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NORTH COAST TRUST FUND 401k Plan overview

Plan NameNORTH COAST TRUST FUND
Plan identification number 501

NORTH COAST TRUST FUND Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES, NORTH COAST TRUST FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES, NORTH COAST TRUST FUND
Employer identification number (EIN):941672782
NAIC Classification:484120
NAIC Description: General Freight Trucking, Long-Distance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH COAST TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01
5012016-07-01MILLER KAPLAN ARASE LLP
5012015-07-01MILLER KAPLAN ARASE LLP MILLER KAPLAN ARASE LLP2017-04-14
5012014-07-01MILLER KAPLAN ARASE LLP MILLER KAPLAN ARASE LLP2016-04-15
5012014-07-01MILLER KAPLAN ARASE LLP MILLER KAPLAN ARASE LLP2016-04-19
5012013-07-01SANDY S. GARCIA SANDY S. GARCIA2015-04-07
5012012-07-01SANDY S. GARCIA SANDY S. GARCIA2014-03-26
5012011-07-01RAFAEL MIRANDA JEFFERY HOPKINS2013-04-05
5012010-07-01RAFAEL MIRANDA JEFFERY HOPKINS2012-04-11
5012009-07-01RAFAEL MIRANDA JEFFERY HOPKINS2011-04-14

Plan Statistics for NORTH COAST TRUST FUND

401k plan membership statisitcs for NORTH COAST TRUST FUND

Measure Date Value
2021: NORTH COAST TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-07-011,570
Total number of active participants reported on line 7a of the Form 55002021-07-011,215
Number of retired or separated participants receiving benefits2021-07-01154
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-011,369
Total participants2021-07-011,369
Number of employers contributing to the scheme2021-07-0122
2020: NORTH COAST TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-07-011,383
Total number of active participants reported on line 7a of the Form 55002020-07-011,420
Number of retired or separated participants receiving benefits2020-07-01150
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-011,570
Total participants2020-07-011,570
Number of employers contributing to the scheme2020-07-0124
2019: NORTH COAST TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-07-011,344
Total number of active participants reported on line 7a of the Form 55002019-07-011,246
Number of retired or separated participants receiving benefits2019-07-01137
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-011,383
Total participants2019-07-011,383
Number of employers contributing to the scheme2019-07-0121
2018: NORTH COAST TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-07-011,322
Total number of active participants reported on line 7a of the Form 55002018-07-011,222
Number of retired or separated participants receiving benefits2018-07-01122
Total of all active and inactive participants2018-07-011,344
Total participants2018-07-011,344
Number of employers contributing to the scheme2018-07-0122
2017: NORTH COAST TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-07-011,282
Total number of active participants reported on line 7a of the Form 55002017-07-011,203
Number of retired or separated participants receiving benefits2017-07-01119
Total of all active and inactive participants2017-07-011,322
Total participants2017-07-011,322
Number of employers contributing to the scheme2017-07-0122
2016: NORTH COAST TRUST FUND 2016 401k membership
Total participants, beginning-of-year2016-07-011,307
Total number of active participants reported on line 7a of the Form 55002016-07-011,171
Number of retired or separated participants receiving benefits2016-07-01111
Total of all active and inactive participants2016-07-011,282
Total participants2016-07-011,282
Number of employers contributing to the scheme2016-07-0117
2015: NORTH COAST TRUST FUND 2015 401k membership
Total participants, beginning-of-year2015-07-011,212
Total number of active participants reported on line 7a of the Form 55002015-07-011,202
Number of retired or separated participants receiving benefits2015-07-01102
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-011,304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-013
Total participants2015-07-011,307
Number of participants with account balances2015-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
Number of employers contributing to the scheme2015-07-0117
2014: NORTH COAST TRUST FUND 2014 401k membership
Total participants, beginning-of-year2014-07-011,166
Total number of active participants reported on line 7a of the Form 55002014-07-011,115
Number of retired or separated participants receiving benefits2014-07-0197
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-011,212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-011,212
Number of participants with account balances2014-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
Number of employers contributing to the scheme2014-07-0119
2013: NORTH COAST TRUST FUND 2013 401k membership
Total participants, beginning-of-year2013-07-011,223
Total number of active participants reported on line 7a of the Form 55002013-07-011,063
Number of retired or separated participants receiving benefits2013-07-01103
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-011,166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-011,166
Number of participants with account balances2013-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
Number of employers contributing to the scheme2013-07-0128
2012: NORTH COAST TRUST FUND 2012 401k membership
Total participants, beginning-of-year2012-07-011,201
Total number of active participants reported on line 7a of the Form 55002012-07-011,130
Number of retired or separated participants receiving benefits2012-07-0193
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-011,223
Total participants2012-07-011,223
Number of employers contributing to the scheme2012-07-0119
2011: NORTH COAST TRUST FUND 2011 401k membership
Total participants, beginning-of-year2011-07-011,158
Total number of active participants reported on line 7a of the Form 55002011-07-011,109
Number of retired or separated participants receiving benefits2011-07-0192
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-011,201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-011,201
Number of participants with account balances2011-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
Number of employers contributing to the scheme2011-07-0130
2010: NORTH COAST TRUST FUND 2010 401k membership
Total participants, beginning-of-year2010-07-011,195
Total number of active participants reported on line 7a of the Form 55002010-07-011,065
Number of retired or separated participants receiving benefits2010-07-0193
Number of other retired or separated participants entitled to future benefits2010-07-010
Total of all active and inactive participants2010-07-011,158
Total participants2010-07-011,158
Number of employers contributing to the scheme2010-07-0122
2009: NORTH COAST TRUST FUND 2009 401k membership
Total participants, beginning-of-year2009-07-011,197
Total number of active participants reported on line 7a of the Form 55002009-07-011,101
Number of retired or separated participants receiving benefits2009-07-0194
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-011,195
Total participants2009-07-011,195
Number of employers contributing to the scheme2009-07-0125

Financial Data on NORTH COAST TRUST FUND

Measure Date Value
2022 : NORTH COAST TRUST FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$3,180,634
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$3,693,404
Total income from all sources (including contributions)2022-06-30$26,301,147
Total of all expenses incurred2022-06-30$26,316,344
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$25,279,517
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$28,333,111
Value of total assets at end of year2022-06-30$32,567,269
Value of total assets at beginning of year2022-06-30$33,095,236
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$1,036,827
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$870,886
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$870,886
Administrative expenses professional fees incurred2022-06-30$384,112
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$562,524
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$296,249
Other income not declared elsewhere2022-06-30$14,385
Administrative expenses (other) incurred2022-06-30$88,004
Liabilities. Value of operating payables at end of year2022-06-30$124,558
Liabilities. Value of operating payables at beginning of year2022-06-30$289,873
Total non interest bearing cash at end of year2022-06-30$8,045,854
Total non interest bearing cash at beginning of year2022-06-30$5,011,377
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-15,197
Value of net assets at end of year (total assets less liabilities)2022-06-30$29,386,635
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$29,401,832
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$85,251
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$22,475,261
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$23,837,891
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$20,373,071
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-2,917,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30Yes
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$27,770,587
Employer contributions (assets) at end of year2022-06-30$2,023,811
Employer contributions (assets) at beginning of year2022-06-30$2,313,352
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$4,906,446
Contract administrator fees2022-06-30$479,460
Liabilities. Value of benefit claims payable at end of year2022-06-30$3,056,076
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$3,403,531
Assets. Value of buildings and other operty used in plan operation at end of year2022-06-30$22,343
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-06-30$1,636,367
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2022-06-30952036255
2021 : NORTH COAST TRUST FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$3,693,404
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$2,936,322
Total income from all sources (including contributions)2021-06-30$31,522,817
Total of all expenses incurred2021-06-30$26,872,266
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$25,978,650
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$29,303,537
Value of total assets at end of year2021-06-30$33,095,236
Value of total assets at beginning of year2021-06-30$27,687,603
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$893,616
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$583,551
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$583,551
Administrative expenses professional fees incurred2021-06-30$265,310
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$491,231
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$296,249
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$29,298
Administrative expenses (other) incurred2021-06-30$72,446
Liabilities. Value of operating payables at end of year2021-06-30$289,873
Liabilities. Value of operating payables at beginning of year2021-06-30$143,922
Total non interest bearing cash at end of year2021-06-30$5,011,377
Total non interest bearing cash at beginning of year2021-06-30$3,208,305
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$4,650,551
Value of net assets at end of year (total assets less liabilities)2021-06-30$29,401,832
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$24,751,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$79,281
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$23,837,891
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$20,471,972
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$20,981,648
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$1,635,729
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30Yes
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$28,812,306
Employer contributions (assets) at end of year2021-06-30$2,313,352
Employer contributions (assets) at beginning of year2021-06-30$2,357,896
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$4,997,002
Contract administrator fees2021-06-30$476,579
Liabilities. Value of benefit claims payable at end of year2021-06-30$3,403,531
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$2,792,400
Assets. Value of buildings and other operty used in plan operation at end of year2021-06-30$1,636,367
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-06-30$1,620,132
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2021-06-30952036255
2020 : NORTH COAST TRUST FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$2,936,322
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$2,890,992
Total income from all sources (including contributions)2020-06-30$26,749,181
Total of all expenses incurred2020-06-30$25,542,687
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$24,569,727
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$26,960,305
Value of total assets at end of year2020-06-30$27,687,603
Value of total assets at beginning of year2020-06-30$26,435,779
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$972,960
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$578,601
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$578,601
Administrative expenses professional fees incurred2020-06-30$359,432
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$529,286
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$29,298
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$25,008
Other income not declared elsewhere2020-06-30$-789,725
Administrative expenses (other) incurred2020-06-30$67,819
Liabilities. Value of operating payables at end of year2020-06-30$143,922
Liabilities. Value of operating payables at beginning of year2020-06-30$149,625
Total non interest bearing cash at end of year2020-06-30$3,208,305
Total non interest bearing cash at beginning of year2020-06-30$3,079,927
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$1,206,494
Value of net assets at end of year (total assets less liabilities)2020-06-30$24,751,281
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$23,544,787
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$69,130
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$20,471,972
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$19,618,171
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$20,120,094
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30Yes
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$26,431,019
Employer contributions (assets) at end of year2020-06-30$2,357,896
Employer contributions (assets) at beginning of year2020-06-30$2,157,270
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$4,449,633
Contract administrator fees2020-06-30$476,579
Liabilities. Value of benefit claims payable at end of year2020-06-30$2,792,400
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$2,741,367
Assets. Value of buildings and other operty used in plan operation at end of year2020-06-30$1,620,132
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-06-30$1,555,403
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2020-06-30952036255
2019 : NORTH COAST TRUST FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$2,890,992
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$2,778,718
Total income from all sources (including contributions)2019-06-30$27,600,491
Total of all expenses incurred2019-06-30$24,152,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$23,273,262
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$26,720,310
Value of total assets at end of year2019-06-30$26,435,779
Value of total assets at beginning of year2019-06-30$22,875,233
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$878,957
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$393,750
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$393,750
Administrative expenses professional fees incurred2019-06-30$273,042
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$530,098
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$25,008
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$23,696
Administrative expenses (other) incurred2019-06-30$61,237
Liabilities. Value of operating payables at end of year2019-06-30$149,625
Liabilities. Value of operating payables at beginning of year2019-06-30$77,916
Total non interest bearing cash at end of year2019-06-30$3,079,927
Total non interest bearing cash at beginning of year2019-06-30$3,920,693
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$3,448,272
Value of net assets at end of year (total assets less liabilities)2019-06-30$23,544,787
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$20,096,515
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$72,682
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$19,618,171
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$16,767,640
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$19,100,532
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$486,431
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30Yes
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$26,190,212
Employer contributions (assets) at end of year2019-06-30$2,157,270
Employer contributions (assets) at beginning of year2019-06-30$2,125,495
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$4,172,730
Contract administrator fees2019-06-30$471,996
Liabilities. Value of benefit claims payable at end of year2019-06-30$2,741,367
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$2,700,802
Assets. Value of buildings and other operty used in plan operation at end of year2019-06-30$1,555,403
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-06-30$37,709
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2019-06-30952036255
2018 : NORTH COAST TRUST FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$2,778,718
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$2,614,214
Total income from all sources (including contributions)2018-06-30$26,474,867
Total of all expenses incurred2018-06-30$23,291,379
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$22,463,616
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$25,866,126
Value of total assets at end of year2018-06-30$22,875,233
Value of total assets at beginning of year2018-06-30$19,527,241
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$827,763
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$388,651
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$388,651
Administrative expenses professional fees incurred2018-06-30$253,495
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$551,186
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$23,696
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$1,004
Administrative expenses (other) incurred2018-06-30$62,662
Liabilities. Value of operating payables at end of year2018-06-30$77,916
Liabilities. Value of operating payables at beginning of year2018-06-30$53,415
Total non interest bearing cash at end of year2018-06-30$3,920,693
Total non interest bearing cash at beginning of year2018-06-30$3,117,458
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$3,183,488
Value of net assets at end of year (total assets less liabilities)2018-06-30$20,096,515
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$16,913,027
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$57,746
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$16,767,640
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$14,164,310
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$18,485,201
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$220,090
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30Yes
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$25,314,940
Employer contributions (assets) at end of year2018-06-30$2,125,495
Employer contributions (assets) at beginning of year2018-06-30$2,174,937
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$3,978,415
Contract administrator fees2018-06-30$453,860
Liabilities. Value of benefit claims payable at end of year2018-06-30$2,700,802
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$2,560,799
Assets. Value of buildings and other operty used in plan operation at end of year2018-06-30$37,709
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-06-30$69,532
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2018-06-30952036255
2017 : NORTH COAST TRUST FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$2,614,214
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$2,700,137
Total income from all sources (including contributions)2017-06-30$26,467,497
Total of all expenses incurred2017-06-30$23,612,265
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$22,741,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$25,559,058
Value of total assets at end of year2017-06-30$19,527,241
Value of total assets at beginning of year2017-06-30$16,757,932
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$871,242
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$309,219
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$309,219
Administrative expenses professional fees incurred2017-06-30$243,399
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$554,194
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$1,004
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$29,387
Administrative expenses (other) incurred2017-06-30$128,054
Liabilities. Value of operating payables at end of year2017-06-30$53,415
Liabilities. Value of operating payables at beginning of year2017-06-30$57,531
Total non interest bearing cash at end of year2017-06-30$3,117,458
Total non interest bearing cash at beginning of year2017-06-30$1,850,655
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$2,855,232
Value of net assets at end of year (total assets less liabilities)2017-06-30$16,913,027
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$14,057,795
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Investment advisory and management fees2017-06-30$56,596
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$14,164,310
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$12,849,071
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$18,733,544
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$599,220
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30Yes
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$25,004,864
Employer contributions (assets) at end of year2017-06-30$2,174,937
Employer contributions (assets) at beginning of year2017-06-30$2,003,926
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$4,007,479
Contract administrator fees2017-06-30$443,193
Liabilities. Value of benefit claims payable at end of year2017-06-30$2,560,799
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$2,642,606
Assets. Value of buildings and other operty used in plan operation at end of year2017-06-30$69,532
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-06-30$24,893
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2017-06-30952036255
2016 : NORTH COAST TRUST FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$2,700,137
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$2,827,298
Total income from all sources (including contributions)2016-06-30$23,932,593
Total of all expenses incurred2016-06-30$22,563,480
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$21,664,587
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$23,913,893
Value of total assets at end of year2016-06-30$16,757,932
Value of total assets at beginning of year2016-06-30$15,515,980
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$898,893
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$579,778
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$579,778
Administrative expenses professional fees incurred2016-06-30$255,648
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$504,111
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$29,387
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$552,139
Other income not declared elsewhere2016-06-30$29,387
Administrative expenses (other) incurred2016-06-30$128,754
Liabilities. Value of operating payables at end of year2016-06-30$57,531
Liabilities. Value of operating payables at beginning of year2016-06-30$109,871
Total non interest bearing cash at end of year2016-06-30$1,850,655
Total non interest bearing cash at beginning of year2016-06-30$512,583
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$1,369,113
Value of net assets at end of year (total assets less liabilities)2016-06-30$14,057,795
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$12,688,682
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$51,636
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$12,849,071
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$12,592,311
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$17,544,574
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-590,465
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$23,409,782
Employer contributions (assets) at end of year2016-06-30$2,003,926
Employer contributions (assets) at beginning of year2016-06-30$1,835,186
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$4,120,013
Contract administrator fees2016-06-30$462,855
Liabilities. Value of benefit claims payable at end of year2016-06-30$2,642,606
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$2,717,427
Assets. Value of buildings and other operty used in plan operation at end of year2016-06-30$24,893
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-06-30$23,761
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2016-06-30952036255
2015 : NORTH COAST TRUST FUND 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$2,827,298
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$2,739,198
Total income from all sources (including contributions)2015-06-30$22,795,997
Total of all expenses incurred2015-06-30$22,927,508
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$22,122,650
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$21,576,115
Value of total assets at end of year2015-06-30$15,515,980
Value of total assets at beginning of year2015-06-30$15,559,391
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$804,858
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$495,371
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$495,371
Administrative expenses professional fees incurred2015-06-30$247,135
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$534,561
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$552,139
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$149,033
Other income not declared elsewhere2015-06-30$1,309,982
Administrative expenses (other) incurred2015-06-30$129,868
Liabilities. Value of operating payables at end of year2015-06-30$109,871
Liabilities. Value of operating payables at beginning of year2015-06-30$112,766
Total non interest bearing cash at end of year2015-06-30$512,583
Total non interest bearing cash at beginning of year2015-06-30$962,017
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-131,511
Value of net assets at end of year (total assets less liabilities)2015-06-30$12,688,682
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$12,820,193
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$12,592,311
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$12,795,132
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$16,012,413
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$-585,471
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$21,041,554
Employer contributions (assets) at end of year2015-06-30$1,835,186
Employer contributions (assets) at beginning of year2015-06-30$1,625,147
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$6,110,237
Contract administrator fees2015-06-30$427,855
Liabilities. Value of benefit claims payable at end of year2015-06-30$2,717,427
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$2,626,432
Assets. Value of buildings and other operty used in plan operation at end of year2015-06-30$23,761
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-06-30$28,062
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2015-06-30952036255
2014 : NORTH COAST TRUST FUND 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$2,739,198
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$2,195,772
Total income from all sources (including contributions)2014-06-30$21,351,902
Total of all expenses incurred2014-06-30$20,310,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$19,584,767
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$20,324,987
Value of total assets at end of year2014-06-30$15,559,391
Value of total assets at beginning of year2014-06-30$13,974,073
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$725,243
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$331,562
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$331,562
Administrative expenses professional fees incurred2014-06-30$198,749
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$622,303
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$149,033
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$18,138
Other income not declared elsewhere2014-06-30$168,822
Administrative expenses (other) incurred2014-06-30$104,870
Liabilities. Value of operating payables at end of year2014-06-30$112,766
Liabilities. Value of operating payables at beginning of year2014-06-30$44,837
Total non interest bearing cash at end of year2014-06-30$962,017
Total non interest bearing cash at beginning of year2014-06-30$945,681
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$1,041,892
Value of net assets at end of year (total assets less liabilities)2014-06-30$12,820,193
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$11,778,301
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$12,795,132
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$11,542,885
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$15,228,447
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$526,531
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$19,702,684
Employer contributions (assets) at end of year2014-06-30$1,625,147
Employer contributions (assets) at beginning of year2014-06-30$1,448,851
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$4,356,320
Contract administrator fees2014-06-30$421,624
Liabilities. Value of benefit claims payable at end of year2014-06-30$2,626,432
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$2,150,935
Assets. Value of buildings and other operty used in plan operation at end of year2014-06-30$28,062
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-06-30$18,518
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2014-06-30952036255
2013 : NORTH COAST TRUST FUND 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$2,195,772
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$2,040,019
Total income from all sources (including contributions)2013-06-30$19,039,770
Total of all expenses incurred2013-06-30$19,051,132
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$18,344,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$18,283,319
Value of total assets at end of year2013-06-30$13,974,073
Value of total assets at beginning of year2013-06-30$13,829,682
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$707,047
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$324,602
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$324,602
Administrative expenses professional fees incurred2013-06-30$213,179
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$680,025
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$18,138
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$21,714
Other income not declared elsewhere2013-06-30$183,462
Administrative expenses (other) incurred2013-06-30$84,423
Liabilities. Value of operating payables at end of year2013-06-30$44,837
Liabilities. Value of operating payables at beginning of year2013-06-30$68,382
Total non interest bearing cash at end of year2013-06-30$945,681
Total non interest bearing cash at beginning of year2013-06-30$1,673,806
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-11,362
Value of net assets at end of year (total assets less liabilities)2013-06-30$11,778,301
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$11,789,663
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$11,542,885
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$10,721,767
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$13,972,308
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$248,387
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30Yes
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$17,603,294
Employer contributions (assets) at end of year2013-06-30$1,448,851
Employer contributions (assets) at beginning of year2013-06-30$1,391,619
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$4,371,777
Contract administrator fees2013-06-30$409,445
Liabilities. Value of benefit claims payable at end of year2013-06-30$2,150,935
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$1,971,637
Assets. Value of buildings and other operty used in plan operation at end of year2013-06-30$18,518
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-06-30$20,776
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2013-06-30952036255
2012 : NORTH COAST TRUST FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$2,040,019
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$2,106,947
Total income from all sources (including contributions)2012-06-30$18,946,548
Total of all expenses incurred2012-06-30$18,072,035
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$17,381,122
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$17,443,383
Value of total assets at end of year2012-06-30$13,829,682
Value of total assets at beginning of year2012-06-30$13,022,097
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$690,913
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$422,043
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$422,043
Administrative expenses professional fees incurred2012-06-30$190,659
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$597,003
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$21,714
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$30,209
Other income not declared elsewhere2012-06-30$969,629
Administrative expenses (other) incurred2012-06-30$100,132
Liabilities. Value of operating payables at end of year2012-06-30$68,382
Liabilities. Value of operating payables at beginning of year2012-06-30$49,011
Total non interest bearing cash at end of year2012-06-30$1,673,806
Total non interest bearing cash at beginning of year2012-06-30$1,782,849
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$874,513
Value of net assets at end of year (total assets less liabilities)2012-06-30$11,789,663
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$10,915,150
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$10,721,767
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$9,884,276
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$12,900,250
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$111,493
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$16,846,380
Employer contributions (assets) at end of year2012-06-30$1,391,619
Employer contributions (assets) at beginning of year2012-06-30$1,301,241
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$4,480,872
Contract administrator fees2012-06-30$400,122
Liabilities. Value of benefit claims payable at end of year2012-06-30$1,971,637
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$2,057,936
Assets. Value of buildings and other operty used in plan operation at end of year2012-06-30$20,776
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-06-30$23,522
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2012-06-30952036255
2011 : NORTH COAST TRUST FUND 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$2,106,947
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$2,049,769
Total income from all sources (including contributions)2011-06-30$18,401,979
Total of all expenses incurred2011-06-30$17,730,217
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$17,071,676
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$16,495,981
Value of total assets at end of year2011-06-30$13,022,097
Value of total assets at beginning of year2011-06-30$12,293,157
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$658,541
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$382,104
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$382,104
Administrative expenses professional fees incurred2011-06-30$188,268
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$657,514
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$30,209
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$149,703
Other income not declared elsewhere2011-06-30$1,015,732
Administrative expenses (other) incurred2011-06-30$98,643
Liabilities. Value of operating payables at end of year2011-06-30$49,011
Liabilities. Value of operating payables at beginning of year2011-06-30$58,834
Total non interest bearing cash at end of year2011-06-30$1,782,849
Total non interest bearing cash at beginning of year2011-06-30$582,594
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$671,762
Value of net assets at end of year (total assets less liabilities)2011-06-30$10,915,150
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$10,243,388
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$9,884,276
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$10,276,185
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$11,927,299
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$508,162
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$15,838,467
Employer contributions (assets) at end of year2011-06-30$1,301,241
Employer contributions (assets) at beginning of year2011-06-30$1,259,161
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$5,144,377
Contract administrator fees2011-06-30$371,630
Liabilities. Value of benefit claims payable at end of year2011-06-30$2,057,936
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$1,990,935
Assets. Value of buildings and other operty used in plan operation at end of year2011-06-30$23,522
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-06-30$25,514
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30MILLER, KAPLAN, ARASE & CO., LLP
Accountancy firm EIN2011-06-30952036255

Form 5500 Responses for NORTH COAST TRUST FUND

2021: NORTH COAST TRUST FUND 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: NORTH COAST TRUST FUND 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: NORTH COAST TRUST FUND 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: NORTH COAST TRUST FUND 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: NORTH COAST TRUST FUND 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: NORTH COAST TRUST FUND 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: NORTH COAST TRUST FUND 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: NORTH COAST TRUST FUND 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
2014-07-01Submission has been amendedYes
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: NORTH COAST TRUST FUND 2013 form 5500 responses
2013-07-01Type of plan entityMulti-employer plan
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: NORTH COAST TRUST FUND 2012 form 5500 responses
2012-07-01Type of plan entityMulti-employer plan
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: NORTH COAST TRUST FUND 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: NORTH COAST TRUST FUND 2010 form 5500 responses
2010-07-01Type of plan entityMulti-employer plan
2010-07-01Plan is a collectively bargained planYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: NORTH COAST TRUST FUND 2009 form 5500 responses
2009-07-01Type of plan entityMulti-employer plan
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number34617
Policy instance 3
Insurance contract or identification number34617
Number of Individuals Covered344
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,313,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number706353-EXRSK
Policy instance 13
Insurance contract or identification number706353-EXRSK
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00866601
Policy instance 1
Insurance contract or identification number00866601
Number of Individuals Covered1098
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Vision Insurance Welfare BenefitYes
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 number9060
Policy instance 2
Insurance contract or identification number9060
Number of Individuals Covered1536
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,953,715
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 number600829
Policy instance 4
Insurance contract or identification number600829
Number of Individuals Covered218
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,413,231
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 number19751
Policy instance 5
Insurance contract or identification number19751
Number of Individuals Covered199
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,392,365
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 number35207
Policy instance 6
Insurance contract or identification number35207
Number of Individuals Covered12
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $99,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNP3006-500C
Policy instance 7
Insurance contract or identification numberNP3006-500C
Number of Individuals Covered95
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,569
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 number76185
Policy instance 8
Insurance contract or identification number76185
Number of Individuals Covered101
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0717714
Policy instance 12
Insurance contract or identification number0717714
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number740298-000
Policy instance 11
Insurance contract or identification number740298-000
Number of Individuals Covered133
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,477
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 number740299-000
Policy instance 10
Insurance contract or identification number740299-000
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3129, C4413
Policy instance 9
Insurance contract or identification numberG3129, C4413
Number of Individuals Covered2287
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $88,565
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 number9060
Policy instance 2
Insurance contract or identification number9060
Number of Individuals Covered1523
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,608,023
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 number600829
Policy instance 4
Insurance contract or identification number600829
Number of Individuals Covered230
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,443,860
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 number00866601
Policy instance 1
Insurance contract or identification number00866601
Number of Individuals Covered1098
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Vision Insurance Welfare BenefitYes
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 number34617
Policy instance 3
Insurance contract or identification number34617
Number of Individuals Covered333
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,263,354
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 number35207
Policy instance 6
Insurance contract or identification number35207
Number of Individuals Covered18
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $172,365
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNP3006-500C
Policy instance 7
Insurance contract or identification numberNP3006-500C
Number of Individuals Covered101
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,679
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 number76185
Policy instance 8
Insurance contract or identification number76185
Number of Individuals Covered98
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,582
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 number740299-000
Policy instance 10
Insurance contract or identification number740299-000
Number of Individuals Covered92
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0717714
Policy instance 12
Insurance contract or identification number0717714
Number of Individuals Covered162
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Welfare Benefit Premiums Paid to CarrierUSD $3,765,247
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 number740298-000
Policy instance 11
Insurance contract or identification number740298-000
Number of Individuals Covered173
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34867
Policy instance 13
Insurance contract or identification numberHCL34867
Number of Individuals Covered287
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $40,065
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $801,292
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,065
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number19751
Policy instance 5
Insurance contract or identification number19751
Number of Individuals Covered195
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,290,014
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3129, C4413
Policy instance 9
Insurance contract or identification numberG3129, C4413
Number of Individuals Covered2335
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $88,126
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 number00866601
Policy instance 1
Insurance contract or identification number00866601
Number of Individuals Covered1000
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34867
Policy instance 13
Insurance contract or identification numberHCL34867
Number of Individuals Covered258
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $30,297
Welfare Benefit Premiums Paid to CarrierUSD $575,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,297
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0717714
Policy instance 12
Insurance contract or identification number0717714
Number of Individuals Covered482
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,691,132
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 number740298-000
Policy instance 11
Insurance contract or identification number740298-000
Number of Individuals Covered123
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,940
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3129, C4413
Policy instance 9
Insurance contract or identification numberG3129, C4413
Number of Individuals Covered2305
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $88,127
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 number76185
Policy instance 8
Insurance contract or identification number76185
Number of Individuals Covered80
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNP3006-500C
Policy instance 7
Insurance contract or identification numberNP3006-500C
Number of Individuals Covered92
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,833
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 number35207
Policy instance 6
Insurance contract or identification number35207
Number of Individuals Covered18
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $218,151
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 number600829
Policy instance 4
Insurance contract or identification number600829
Number of Individuals Covered234
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,395,234
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 number34617
Policy instance 3
Insurance contract or identification number34617
Number of Individuals Covered339
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,030,295
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 number9060
Policy instance 2
Insurance contract or identification number9060
Number of Individuals Covered1488
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,762,741
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 number740299-000
Policy instance 10
Insurance contract or identification number740299-000
Number of Individuals Covered93
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,213
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 number19751
Policy instance 5
Insurance contract or identification number19751
Number of Individuals Covered176
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,138,232
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 number19751
Policy instance 4
Insurance contract or identification number19751
Number of Individuals Covered170
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,252,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNP3006-500C
Policy instance 5
Insurance contract or identification numberNP3006-500C
Number of Individuals Covered94
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,517
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 number00866601
Policy instance 1
Insurance contract or identification number00866601
Number of Individuals Covered985
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Vision Insurance Welfare BenefitYes
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 number76185
Policy instance 6
Insurance contract or identification number76185
Number of Individuals Covered98
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3129, C4413
Policy instance 7
Insurance contract or identification numberG3129, C4413
Number of Individuals Covered2287
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $86,062
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 number740298-000
Policy instance 9
Insurance contract or identification number740298-000
Number of Individuals Covered142
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,796
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 number740299-000
Policy instance 8
Insurance contract or identification number740299-000
Number of Individuals Covered118
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0717714
Policy instance 10
Insurance contract or identification number0717714
Number of Individuals Covered162
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,774,297
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 number35207
Policy instance 11
Insurance contract or identification number35207
Number of Individuals Covered45
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $476,012
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 number600829
Policy instance 12
Insurance contract or identification number600829
Number of Individuals Covered241
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,697,093
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 number34617
Policy instance 3
Insurance contract or identification number34617
Number of Individuals Covered270
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,183,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number706353-EXRSK
Policy instance 13
Insurance contract or identification number706353-EXRSK
Number of Individuals Covered240
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $27,580
Welfare Benefit Premiums Paid to CarrierUSD $524,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,580
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number9060
Policy instance 2
Insurance contract or identification number9060
Number of Individuals Covered1478
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,528,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0717714
Policy instance 12
Insurance contract or identification number0717714
Number of Individuals Covered165
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,645,497
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 number00866601
Policy instance 1
Insurance contract or identification number00866601
Number of Individuals Covered1037
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-4695
Policy instance 13
Insurance contract or identification number947-4695
Number of Individuals Covered230
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $28,107
Welfare Benefit Premiums Paid to CarrierUSD $562,136
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 number740298-000
Policy instance 11
Insurance contract or identification number740298-000
Number of Individuals Covered149
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,838
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 number740299-000
Policy instance 10
Insurance contract or identification number740299-000
Number of Individuals Covered136
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,046
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3129, C4413
Policy instance 9
Insurance contract or identification numberG3129, C4413
Insurance policy start date2017-09-01
Insurance policy end date2019-08-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $82,554
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76185
Policy instance 8
Insurance contract or identification number76185
Number of Individuals Covered108
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,457
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNP3006-500C
Policy instance 7
Insurance contract or identification numberNP3006-500C
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $56,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35207
Policy instance 6
Insurance contract or identification number35207
Number of Individuals Covered65
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $298,506
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 number19751
Policy instance 5
Insurance contract or identification number19751
Number of Individuals Covered170
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,252,719
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 number34617
Policy instance 3
Insurance contract or identification number34617
Number of Individuals Covered268
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,581,983
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 number9060
Policy instance 2
Insurance contract or identification number9060
Number of Individuals Covered1390
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,604,879
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 number600829
Policy instance 4
Insurance contract or identification number600829
Number of Individuals Covered259
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $645,640
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3129, C4413
Policy instance 9
Insurance contract or identification numberG3129, C4413
Number of Individuals Covered2126
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $90,406
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 number00866601
Policy instance 1
Insurance contract or identification number00866601
Number of Individuals Covered1006
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC9707
Policy instance 13
Insurance contract or identification numberC9707
Number of Individuals Covered248
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Welfare Benefit Premiums Paid to CarrierUSD $587,728
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0717714
Policy instance 12
Insurance contract or identification number0717714
Number of Individuals Covered197
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,555,739
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 number740298-000
Policy instance 11
Insurance contract or identification number740298-000
Number of Individuals Covered171
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,505
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 number9060
Policy instance 2
Insurance contract or identification number9060
Number of Individuals Covered1382
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,015,591
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 number76185
Policy instance 8
Insurance contract or identification number76185
Number of Individuals Covered139
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,201
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNP3006-500C
Policy instance 7
Insurance contract or identification numberNP3006-500C
Number of Individuals Covered83
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,292
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 number35207
Policy instance 6
Insurance contract or identification number35207
Number of Individuals Covered50
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $139,786
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 number19751
Policy instance 5
Insurance contract or identification number19751
Number of Individuals Covered145
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $621,887
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 number600829
Policy instance 4
Insurance contract or identification number600829
Number of Individuals Covered159
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $490,109
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 number34617
Policy instance 3
Insurance contract or identification number34617
Number of Individuals Covered322
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,268,914
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 number740299-000
Policy instance 10
Insurance contract or identification number740299-000
Number of Individuals Covered149
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,648
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 number240573
Policy instance 11
Insurance contract or identification number240573
Number of Individuals Covered0
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,780
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 number00866601
Policy instance 1
Insurance contract or identification number00866601
Number of Individuals Covered951
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Vision Insurance Welfare BenefitYes
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 number9060
Policy instance 2
Insurance contract or identification number9060
Number of Individuals Covered1284
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,963,828
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 number34617
Policy instance 3
Insurance contract or identification number34617
Number of Individuals Covered305
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,279,488
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 number600829
Policy instance 4
Insurance contract or identification number600829
Number of Individuals Covered157
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $575,636
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 number35207
Policy instance 6
Insurance contract or identification number35207
Number of Individuals Covered50
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $158,163
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC9707
Policy instance 12
Insurance contract or identification numberC9707
Number of Individuals Covered227
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Welfare Benefit Premiums Paid to CarrierUSD $562,633
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 number19751
Policy instance 5
Insurance contract or identification number19751
Number of Individuals Covered141
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $712,198
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNP3006-500C
Policy instance 7
Insurance contract or identification numberNP3006-500C
Number of Individuals Covered78
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $51,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3129, C4413
Policy instance 8
Insurance contract or identification numberG3129, C4413
Number of Individuals Covered2030
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $86,767
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 number740298-000
Policy instance 9
Insurance contract or identification number740298-000
Number of Individuals Covered145
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,516
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 number740298-000
Policy instance 10
Insurance contract or identification number740298-000
Number of Individuals Covered144
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,161
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0717714
Policy instance 13
Insurance contract or identification number0717714
Number of Individuals Covered193
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,971,151
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3129, C4413
Policy instance 8
Insurance contract or identification numberG3129, C4413
Number of Individuals Covered2010
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $83,453
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 number600829
Policy instance 4
Insurance contract or identification number600829
Number of Individuals Covered125
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $486,972
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 number19751
Policy instance 5
Insurance contract or identification number19751
Number of Individuals Covered173
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,918,072
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 number35207
Policy instance 6
Insurance contract or identification number35207
Number of Individuals Covered62
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $166,536
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNP3006-500C
Policy instance 7
Insurance contract or identification numberNP3006-500C
Number of Individuals Covered85
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,592
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 number740299-000
Policy instance 9
Insurance contract or identification number740299-000
Number of Individuals Covered137
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,616
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 number740298-000
Policy instance 10
Insurance contract or identification number740298-000
Number of Individuals Covered114
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,389
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 number240573
Policy instance 11
Insurance contract or identification number240573
Number of Individuals Covered17
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,285
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC9707
Policy instance 12
Insurance contract or identification numberC9707
Number of Individuals Covered244
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Welfare Benefit Premiums Paid to CarrierUSD $517,118
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0717714
Policy instance 13
Insurance contract or identification number0717714
Number of Individuals Covered205
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,782,536
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 number34617
Policy instance 3
Insurance contract or identification number34617
Number of Individuals Covered260
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,096,895
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 number9060
Policy instance 2
Insurance contract or identification number9060
Number of Individuals Covered1202
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,436,477
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 number00866601
Policy instance 1
Insurance contract or identification number00866601
Number of Individuals Covered944
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Vision Insurance Welfare BenefitYes
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 number34617
Policy instance 3
Insurance contract or identification number34617
Number of Individuals Covered255
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,163,200
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 number600829
Policy instance 4
Insurance contract or identification number600829
Number of Individuals Covered143
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $530,972
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 number19751
Policy instance 5
Insurance contract or identification number19751
Number of Individuals Covered448
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,213,002
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 number00866601
Policy instance 1
Insurance contract or identification number00866601
Number of Individuals Covered911
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Vision Insurance Welfare BenefitYes
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 number35207
Policy instance 6
Insurance contract or identification number35207
Number of Individuals Covered25
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $153,088
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 number740299-000
Policy instance 9
Insurance contract or identification number740299-000
Number of Individuals Covered125
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,177
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC9707
Policy instance 8
Insurance contract or identification numberC9707
Number of Individuals Covered233
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Welfare Benefit Premiums Paid to CarrierUSD $477,723
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 number740298-000
Policy instance 10
Insurance contract or identification number740298-000
Number of Individuals Covered163
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,772
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 number240573
Policy instance 11
Insurance contract or identification number240573
Number of Individuals Covered16
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $70,534
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 number9060
Policy instance 2
Insurance contract or identification number9060
Number of Individuals Covered892
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,638,920
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 number9060
Policy instance 8
Insurance contract or identification number9060
Number of Individuals Covered870
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,310,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC9707
Policy instance 2
Insurance contract or identification numberC9707
Number of Individuals Covered223
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Welfare Benefit Premiums Paid to CarrierUSD $367,943
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0717714
Policy instance 13
Insurance contract or identification number0717714
Number of Individuals Covered793
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,389,971
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 number00866601
Policy instance 3
Insurance contract or identification number00866601
Number of Individuals Covered932
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Vision Insurance Welfare BenefitYes
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 number34617
Policy instance 4
Insurance contract or identification number34617
Number of Individuals Covered235
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $975,409
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 number19751
Policy instance 5
Insurance contract or identification number19751
Number of Individuals Covered422
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,908,571
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3129, C4413
Policy instance 6
Insurance contract or identification numberG3129, C4413
Number of Individuals Covered2035
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $76,716
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 number740298-000
Policy instance 7
Insurance contract or identification number740298-000
Number of Individuals Covered147
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,930
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 number740299-000
Policy instance 9
Insurance contract or identification number740299-000
Number of Individuals Covered136
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,165
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 number600829
Policy instance 10
Insurance contract or identification number600829
Number of Individuals Covered146
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $438,908
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 number35207
Policy instance 11
Insurance contract or identification number35207
Number of Individuals Covered18
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $106,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number8827
Policy instance 12
Insurance contract or identification number8827
Number of Individuals Covered257
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $1,485
Other welfare benefits providedINTEGRATED PLAN PREMIUMS
Welfare Benefit Premiums Paid to CarrierUSD $29,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNP3006-500C
Policy instance 1
Insurance contract or identification numberNP3006-500C
Number of Individuals Covered97
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $62,878
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 number240573
Policy instance 14
Insurance contract or identification number240573
Number of Individuals Covered12
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,129
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 number740298-000
Policy instance 1
Insurance contract or identification number740298-000
Number of Individuals Covered151
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,285
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 number19751
Policy instance 4
Insurance contract or identification number19751
Number of Individuals Covered392
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,737,474
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 number00866601
Policy instance 6
Insurance contract or identification number00866601
Number of Individuals Covered961
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0717714
Policy instance 7
Insurance contract or identification number0717714
Number of Individuals Covered793
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,000,938
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNP3006-500C
Policy instance 8
Insurance contract or identification numberNP3006-500C
Number of Individuals Covered94
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $60,718
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC-9707
Policy instance 2
Insurance contract or identification numberC-9707
Number of Individuals Covered230
Insurance policy start date2010-09-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $270,389
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 number101281
Policy instance 9
Insurance contract or identification number101281
Number of Individuals Covered0
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,657
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 number34617
Policy instance 10
Insurance contract or identification number34617
Number of Individuals Covered248
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $990,115
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 number19751
Policy instance 11
Insurance contract or identification number19751
Number of Individuals Covered392
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,737,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3129, C4413
Policy instance 12
Insurance contract or identification numberG3129, C4413
Number of Individuals Covered2104
Insurance policy start date2009-09-01
Insurance policy end date2010-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $79,752
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 number740299-000
Policy instance 5
Insurance contract or identification number740299-000
Number of Individuals Covered135
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,783
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 number35207
Policy instance 13
Insurance contract or identification number35207
Number of Individuals Covered13
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $125,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number8827
Policy instance 3
Insurance contract or identification number8827
Number of Individuals Covered268
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $3,307
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedINTEGRATED PLAN PREMIUMS
Welfare Benefit Premiums Paid to CarrierUSD $66,134
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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