | $19,590,054 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $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 year | 2019-12-31 | $15,959,678 |
Value of total assets at beginning of year | 2019-12-31 | $13,826,424 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $623,241 |
Total interest from all sources | 2019-12-31 | $208,905 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
Administrative expenses professional fees incurred | 2019-12-31 | $152,437 |
Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
Value of fidelity bond cover | 2019-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
Contributions received from participants | 2019-12-31 | $26,938 |
Assets. Other investments not covered elsewhere at end of year | 2019-12-31 | $1,151,618 |
Assets. Other investments not covered elsewhere at beginning of year | 2019-12-31 | $1,884,928 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $46,709 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $28,550 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $1,694,951 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $1,046,708 |
Other income not declared elsewhere | 2019-12-31 | $110,164 |
Administrative expenses (other) incurred | 2019-12-31 | $48,810 |
Liabilities. Value of operating payables at end of year | 2019-12-31 | $70,587 |
Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $49,425 |
Total non interest bearing cash at end of year | 2019-12-31 | $2,134,695 |
Total non interest bearing cash at beginning of year | 2019-12-31 | $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 appraiser | 2019-12-31 | No |
Value of net income/loss | 2019-12-31 | $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) | 2019-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
Investment advisory and management fees | 2019-12-31 | $30,284 |
Income. Interest from US Government securities | 2019-12-31 | $60,734 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $7,528,446 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $5,725,496 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $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 benefits | 2019-12-31 | $18,924,082 |
Asset value of US Government securities at end of year | 2019-12-31 | $5,098,210 |
Asset value of US Government securities at beginning of year | 2019-12-31 | $4,552,578 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
Contributions received in cash from employer | 2019-12-31 | $20,429,472 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $42,731 |
Contract administrator fees | 2019-12-31 | $391,710 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-12-31 | No |
Did the plan have assets held for investment | 2019-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
Aggregate proceeds on sale of assets | 2019-12-31 | $250,000 |
Aggregate carrying amount (costs) on sale of assets | 2019-12-31 | $249,922 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
Accountancy firm name | 2019-12-31 | HENNINGFIELD & ASSOCIATES, INC. |
Accountancy firm EIN | 2019-12-31 | 542189926 |
2018 : TEAMSTERS MULTI-BENEFIT TRUST 2018 401k financial data |
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Unrealized appreciation/depreciation of other (non real estate) assets | 2018-12-31 | $-74,725 |
Total unrealized appreciation/depreciation of assets | 2018-12-31 | $-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 incurred | 2018-12-31 | $19,564,625 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $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 year | 2018-12-31 | $13,826,424 |
Value of total assets at beginning of year | 2018-12-31 | $13,776,205 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $592,150 |
Total interest from all sources | 2018-12-31 | $168,300 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
Administrative expenses professional fees incurred | 2018-12-31 | $132,712 |
Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
Value of fidelity bond cover | 2018-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
Contributions received from participants | 2018-12-31 | $25,823 |
Assets. Other investments not covered elsewhere at end of year | 2018-12-31 | $1,884,928 |
Assets. Other investments not covered elsewhere at beginning of year | 2018-12-31 | $1,885,667 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $28,550 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $76,007 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-12-31 | $1,046,708 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-12-31 | $1,539,710 |
Administrative expenses (other) incurred | 2018-12-31 | $48,519 |
Liabilities. Value of operating payables at end of year | 2018-12-31 | $49,425 |
Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $53,467 |
Total non interest bearing cash at end of year | 2018-12-31 | $1,634,872 |
Total non interest bearing cash at beginning of year | 2018-12-31 | $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 appraiser | 2018-12-31 | No |
Value of net income/loss | 2018-12-31 | $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) | 2018-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
Investment advisory and management fees | 2018-12-31 | $25,504 |
Income. Interest from US Government securities | 2018-12-31 | $62,114 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $5,725,496 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $5,888,021 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $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 benefits | 2018-12-31 | $18,902,386 |
Asset value of US Government securities at end of year | 2018-12-31 | $4,552,578 |
Asset value of US Government securities at beginning of year | 2018-12-31 | $4,294,166 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
Contributions received in cash from employer | 2018-12-31 | $19,992,490 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-12-31 | $70,089 |
Contract administrator fees | 2018-12-31 | $385,415 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-12-31 | No |
Did the plan have assets held for investment | 2018-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
Accountancy firm name | 2018-12-31 | HENNINGFIELD & ASSOCIATES, INC. |
Accountancy firm EIN | 2018-12-31 | 542189926 |
2017 : TEAMSTERS MULTI-BENEFIT TRUST 2017 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2017-12-31 | $-29,720 |
Total unrealized appreciation/depreciation of assets | 2017-12-31 | $-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 assets | 2017-12-31 | $5,576 |
Total of all expenses incurred | 2017-12-31 | $22,100,972 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $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 year | 2017-12-31 | $13,776,205 |
Value of total assets at beginning of year | 2017-12-31 | $13,572,933 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $665,186 |
Total interest from all sources | 2017-12-31 | $141,884 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
Administrative expenses professional fees incurred | 2017-12-31 | $184,533 |
Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
Value of fidelity bond cover | 2017-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
Contributions received from participants | 2017-12-31 | $71,666 |
Assets. Other investments not covered elsewhere at end of year | 2017-12-31 | $1,885,667 |
Assets. Other investments not covered elsewhere at beginning of year | 2017-12-31 | $1,886,151 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $76,007 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $529,714 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-12-31 | $1,539,710 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-12-31 | $1,464,551 |
Administrative expenses (other) incurred | 2017-12-31 | $54,763 |
Liabilities. Value of operating payables at end of year | 2017-12-31 | $53,467 |
Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $45,646 |
Total non interest bearing cash at end of year | 2017-12-31 | $1,632,344 |
Total non interest bearing cash at beginning of year | 2017-12-31 | $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 appraiser | 2017-12-31 | No |
Value of net income/loss | 2017-12-31 | $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) | 2017-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
Investment advisory and management fees | 2017-12-31 | $24,318 |
Income. Interest from US Government securities | 2017-12-31 | $57,298 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $5,888,021 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $4,592,074 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $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 year | 2017-12-31 | $4,294,166 |
Asset value of US Government securities at beginning of year | 2017-12-31 | $4,979,925 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
Contributions received in cash from employer | 2017-12-31 | $22,031,858 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $21,435,786 |
Contract administrator fees | 2017-12-31 | $401,572 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-12-31 | No |
Did the plan have assets held for investment | 2017-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
Aggregate proceeds on sale of assets | 2017-12-31 | $1,930,201 |
Aggregate carrying amount (costs) on sale of assets | 2017-12-31 | $1,924,625 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
Accountancy firm name | 2017-12-31 | HENNINGFIELD AND ASSOCIATES, INC. |
Accountancy firm EIN | 2017-12-31 | 542189926 |
2016 : TEAMSTERS MULTI-BENEFIT TRUST 2016 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2016-12-31 | $-77,318 |
Total unrealized appreciation/depreciation of assets | 2016-12-31 | $-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 assets | 2016-12-31 | $100,040 |
Total of all expenses incurred | 2016-12-31 | $26,766,912 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $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 year | 2016-12-31 | $13,572,933 |
Value of total assets at beginning of year | 2016-12-31 | $13,603,658 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $854,853 |
Total interest from all sources | 2016-12-31 | $149,388 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
Administrative expenses professional fees incurred | 2016-12-31 | $162,089 |
Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
Value of fidelity bond cover | 2016-12-31 | $500,000 |
Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
Contributions received from participants | 2016-12-31 | $93,315 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $529,714 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $48,334 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-12-31 | $1,464,551 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-12-31 | $1,373,013 |
Administrative expenses (other) incurred | 2016-12-31 | $76,269 |
Liabilities. Value of operating payables at end of year | 2016-12-31 | $45,646 |
Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $32,893 |
Total non interest bearing cash at end of year | 2016-12-31 | $1,585,069 |
Total non interest bearing cash at beginning of year | 2016-12-31 | $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 appraiser | 2016-12-31 | No |
Value of net income/loss | 2016-12-31 | $-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) | 2016-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
Investment advisory and management fees | 2016-12-31 | $23,970 |
Income. Interest from US Government securities | 2016-12-31 | $81,615 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $4,592,074 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $2,683,838 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $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 year | 2016-12-31 | $4,979,925 |
Asset value of US Government securities at beginning of year | 2016-12-31 | $6,691,026 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
Contributions received in cash from employer | 2016-12-31 | $26,366,471 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $25,912,059 |
Contract administrator fees | 2016-12-31 | $592,525 |
Assets. Value of buildings and other operty used in plan operation at end of year | 2016-12-31 | $1,886,151 |
Assets. Value of buildings and other operty used in plan operation at beginning of year | 2016-12-31 | $1,771,102 |
Did the plan have assets held for investment | 2016-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
Aggregate proceeds on sale of assets | 2016-12-31 | $7,960,450 |
Aggregate carrying amount (costs) on sale of assets | 2016-12-31 | $7,860,410 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
Accountancy firm name | 2016-12-31 | MILLER KAPLAN ARASE LLP |
Accountancy firm EIN | 2016-12-31 | 952036255 |
2015 : TEAMSTERS MULTI-BENEFIT TRUST 2015 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2015-12-31 | $74,705 |
Total unrealized appreciation/depreciation of assets | 2015-12-31 | $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 assets | 2015-12-31 | $8,774 |
Total of all expenses incurred | 2015-12-31 | $26,450,885 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $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 year | 2015-12-31 | $13,603,658 |
Value of total assets at beginning of year | 2015-12-31 | $12,452,848 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $925,487 |
Total interest from all sources | 2015-12-31 | $173,098 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
Administrative expenses professional fees incurred | 2015-12-31 | $149,791 |
Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
Value of fidelity bond cover | 2015-12-31 | $500,000 |
Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
Contributions received from participants | 2015-12-31 | $102,280 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $48,334 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $42,877 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-12-31 | $1,373,013 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-12-31 | $1,300,713 |
Administrative expenses (other) incurred | 2015-12-31 | $220,549 |
Liabilities. Value of operating payables at end of year | 2015-12-31 | $32,893 |
Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $19,953 |
Total non interest bearing cash at end of year | 2015-12-31 | $2,409,358 |
Total non interest bearing cash at beginning of year | 2015-12-31 | $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 appraiser | 2015-12-31 | No |
Value of net income/loss | 2015-12-31 | $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) | 2015-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
Investment advisory and management fees | 2015-12-31 | $23,234 |
Income. Interest from US Government securities | 2015-12-31 | $137,789 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $2,683,838 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $1,967,411 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $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 benefits | 2015-12-31 | $25,525,398 |
Asset value of US Government securities at end of year | 2015-12-31 | $6,691,026 |
Asset value of US Government securities at beginning of year | 2015-12-31 | $7,156,333 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
Contributions received in cash from employer | 2015-12-31 | $27,157,598 |
Contract administrator fees | 2015-12-31 | $531,913 |
Assets. Value of buildings and other operty used in plan operation at end of year | 2015-12-31 | $1,771,102 |
Assets. Value of buildings and other operty used in plan operation at beginning of year | 2015-12-31 | $2,648,127 |
Did the plan have assets held for investment | 2015-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
Aggregate proceeds on sale of assets | 2015-12-31 | $1,934,243 |
Aggregate carrying amount (costs) on sale of assets | 2015-12-31 | $1,925,469 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
Accountancy firm name | 2015-12-31 | MILLER KAPLAN ARASE LLP |
Accountancy firm EIN | 2015-12-31 | 952036255 |
2014 : TEAMSTERS MULTI-BENEFIT TRUST 2014 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2014-12-31 | $314,814 |
Total unrealized appreciation/depreciation of assets | 2014-12-31 | $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 assets | 2014-12-31 | $20,238 |
Total of all expenses incurred | 2014-12-31 | $41,501,759 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $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 year | 2014-12-31 | $12,452,848 |
Value of total assets at beginning of year | 2014-12-31 | $12,628,652 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $1,297,893 |
Total interest from all sources | 2014-12-31 | $194,276 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
Administrative expenses professional fees incurred | 2014-12-31 | $112,209 |
Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
Value of fidelity bond cover | 2014-12-31 | $500,000 |
Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
Contributions received from participants | 2014-12-31 | $134,927 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $42,877 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $66,789 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-12-31 | $1,300,713 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-12-31 | $1,490,908 |
Administrative expenses (other) incurred | 2014-12-31 | $344,464 |
Liabilities. Value of operating payables at end of year | 2014-12-31 | $19,953 |
Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $28,269 |
Total non interest bearing cash at end of year | 2014-12-31 | $638,100 |
Total non interest bearing cash at beginning of year | 2014-12-31 | $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 appraiser | 2014-12-31 | No |
Value of net income/loss | 2014-12-31 | $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) | 2014-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
Investment advisory and management fees | 2014-12-31 | $30,078 |
Income. Interest from US Government securities | 2014-12-31 | $147,937 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $1,967,411 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $4,661,704 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $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 benefits | 2014-12-31 | $40,203,866 |
Asset value of US Government securities at end of year | 2014-12-31 | $7,156,333 |
Asset value of US Government securities at beginning of year | 2014-12-31 | $7,274,730 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
Contributions received in cash from employer | 2014-12-31 | $40,860,211 |
Contract administrator fees | 2014-12-31 | $811,142 |
Assets. Value of buildings and other operty used in plan operation at end of year | 2014-12-31 | $2,648,127 |
Assets. Value of buildings and other operty used in plan operation at beginning of year | 2014-12-31 | $0 |
Did the plan have assets held for investment | 2014-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
Aggregate proceeds on sale of assets | 2014-12-31 | $6,601,688 |
Aggregate carrying amount (costs) on sale of assets | 2014-12-31 | $6,581,450 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
Accountancy firm name | 2014-12-31 | MILLER KAPLAN ARASE LLP |
Accountancy firm EIN | 2014-12-31 | 952036255 |
2013 : TEAMSTERS MULTI-BENEFIT TRUST 2013 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $-534,139 |
Total unrealized appreciation/depreciation of assets | 2013-12-31 | $-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 assets | 2013-12-31 | $-15,159 |
Total of all expenses incurred | 2013-12-31 | $34,044,521 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $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 year | 2013-12-31 | $12,628,652 |
Value of total assets at beginning of year | 2013-12-31 | $13,235,261 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $1,526,514 |
Total interest from all sources | 2013-12-31 | $186,437 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
Administrative expenses professional fees incurred | 2013-12-31 | $86,833 |
Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
Value of fidelity bond cover | 2013-12-31 | $500,000 |
Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
Contributions received from participants | 2013-12-31 | $122,383 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $66,789 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $59,565 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-12-31 | $1,490,908 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-12-31 | $941,330 |
Administrative expenses (other) incurred | 2013-12-31 | $453,802 |
Liabilities. Value of operating payables at end of year | 2013-12-31 | $28,269 |
Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $16,450 |
Total non interest bearing cash at end of year | 2013-12-31 | $625,429 |
Total non interest bearing cash at beginning of year | 2013-12-31 | $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 appraiser | 2013-12-31 | No |
Value of net income/loss | 2013-12-31 | $-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) | 2013-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
Investment advisory and management fees | 2013-12-31 | $30,501 |
Income. Interest from US Government securities | 2013-12-31 | $126,018 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $4,661,704 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $6,501,607 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $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 benefits | 2013-12-31 | $32,518,007 |
Asset value of US Government securities at end of year | 2013-12-31 | $7,274,730 |
Asset value of US Government securities at beginning of year | 2013-12-31 | $5,803,155 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
Contributions received in cash from employer | 2013-12-31 | $33,116,993 |
Contract administrator fees | 2013-12-31 | $955,378 |
Did the plan have assets held for investment | 2013-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
Aggregate proceeds on sale of assets | 2013-12-31 | $3,758,372 |
Aggregate carrying amount (costs) on sale of assets | 2013-12-31 | $3,773,531 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
Accountancy firm name | 2013-12-31 | MILLER KAPLAN ARASE LLP |
Accountancy firm EIN | 2013-12-31 | 952036255 |
2012 : TEAMSTERS MULTI-BENEFIT TRUST 2012 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2012-12-31 | $41,110 |
Total unrealized appreciation/depreciation of assets | 2012-12-31 | $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 assets | 2012-12-31 | $-879 |
Total of all expenses incurred | 2012-12-31 | $26,520,719 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $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 year | 2012-12-31 | $13,235,261 |
Value of total assets at beginning of year | 2012-12-31 | $12,276,109 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $1,295,705 |
Total interest from all sources | 2012-12-31 | $168,599 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
Administrative expenses professional fees incurred | 2012-12-31 | $93,310 |
Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
Value of fidelity bond cover | 2012-12-31 | $500,000 |
Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
Contributions received from participants | 2012-12-31 | $99,870 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $59,565 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $29,767 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-12-31 | $941,330 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-12-31 | $300,708 |
Administrative expenses (other) incurred | 2012-12-31 | $356,800 |
Liabilities. Value of operating payables at end of year | 2012-12-31 | $16,450 |
Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $58,052 |
Total non interest bearing cash at end of year | 2012-12-31 | $870,934 |
Total non interest bearing cash at beginning of year | 2012-12-31 | $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 appraiser | 2012-12-31 | No |
Value of net income/loss | 2012-12-31 | $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) | 2012-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
Investment advisory and management fees | 2012-12-31 | $30,702 |
Income. Interest from US Government securities | 2012-12-31 | $83,235 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $6,501,607 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $7,644,335 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $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 benefits | 2012-12-31 | $25,173,579 |
Asset value of US Government securities at end of year | 2012-12-31 | $5,803,155 |
Asset value of US Government securities at beginning of year | 2012-12-31 | $4,476,641 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
Contributions received in cash from employer | 2012-12-31 | $26,572,151 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $51,435 |
Contract administrator fees | 2012-12-31 | $814,893 |
Did the plan have assets held for investment | 2012-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
Aggregate proceeds on sale of assets | 2012-12-31 | $744,755 |
Aggregate carrying amount (costs) on sale of assets | 2012-12-31 | $745,634 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
Accountancy firm name | 2012-12-31 | MILLER KAPLAN ARASE LLP |
Accountancy firm EIN | 2012-12-31 | 952036255 |
2011 : TEAMSTERS MULTI-BENEFIT TRUST 2011 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2011-12-31 | $-42,632 |
Total unrealized appreciation/depreciation of assets | 2011-12-31 | $-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 assets | 2011-12-31 | $26,115 |
Total of all expenses incurred | 2011-12-31 | $6,029,625 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $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 year | 2011-12-31 | $12,276,109 |
Value of total assets at beginning of year | 2011-12-31 | $12,268,483 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $455,226 |
Total interest from all sources | 2011-12-31 | $123,089 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
Administrative expenses professional fees incurred | 2011-12-31 | $86,242 |
Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
Value of fidelity bond cover | 2011-12-31 | $500,000 |
Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $29,767 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $37,872 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-12-31 | $300,708 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-12-31 | $0 |
Administrative expenses (other) incurred | 2011-12-31 | $105,731 |
Liabilities. Value of operating payables at end of year | 2011-12-31 | $58,052 |
Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $9,135 |
Total non interest bearing cash at end of year | 2011-12-31 | $125,366 |
Total non interest bearing cash at beginning of year | 2011-12-31 | $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 appraiser | 2011-12-31 | No |
Value of net income/loss | 2011-12-31 | $-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) | 2011-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
Investment advisory and management fees | 2011-12-31 | $30,379 |
Income. Interest from US Government securities | 2011-12-31 | $105,666 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $7,644,335 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $1,536,345 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $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 benefits | 2011-12-31 | $5,513,766 |
Asset value of US Government securities at end of year | 2011-12-31 | $4,476,641 |
Asset value of US Government securities at beginning of year | 2011-12-31 | $10,573,885 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
Contributions received in cash from employer | 2011-12-31 | $5,581,054 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $60,633 |
Contract administrator fees | 2011-12-31 | $232,874 |
Did the plan have assets held for investment | 2011-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
Aggregate proceeds on sale of assets | 2011-12-31 | $16,745,000 |
Aggregate carrying amount (costs) on sale of assets | 2011-12-31 | $16,718,885 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
Accountancy firm name | 2011-12-31 | MILLER, KAPLAN, ARASE & CO., LLP |
Accountancy firm EIN | 2011-12-31 | 952036255 |
2010 : TEAMSTERS MULTI-BENEFIT TRUST 2010 401k financial data |
---|
Unrealized appreciation/depreciation of other (non real estate) assets | 2010-12-31 | $13,461 |
Total unrealized appreciation/depreciation of assets | 2010-12-31 | $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 assets | 2010-12-31 | $-28,025 |
Total of all expenses incurred | 2010-12-31 | $1,565,960 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $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 year | 2010-12-31 | $12,268,483 |
Value of total assets at beginning of year | 2010-12-31 | $12,594,261 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $219,939 |
Total interest from all sources | 2010-12-31 | $254,053 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
Administrative expenses professional fees incurred | 2010-12-31 | $87,039 |
Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
Value of fidelity bond cover | 2010-12-31 | $500,000 |
Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $37,872 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $97,516 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-12-31 | $0 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $247 |
Administrative expenses (other) incurred | 2010-12-31 | $19,307 |
Liabilities. Value of operating payables at end of year | 2010-12-31 | $9,135 |
Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $7,510 |
Total non interest bearing cash at end of year | 2010-12-31 | $120,381 |
Total non interest bearing cash at beginning of year | 2010-12-31 | $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 appraiser | 2010-12-31 | No |
Value of net income/loss | 2010-12-31 | $-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) | 2010-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
Investment advisory and management fees | 2010-12-31 | $31,148 |
Income. Interest from US Government securities | 2010-12-31 | $105,489 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $1,536,345 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $5,461,643 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $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 benefits | 2010-12-31 | $1,307,163 |
Asset value of US Government securities at end of year | 2010-12-31 | $10,573,885 |
Asset value of US Government securities at beginning of year | 2010-12-31 | $6,960,382 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
Contributions received in cash from employer | 2010-12-31 | $999,315 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $38,858 |
Contract administrator fees | 2010-12-31 | $82,445 |
Did the plan have assets held for investment | 2010-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
Aggregate proceeds on sale of assets | 2010-12-31 | $8,411,671 |
Aggregate carrying amount (costs) on sale of assets | 2010-12-31 | $8,439,696 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
Accountancy firm name | 2010-12-31 | MILLER, KAPLAN, ARASE & CO., LLP |
Accountancy firm EIN | 2010-12-31 | 952036255 |
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 108601 |
Policy instance | 1 |
Insurance contract or identification number | 108601 | Number of Individuals Covered | 1442 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | W0053657 |
Policy instance | 2 |
Insurance contract or identification number | W0053657 | Number of Individuals Covered | 207 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 403 |
Policy instance | 3 |
Insurance contract or identification number | 403 | Number of Individuals Covered | 56 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 5321H |
Policy instance | 4 |
Insurance contract or identification number | 5321H | Number of Individuals Covered | 85 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 100372-100397 |
Policy instance | 5 |
Insurance contract or identification number | 100372-100397 | Number of Individuals Covered | 1161 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 897211 |
Policy instance | 6 |
Insurance contract or identification number | 897211 | Number of Individuals Covered | 340 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | PCF-007 |
Policy instance | 7 |
Insurance contract or identification number | PCF-007 | Number of Individuals Covered | 1227 | Insurance policy start date | 2022-01-01 | Insurance policy end date | 2022-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 108601 |
Policy instance | 1 |
Insurance contract or identification number | 108601 | Number of Individuals Covered | 2349 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 403 |
Policy instance | 3 |
Insurance contract or identification number | 403 | Number of Individuals Covered | 78 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 5321H |
Policy instance | 4 |
Insurance contract or identification number | 5321H | Number of Individuals Covered | 140 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 100372-100397 |
Policy instance | 5 |
Insurance contract or identification number | 100372-100397 | Number of Individuals Covered | 1106 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | PCF-007 |
Policy instance | 7 |
Insurance contract or identification number | PCF-007 | Number of Individuals Covered | 1361 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 897211 |
Policy instance | 6 |
Insurance contract or identification number | 897211 | Number of Individuals Covered | 324 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | W0053657 |
Policy instance | 2 |
Insurance contract or identification number | W0053657 | Number of Individuals Covered | 232 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 5321H |
Policy instance | 4 |
Insurance contract or identification number | 5321H | Number of Individuals Covered | 220 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 108601 |
Policy instance | 1 |
Insurance contract or identification number | 108601 | Number of Individuals Covered | 2301 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | W0053657 |
Policy instance | 2 |
Insurance contract or identification number | W0053657 | Number of Individuals Covered | 781 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 403 |
Policy instance | 3 |
Insurance contract or identification number | 403 | Number of Individuals Covered | 116 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 100372-100397 |
Policy instance | 5 |
Insurance contract or identification number | 100372-100397 | Number of Individuals Covered | 1942 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
Policy contract number | 897211 |
Policy instance | 6 |
Insurance contract or identification number | 897211 | Number of Individuals Covered | 672 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 897211 |
Policy instance | 9 |
Insurance contract or identification number | 897211 | Number of Individuals Covered | 43 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | LA801W*000 |
Policy instance | 8 |
Insurance contract or identification number | LA801W*000 | Number of Individuals Covered | 1325 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACUPUNCTURE/CHIROPRACTIC | Welfare Benefit Premiums Paid to Carrier | USD $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 number | PCF-007 |
Policy instance | 7 |
Insurance contract or identification number | PCF-007 | Number of Individuals Covered | 2202 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 403 |
Policy instance | 3 |
Insurance contract or identification number | 403 | Number of Individuals Covered | 103 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 5321H |
Policy instance | 4 |
Insurance contract or identification number | 5321H | Number of Individuals Covered | 185 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 108601 |
Policy instance | 1 |
Insurance contract or identification number | 108601 | Number of Individuals Covered | 2547 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 100372-100397 |
Policy instance | 5 |
Insurance contract or identification number | 100372-100397 | Number of Individuals Covered | 2219 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 ) |
Policy contract number | W0053657 |
Policy instance | 2 |
Insurance contract or identification number | W0053657 | Number of Individuals Covered | 552 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 897211 |
Policy instance | 9 |
Insurance contract or identification number | 897211 | Number of Individuals Covered | 51 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 897211 |
Policy instance | 6 |
Insurance contract or identification number | 897211 | Number of Individuals Covered | 588 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | PCF-007 |
Policy instance | 7 |
Insurance contract or identification number | PCF-007 | Number of Individuals Covered | 2491 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | LA801W*000 |
Policy instance | 8 |
Insurance contract or identification number | LA801W*000 | Number of Individuals Covered | 1304 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACUPUNCTURE/CHIROPRACTIC | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 108601 |
Policy instance | 1 |
Insurance contract or identification number | 108601 | Number of Individuals Covered | 2472 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | LA801W*000 |
Policy instance | 9 |
Insurance contract or identification number | LA801W*000 | Number of Individuals Covered | 1206 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACUPUNCTURE/CHIROPRACTIC | Welfare Benefit Premiums Paid to Carrier | USD $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 number | PCF-007 |
Policy instance | 8 |
Insurance contract or identification number | PCF-007 | Number of Individuals Covered | 1434 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | VARIOUS |
Policy instance | 6 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 51 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | VARIOUS |
Policy instance | 5 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 1238 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | 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 number | 403 |
Policy instance | 3 |
Insurance contract or identification number | 403 | Number of Individuals Covered | 79 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 5321H |
Policy instance | 4 |
Insurance contract or identification number | 5321H | Number of Individuals Covered | 185 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 12152423 |
Policy instance | 10 |
Insurance contract or identification number | 12152423 | Number of Individuals Covered | 241 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | VARIOUS |
Policy instance | 7 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 589 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | W0053657 |
Policy instance | 2 |
Insurance contract or identification number | W0053657 | Number of Individuals Covered | 579 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 108601 |
Policy instance | 1 |
Insurance contract or identification number | 108601 | Number of Individuals Covered | 3000 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | W0053657 |
Policy instance | 2 |
Insurance contract or identification number | W0053657 | Number of Individuals Covered | 612 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 703 |
Policy instance | 3 |
Insurance contract or identification number | 703 | Number of Individuals Covered | 90 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 5321H |
Policy instance | 4 |
Insurance contract or identification number | 5321H | Number of Individuals Covered | 126 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | VARIOUS |
Policy instance | 5 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 2451 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | 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 number | VARIOUS |
Policy instance | 6 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 54 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | 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 number | VARIOUS |
Policy instance | 7 |
Insurance contract or identification number | VARIOUS | Number of Individuals Covered | 542 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | PCF-007 |
Policy instance | 8 |
Insurance contract or identification number | PCF-007 | Number of Individuals Covered | 2559 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | LA801W*000 |
Policy instance | 9 |
Insurance contract or identification number | LA801W*000 | Number of Individuals Covered | 1151 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | ACUPUNCTURE/CHIROPRACTIC | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 12152423 |
Policy instance | 10 |
Insurance contract or identification number | 12152423 | Number of Individuals Covered | 162 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Vision Insurance Welfare Benefit | Yes | 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 number | SEE FOOTNOTES |
Policy instance | 7 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 751 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A ) |
Policy contract number | SEE FOOTNOTES |
Policy instance | 5 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 3296 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | PCF-007 |
Policy instance | 8 |
Insurance contract or identification number | PCF-007 | Number of Individuals Covered | 4473 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | LH801W*000 |
Policy instance | 9 |
Insurance contract or identification number | LH801W*000 | Number of Individuals Covered | 1345 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Other welfare benefits provided | ACUPUNCTURE/CHIROPRACTIC | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 5123H-1 |
Policy instance | 4 |
Insurance contract or identification number | 5123H-1 | Number of Individuals Covered | 181 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 403 & 9403 |
Policy instance | 3 |
Insurance contract or identification number | 403 & 9403 | Number of Individuals Covered | 612 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 2 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 596 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 108601 |
Policy instance | 1 |
Insurance contract or identification number | 108601 | Number of Individuals Covered | 3951 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | W0053657 |
Policy instance | 11 |
Insurance contract or identification number | W0053657 | Number of Individuals Covered | 715 | Insurance policy start date | 2015-02-01 | Insurance policy end date | 2015-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 6 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 185 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 5123H-1 |
Policy instance | 2 |
Insurance contract or identification number | 5123H-1 | Number of Individuals Covered | 1058 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 1 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 621 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | TMBT |
Policy instance | 7 |
Insurance contract or identification number | TMBT | Number of Individuals Covered | 4177 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Other welfare benefits provided | MENTAL HEALTH, LEGAL | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 403 |
Policy instance | 8 |
Insurance contract or identification number | 403 | Number of Individuals Covered | 581 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 108601 |
Policy instance | 9 |
Insurance contract or identification number | 108601 | Number of Individuals Covered | 5626 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | LH801W*000 |
Policy instance | 3 |
Insurance contract or identification number | LH801W*000 | Number of Individuals Covered | 5210 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Other welfare benefits provided | ACUPUNCTURE/CHIROPRACTIC | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 4 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 240 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 10 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 1143 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) |
Policy contract number | PCF-007 |
Policy instance | 6 |
Insurance contract or identification number | PCF-007 | Number of Individuals Covered | 7035 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 broker | INSURANCE FEES | Insurance broker organization code? | 3 | Insurance broker name | HIGHMARK LIFE INSURANCE COMPANY |
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LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A ) |
Policy contract number | SEE FOOTNOTES |
Policy instance | 5 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 3720 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Dental Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HEALTH MANAGEMENT CONCEPTS, INC. (National Association of Insurance Commissioners NAIC id number: ** ) |
Policy contract number | TMBT |
Policy instance | 10 |
Insurance contract or identification number | TMBT | Number of Individuals Covered | 4145 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Other welfare benefits provided | MENTAL HEALTH | Welfare Benefit Premiums Paid to Carrier | USD $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 number | PCF-007 |
Policy instance | 8 |
Insurance contract or identification number | PCF-007 | Number of Individuals Covered | 7881 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of fees paid to insurance company | USD $22,587 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 fees | 22587 | Additional information about fees paid to insurance broker | INSURANCE FEES | Insurance broker organization code? | 3 | Insurance broker name | HIGHMARK LIFE INSURANCE COMPANY |
|
SIMNSA HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 403 |
Policy instance | 7 |
Insurance contract or identification number | 403 | Number of Individuals Covered | 574 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 6 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 1048 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 5123H-1 |
Policy instance | 5 |
Insurance contract or identification number | 5123H-1 | Number of Individuals Covered | 1226 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 3 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 770 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 2 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 174 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 1 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 4045 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | LH801W*000 |
Policy instance | 9 |
Insurance contract or identification number | LH801W*000 | Number of Individuals Covered | 1384 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Other welfare benefits provided | ACUPUNCTURE/CHIROPRACTIC | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 108601 |
Policy instance | 4 |
Insurance contract or identification number | 108601 | Number of Individuals Covered | 6503 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | PCF-007 |
Policy instance | 9 |
Insurance contract or identification number | PCF-007 | Number of Individuals Covered | 6668 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of fees paid to insurance company | USD $18,289 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 fees | 18289 | Additional information about fees paid to insurance broker | INSURANCE FEES | Insurance broker organization code? | 3 | Insurance broker name | HIGHMARK LIFE INSURANCE COMPANY |
|
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 108601 |
Policy instance | 8 |
Insurance contract or identification number | 108601 | Number of Individuals Covered | 5119 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 7 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 2965 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 6 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 906 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | LH801W*000 |
Policy instance | 4 |
Insurance contract or identification number | LH801W*000 | Number of Individuals Covered | 2127 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Other welfare benefits provided | ACUPUNCTURE/CHIROPRACTIC | Welfare Benefit Premiums Paid to Carrier | USD $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 number | TMBT |
Policy instance | 5 |
Insurance contract or identification number | TMBT | Number of Individuals Covered | 4170 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Other welfare benefits provided | MENTAL HEALTH | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 3 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 159 | Insurance policy start date | 2012-09-01 | Insurance policy end date | 2012-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 403 |
Policy instance | 10 |
Insurance contract or identification number | 403 | Number of Individuals Covered | 547 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 5123H-1 |
Policy instance | 2 |
Insurance contract or identification number | 5123H-1 | Number of Individuals Covered | 1157 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 1 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 704 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 12 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 423 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | LH801W*000 |
Policy instance | 11 |
Insurance contract or identification number | LH801W*000 | Number of Individuals Covered | 1818 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Other welfare benefits provided | ACUPUNCTURE/CHIROPRACTIC | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 1653-0002 |
Policy instance | 10 |
Insurance contract or identification number | 1653-0002 | Number of Individuals Covered | 1 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 8 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 2141 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | KM05752758 |
Policy instance | 7 |
Insurance contract or identification number | KM05752758 | Number of Individuals Covered | 188 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 400156 |
Policy instance | 6 |
Insurance contract or identification number | 400156 | Number of Individuals Covered | 1 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 403 |
Policy instance | 5 |
Insurance contract or identification number | 403 | Number of Individuals Covered | 576 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | SEE FOOTNOTES |
Policy instance | 4 |
Insurance contract or identification number | SEE FOOTNOTES | Number of Individuals Covered | 677 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | PCF-007 |
Policy instance | 3 |
Insurance contract or identification number | PCF-007 | Number of Individuals Covered | 1574 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of fees paid to insurance company | USD $2,790 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 5123H |
Policy instance | 2 |
Insurance contract or identification number | 5123H | Number of Individuals Covered | 932 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 10000490 |
Policy instance | 1 |
Insurance contract or identification number | 10000490 | Number of Individuals Covered | 2674 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Other welfare benefits provided | MENTAL HEALTH | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 108601 |
Policy instance | 9 |
Insurance contract or identification number | 108601 | Number of Individuals Covered | 4089 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 400156 |
Policy instance | 5 |
Insurance contract or identification number | 400156 | Number of Individuals Covered | 32 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $409,038 |
|
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) |
Policy contract number | KM05752758 |
Policy instance | 4 |
Insurance contract or identification number | KM05752758 | Number of Individuals Covered | 190 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $11,349 |
|
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | 1653-0002 |
Policy instance | 3 |
Insurance contract or identification number | 1653-0002 | Number of Individuals Covered | 78 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $30,615 |
|
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
Policy contract number | 108601 |
Policy instance | 2 |
Insurance contract or identification number | 108601 | Number of Individuals Covered | 238 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $769,218 |
|
PACIFICARE BEHAVIORAL HEALTH (National Association of Insurance Commissioners NAIC id number: 70785 ) |
Policy contract number | 10000490 |
Policy instance | 1 |
Insurance contract or identification number | 10000490 | Number of Individuals Covered | 184 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Other welfare benefits provided | MENTAL HEALTH | Welfare Benefit Premiums Paid to Carrier | USD $12,995 |
|