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NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 401k Plan overview

Plan NameNORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND
Plan identification number 501

NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND Benefits

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

401k Sponsoring company profile

NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND has sponsored the creation of one or more 401k plans.

Company Name:NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND
Employer identification number (EIN):943218766
NAIC Classification:424500

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01MIKE FURSMAN2023-04-03 ROSEMARY MUCKLOW2023-04-11
5012020-07-01MIKE FURSMAN2022-03-31 ROSEMARY M MUEKLOW2022-04-01
5012019-07-01MIKE FURSMAN2021-04-13
5012019-07-01MIKE FURSMAN2021-04-13 ROSEMARY M MUCKLOW2021-09-09
5012018-07-01MIKE FURSMAN2020-04-07
5012017-07-01ROSEMARY MUCKLOW2019-04-08
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01
5012012-07-01ROSEMARY MUCKLOW
5012011-07-01MIKE FURSMAN
5012009-07-01MIKE FURSMAN

Plan Statistics for NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND

401k plan membership statisitcs for NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND

Measure Date Value
2021: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-07-01321
Total number of active participants reported on line 7a of the Form 55002021-07-01220
Number of retired or separated participants receiving benefits2021-07-0180
Total of all active and inactive participants2021-07-01300
Number of employers contributing to the scheme2021-07-019
2020: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-07-01338
Total number of active participants reported on line 7a of the Form 55002020-07-01228
Number of retired or separated participants receiving benefits2020-07-0193
Total of all active and inactive participants2020-07-01321
Number of employers contributing to the scheme2020-07-019
2019: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-07-01341
Total number of active participants reported on line 7a of the Form 55002019-07-01240
Number of retired or separated participants receiving benefits2019-07-0198
Total of all active and inactive participants2019-07-01338
Number of employers contributing to the scheme2019-07-0110
2018: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-07-01378
Total number of active participants reported on line 7a of the Form 55002018-07-01230
Number of retired or separated participants receiving benefits2018-07-01111
Total of all active and inactive participants2018-07-01341
Number of employers contributing to the scheme2018-07-0110
2017: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-07-01486
Total number of active participants reported on line 7a of the Form 55002017-07-01250
Number of retired or separated participants receiving benefits2017-07-01128
Total of all active and inactive participants2017-07-01378
Number of employers contributing to the scheme2017-07-0110
2016: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2016 401k membership
Total participants, beginning-of-year2016-07-01577
Total number of active participants reported on line 7a of the Form 55002016-07-01305
Number of retired or separated participants receiving benefits2016-07-01181
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01486
Number of employers contributing to the scheme2016-07-0118
2015: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2015 401k membership
Total participants, beginning-of-year2015-07-01592
Total number of active participants reported on line 7a of the Form 55002015-07-01427
Number of retired or separated participants receiving benefits2015-07-01150
Total of all active and inactive participants2015-07-01577
Number of employers contributing to the scheme2015-07-0127
2014: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2014 401k membership
Total participants, beginning-of-year2014-07-01651
Total number of active participants reported on line 7a of the Form 55002014-07-01448
Number of retired or separated participants receiving benefits2014-07-01144
Total of all active and inactive participants2014-07-01592
Number of employers contributing to the scheme2014-07-0129
2013: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2013 401k membership
Total participants, beginning-of-year2013-07-01673
Total number of active participants reported on line 7a of the Form 55002013-07-01466
Number of retired or separated participants receiving benefits2013-07-01185
Total of all active and inactive participants2013-07-01651
Number of employers contributing to the scheme2013-07-0131
2012: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2012 401k membership
Total participants, beginning-of-year2012-07-01699
Total number of active participants reported on line 7a of the Form 55002012-07-01457
Number of retired or separated participants receiving benefits2012-07-01216
Total of all active and inactive participants2012-07-01673
Number of employers contributing to the scheme2012-07-0122
2011: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2011 401k membership
Total participants, beginning-of-year2011-07-01735
Total number of active participants reported on line 7a of the Form 55002011-07-01461
Number of retired or separated participants receiving benefits2011-07-01238
Total of all active and inactive participants2011-07-01699
Number of employers contributing to the scheme2011-07-0134
2009: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2009 401k membership
Total participants, beginning-of-year2009-07-01979
Total number of active participants reported on line 7a of the Form 55002009-07-01488
Number of retired or separated participants receiving benefits2009-07-01290
Total of all active and inactive participants2009-07-01778
Number of employers contributing to the scheme2009-07-0141

Financial Data on NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND

Measure Date Value
2022 : NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-06-30$-283,650
Total unrealized appreciation/depreciation of assets2022-06-30$-283,650
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$742,808
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$768,289
Total income from all sources (including contributions)2022-06-30$5,124,506
Total loss/gain on sale of assets2022-06-30$-27,379
Total of all expenses incurred2022-06-30$5,022,208
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$4,656,628
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$5,421,699
Value of total assets at end of year2022-06-30$4,961,271
Value of total assets at beginning of year2022-06-30$4,884,454
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$365,580
Total interest from all sources2022-06-30$65,291
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$8,749
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$8,749
Administrative expenses professional fees incurred2022-06-30$220,501
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$1,000,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$584,759
Participant contributions at end of year2022-06-30$0
Participant contributions at beginning of year2022-06-30$17,189
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$47,297
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$11,621
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$726,387
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$747,082
Administrative expenses (other) incurred2022-06-30$11,016
Liabilities. Value of operating payables at end of year2022-06-30$13,976
Liabilities. Value of operating payables at beginning of year2022-06-30$18,205
Total non interest bearing cash at end of year2022-06-30$1,069,584
Total non interest bearing cash at beginning of year2022-06-30$735,881
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$102,298
Value of net assets at end of year (total assets less liabilities)2022-06-30$4,218,463
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$4,116,165
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$16,343
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$627,855
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$679,310
Income. Interest from US Government securities2022-06-30$35,236
Income. Interest from corporate debt instruments2022-06-30$29,809
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$282,509
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$196,551
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$196,551
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$246
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$4,633,334
Asset value of US Government securities at end of year2022-06-30$1,721,308
Asset value of US Government securities at beginning of year2022-06-30$2,067,270
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-60,204
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$4,836,940
Employer contributions (assets) at end of year2022-06-30$409,345
Employer contributions (assets) at beginning of year2022-06-30$373,168
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$23,294
Asset. Corporate debt instrument preferred debt at end of year2022-06-30$803,373
Asset. Corporate debt instrument preferred debt at beginning of year2022-06-30$803,464
Contract administrator fees2022-06-30$117,720
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-06-30No
Liabilities. Value of benefit claims payable at end of year2022-06-30$2,445
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$3,002
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
Aggregate proceeds on sale of assets2022-06-30$3,579,110
Aggregate carrying amount (costs) on sale of assets2022-06-30$3,606,489
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30EIDE BAILLY LLP
Accountancy firm EIN2022-06-30450250958
2021 : NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-06-30$-75,487
Total unrealized appreciation/depreciation of assets2021-06-30$-75,487
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$768,289
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$798,293
Total income from all sources (including contributions)2021-06-30$5,774,291
Total loss/gain on sale of assets2021-06-30$33,165
Total of all expenses incurred2021-06-30$5,377,327
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$5,008,700
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$5,434,554
Value of total assets at end of year2021-06-30$4,884,454
Value of total assets at beginning of year2021-06-30$4,517,494
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$368,627
Total interest from all sources2021-06-30$62,765
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$11,077
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$11,077
Administrative expenses professional fees incurred2021-06-30$200,886
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$1,000,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$693,982
Participant contributions at end of year2021-06-30$17,189
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$11,621
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$13,145
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-06-30$747,082
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$789,572
Administrative expenses (other) incurred2021-06-30$36,805
Liabilities. Value of operating payables at end of year2021-06-30$18,205
Liabilities. Value of operating payables at beginning of year2021-06-30$5,219
Total non interest bearing cash at end of year2021-06-30$735,881
Total non interest bearing cash at beginning of year2021-06-30$1,213,055
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$396,964
Value of net assets at end of year (total assets less liabilities)2021-06-30$4,116,165
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$3,719,201
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$19,048
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$679,310
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$550,015
Income. Interest from US Government securities2021-06-30$33,487
Income. Interest from corporate debt instruments2021-06-30$28,601
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$196,551
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$167,520
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$167,520
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$677
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$4,954,177
Asset value of US Government securities at end of year2021-06-30$2,067,270
Asset value of US Government securities at beginning of year2021-06-30$1,410,346
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$308,217
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$4,740,572
Employer contributions (assets) at end of year2021-06-30$373,168
Employer contributions (assets) at beginning of year2021-06-30$371,463
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$54,523
Asset. Corporate debt instrument preferred debt at end of year2021-06-30$803,464
Asset. Corporate debt instrument preferred debt at beginning of year2021-06-30$791,950
Contract administrator fees2021-06-30$111,888
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-06-30No
Liabilities. Value of benefit claims payable at end of year2021-06-30$3,002
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$3,502
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
Aggregate proceeds on sale of assets2021-06-30$4,233,678
Aggregate carrying amount (costs) on sale of assets2021-06-30$4,200,513
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30EIDE BAILLY LLP
Accountancy firm EIN2021-06-30450250958
2020 : NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-06-30$69,591
Total unrealized appreciation/depreciation of assets2020-06-30$69,591
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$798,293
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$891,532
Total income from all sources (including contributions)2020-06-30$5,867,240
Total loss/gain on sale of assets2020-06-30$5,201
Total of all expenses incurred2020-06-30$5,637,987
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$5,255,131
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$5,729,192
Value of total assets at end of year2020-06-30$4,517,494
Value of total assets at beginning of year2020-06-30$4,381,480
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$382,856
Total interest from all sources2020-06-30$80,598
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$10,380
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$10,380
Administrative expenses professional fees incurred2020-06-30$166,714
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$1,000,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$855,035
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$13,145
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$14,924
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$789,572
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$851,874
Administrative expenses (other) incurred2020-06-30$48,442
Liabilities. Value of operating payables at end of year2020-06-30$5,219
Liabilities. Value of operating payables at beginning of year2020-06-30$36,411
Total non interest bearing cash at end of year2020-06-30$1,213,055
Total non interest bearing cash at beginning of year2020-06-30$1,163,391
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$229,253
Value of net assets at end of year (total assets less liabilities)2020-06-30$3,719,201
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$3,489,948
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$16,358
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$550,015
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$517,358
Income. Interest from US Government securities2020-06-30$43,902
Income. Interest from corporate debt instruments2020-06-30$28,772
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$167,520
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$130,731
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$130,731
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$7,924
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$5,232,550
Asset value of US Government securities at end of year2020-06-30$1,410,346
Asset value of US Government securities at beginning of year2020-06-30$1,374,768
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$-27,722
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$4,874,157
Employer contributions (assets) at end of year2020-06-30$371,463
Employer contributions (assets) at beginning of year2020-06-30$403,447
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$22,581
Asset. Corporate debt instrument preferred debt at end of year2020-06-30$791,950
Asset. Corporate debt instrument preferred debt at beginning of year2020-06-30$776,861
Contract administrator fees2020-06-30$151,342
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Liabilities. Value of benefit claims payable at end of year2020-06-30$3,502
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$3,247
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
Aggregate proceeds on sale of assets2020-06-30$2,422,007
Aggregate carrying amount (costs) on sale of assets2020-06-30$2,416,806
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 name2020-06-30EIDE BAILLY LLP
Accountancy firm EIN2020-06-30450250958
2019 : NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-06-30$82,724
Total unrealized appreciation/depreciation of assets2019-06-30$82,724
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$891,532
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$851,738
Total income from all sources (including contributions)2019-06-30$6,359,690
Total loss/gain on sale of assets2019-06-30$-21,235
Total of all expenses incurred2019-06-30$5,788,089
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$5,455,254
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$6,186,299
Value of total assets at end of year2019-06-30$4,381,480
Value of total assets at beginning of year2019-06-30$3,770,085
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$332,835
Total interest from all sources2019-06-30$87,469
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$8,896
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$8,896
Administrative expenses professional fees incurred2019-06-30$146,319
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$1,000,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$926,220
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$14,924
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$31,883
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-06-30$851,874
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-06-30$842,014
Other income not declared elsewhere2019-06-30$3,853
Administrative expenses (other) incurred2019-06-30$53,791
Liabilities. Value of operating payables at end of year2019-06-30$36,411
Liabilities. Value of operating payables at beginning of year2019-06-30$6,359
Total non interest bearing cash at end of year2019-06-30$1,163,391
Total non interest bearing cash at beginning of year2019-06-30$664,958
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$571,601
Value of net assets at end of year (total assets less liabilities)2019-06-30$3,489,948
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$2,918,347
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$15,005
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$517,358
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$496,777
Income. Interest from US Government securities2019-06-30$45,396
Income. Interest from corporate debt instruments2019-06-30$33,982
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$130,731
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$111,401
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$111,401
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$8,091
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$5,399,220
Asset value of US Government securities at end of year2019-06-30$1,374,768
Asset value of US Government securities at beginning of year2019-06-30$1,244,470
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$11,684
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$5,260,079
Employer contributions (assets) at end of year2019-06-30$403,447
Employer contributions (assets) at beginning of year2019-06-30$425,564
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$56,034
Asset. Corporate debt instrument preferred debt at end of year2019-06-30$776,861
Asset. Corporate debt instrument preferred debt at beginning of year2019-06-30$795,032
Contract administrator fees2019-06-30$117,720
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
Liabilities. Value of benefit claims payable at end of year2019-06-30$3,247
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$3,365
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
Aggregate proceeds on sale of assets2019-06-30$1,043,367
Aggregate carrying amount (costs) on sale of assets2019-06-30$1,064,602
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30EIDE BAILLY LLP
Accountancy firm EIN2019-06-30450250958
2018 : NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-06-30$-63,937
Total unrealized appreciation/depreciation of assets2018-06-30$-63,937
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$851,738
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$997,126
Total income from all sources (including contributions)2018-06-30$6,254,489
Total loss/gain on sale of assets2018-06-30$-20,784
Total of all expenses incurred2018-06-30$6,444,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$6,030,512
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$6,183,112
Value of total assets at end of year2018-06-30$3,770,085
Value of total assets at beginning of year2018-06-30$4,105,014
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$413,518
Total interest from all sources2018-06-30$83,421
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$9,309
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$225,159
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$1,000,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$1,022,124
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$31,883
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$61,715
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-06-30$842,014
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-06-30$958,785
Administrative expenses (other) incurred2018-06-30$55,801
Liabilities. Value of operating payables at end of year2018-06-30$6,359
Liabilities. Value of operating payables at beginning of year2018-06-30$33,987
Total non interest bearing cash at end of year2018-06-30$664,958
Total non interest bearing cash at beginning of year2018-06-30$637,940
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-189,541
Value of net assets at end of year (total assets less liabilities)2018-06-30$2,918,347
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$3,107,888
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$14,838
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$496,777
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$584,100
Income. Interest from US Government securities2018-06-30$44,484
Income. Interest from corporate debt instruments2018-06-30$38,468
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$111,401
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$44,349
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$44,349
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$469
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$5,992,027
Asset value of US Government securities at end of year2018-06-30$1,244,470
Asset value of US Government securities at beginning of year2018-06-30$1,368,146
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$63,368
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$5,160,988
Employer contributions (assets) at end of year2018-06-30$425,564
Employer contributions (assets) at beginning of year2018-06-30$468,089
Income. Dividends from common stock2018-06-30$9,309
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$38,485
Asset. Corporate debt instrument preferred debt at end of year2018-06-30$795,032
Asset. Corporate debt instrument preferred debt at beginning of year2018-06-30$940,675
Contract administrator fees2018-06-30$117,720
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30No
Liabilities. Value of benefit claims payable at end of year2018-06-30$3,365
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$4,354
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
Aggregate proceeds on sale of assets2018-06-30$2,093,349
Aggregate carrying amount (costs) on sale of assets2018-06-30$2,114,133
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30VAVRINEK, TRINE, DAY & CO., LLP
Accountancy firm EIN2018-06-30952648289
2017 : NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-06-30$-61,783
Total unrealized appreciation/depreciation of assets2017-06-30$-61,783
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$997,126
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$1,583,789
Total income from all sources (including contributions)2017-06-30$7,888,268
Total loss/gain on sale of assets2017-06-30$-4,370
Total of all expenses incurred2017-06-30$7,686,427
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$7,128,467
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$7,685,840
Value of total assets at end of year2017-06-30$4,105,014
Value of total assets at beginning of year2017-06-30$4,489,836
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$557,960
Total interest from all sources2017-06-30$93,229
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$9,318
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$333,514
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$1,000,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$1,202,857
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$61,715
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$36,070
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-06-30$958,785
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-06-30$1,519,015
Administrative expenses (other) incurred2017-06-30$64,135
Liabilities. Value of operating payables at end of year2017-06-30$33,987
Liabilities. Value of operating payables at beginning of year2017-06-30$48,976
Total non interest bearing cash at end of year2017-06-30$637,940
Total non interest bearing cash at beginning of year2017-06-30$675,436
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$201,841
Value of net assets at end of year (total assets less liabilities)2017-06-30$3,107,888
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$2,906,047
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$15,698
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$584,100
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$631,748
Income. Interest from US Government securities2017-06-30$45,654
Income. Interest from corporate debt instruments2017-06-30$47,470
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$44,349
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$52,336
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$52,336
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$105
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$7,069,032
Asset value of US Government securities at end of year2017-06-30$1,368,146
Asset value of US Government securities at beginning of year2017-06-30$1,381,404
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$166,034
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$6,482,983
Employer contributions (assets) at end of year2017-06-30$468,089
Employer contributions (assets) at beginning of year2017-06-30$623,311
Income. Dividends from common stock2017-06-30$9,318
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$59,435
Asset. Corporate debt instrument preferred debt at end of year2017-06-30$940,675
Asset. Corporate debt instrument preferred debt at beginning of year2017-06-30$1,089,531
Contract administrator fees2017-06-30$144,613
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Liabilities. Value of benefit claims payable at end of year2017-06-30$4,354
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$15,798
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
Aggregate proceeds on sale of assets2017-06-30$2,276,837
Aggregate carrying amount (costs) on sale of assets2017-06-30$2,281,207
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30VAVRINEK, TRINE, DAY & CO., LLP
Accountancy firm EIN2017-06-30952648289
2016 : NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-06-30$-2,523
Total unrealized appreciation/depreciation of assets2016-06-30$-2,523
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$1,586,389
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$1,748,856
Total income from all sources (including contributions)2016-06-30$8,838,390
Total loss/gain on sale of assets2016-06-30$4,089
Total of all expenses incurred2016-06-30$8,952,680
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$8,569,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$8,751,881
Value of total assets at end of year2016-06-30$4,492,436
Value of total assets at beginning of year2016-06-30$4,769,193
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$382,695
Total interest from all sources2016-06-30$102,527
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$10,231
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$188,061
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$1,000,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$1,265,405
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$36,070
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$40,093
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-06-30$1,519,015
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-06-30$1,693,267
Administrative expenses (other) incurred2016-06-30$78,809
Liabilities. Value of operating payables at end of year2016-06-30$51,576
Liabilities. Value of operating payables at beginning of year2016-06-30$44,852
Total non interest bearing cash at end of year2016-06-30$678,036
Total non interest bearing cash at beginning of year2016-06-30$779,448
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-114,290
Value of net assets at end of year (total assets less liabilities)2016-06-30$2,906,047
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$3,020,337
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$12,405
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$631,748
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$488,055
Income. Interest from US Government securities2016-06-30$48,215
Income. Interest from corporate debt instruments2016-06-30$54,266
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$52,336
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$67,430
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$67,430
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$46
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$8,450,828
Asset value of US Government securities at end of year2016-06-30$1,381,404
Asset value of US Government securities at beginning of year2016-06-30$1,480,567
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-27,815
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$7,486,476
Employer contributions (assets) at end of year2016-06-30$623,311
Employer contributions (assets) at beginning of year2016-06-30$623,925
Income. Dividends from common stock2016-06-30$10,231
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$119,157
Asset. Corporate debt instrument preferred debt at end of year2016-06-30$1,089,531
Asset. Corporate debt instrument preferred debt at beginning of year2016-06-30$1,289,675
Contract administrator fees2016-06-30$103,420
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Liabilities. Value of benefit claims payable at end of year2016-06-30$15,798
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$10,737
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
Aggregate proceeds on sale of assets2016-06-30$2,009,465
Aggregate carrying amount (costs) on sale of assets2016-06-30$2,005,376
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2016-06-30300702322
2015 : NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-06-30$-72,695
Total unrealized appreciation/depreciation of assets2015-06-30$-72,695
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$1,748,856
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$1,581,630
Total income from all sources (including contributions)2015-06-30$9,256,711
Total loss/gain on sale of assets2015-06-30$11,427
Total of all expenses incurred2015-06-30$9,655,503
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$9,256,474
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$9,170,071
Value of total assets at end of year2015-06-30$4,769,193
Value of total assets at beginning of year2015-06-30$5,000,759
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$399,029
Total interest from all sources2015-06-30$130,662
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$4,788
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$4,788
Administrative expenses professional fees incurred2015-06-30$194,457
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$1,000,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$1,325,211
Assets. Other investments not covered elsewhere at beginning of year2015-06-30$166,049
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$40,093
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$46,794
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-06-30$1,693,267
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$1,552,139
Other income not declared elsewhere2015-06-30$491
Administrative expenses (other) incurred2015-06-30$85,103
Liabilities. Value of operating payables at end of year2015-06-30$44,852
Liabilities. Value of operating payables at beginning of year2015-06-30$19,607
Total non interest bearing cash at end of year2015-06-30$779,448
Total non interest bearing cash at beginning of year2015-06-30$832,437
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-398,792
Value of net assets at end of year (total assets less liabilities)2015-06-30$3,020,337
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$3,419,129
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
Investment advisory and management fees2015-06-30$16,447
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$488,055
Income. Interest from US Government securities2015-06-30$61,188
Income. Interest from corporate debt instruments2015-06-30$69,467
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$67,430
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$106,219
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$106,219
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$7
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$9,201,063
Asset value of US Government securities at end of year2015-06-30$1,480,567
Asset value of US Government securities at beginning of year2015-06-30$1,873,325
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$11,967
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$7,844,860
Employer contributions (assets) at end of year2015-06-30$623,925
Employer contributions (assets) at beginning of year2015-06-30$478,428
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$55,411
Asset. Corporate debt instrument preferred debt at end of year2015-06-30$1,289,675
Asset. Corporate debt instrument preferred debt at beginning of year2015-06-30$1,497,507
Contract administrator fees2015-06-30$103,022
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Liabilities. Value of benefit claims payable at end of year2015-06-30$10,737
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$9,884
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
Aggregate proceeds on sale of assets2015-06-30$3,270,981
Aggregate carrying amount (costs) on sale of assets2015-06-30$3,259,554
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2015-06-30300702322
2014 : NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-06-30$-33,151
Total unrealized appreciation/depreciation of assets2014-06-30$-33,151
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$1,581,630
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$1,704,789
Total income from all sources (including contributions)2014-06-30$8,718,233
Total loss/gain on sale of assets2014-06-30$38,564
Total of all expenses incurred2014-06-30$9,243,837
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$8,889,532
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$8,495,368
Value of total assets at end of year2014-06-30$5,000,759
Value of total assets at beginning of year2014-06-30$5,649,522
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$354,305
Total interest from all sources2014-06-30$181,869
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$1,582
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$150,832
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$1,449,565
Assets. Other investments not covered elsewhere at end of year2014-06-30$166,049
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$46,794
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$53,395
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$1,552,139
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$1,656,398
Other income not declared elsewhere2014-06-30$19,534
Administrative expenses (other) incurred2014-06-30$73,612
Liabilities. Value of operating payables at end of year2014-06-30$19,607
Liabilities. Value of operating payables at beginning of year2014-06-30$26,638
Total non interest bearing cash at end of year2014-06-30$832,437
Total non interest bearing cash at beginning of year2014-06-30$176,914
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$-525,604
Value of net assets at end of year (total assets less liabilities)2014-06-30$3,419,129
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$3,944,733
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
Investment advisory and management fees2014-06-30$17,577
Income. Interest from US Government securities2014-06-30$82,794
Income. Interest from corporate debt instruments2014-06-30$99,066
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$106,219
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$138,614
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$138,614
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$9
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$8,800,923
Asset value of US Government securities at end of year2014-06-30$1,873,325
Asset value of US Government securities at beginning of year2014-06-30$2,729,951
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$14,467
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$7,045,803
Employer contributions (assets) at end of year2014-06-30$478,428
Employer contributions (assets) at beginning of year2014-06-30$566,061
Income. Dividends from common stock2014-06-30$1,582
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$88,609
Asset. Corporate debt instrument preferred debt at end of year2014-06-30$1,497,507
Asset. Corporate debt instrument preferred debt at beginning of year2014-06-30$1,984,587
Contract administrator fees2014-06-30$112,284
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Liabilities. Value of benefit claims payable at end of year2014-06-30$9,884
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$21,753
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
Aggregate proceeds on sale of assets2014-06-30$5,223,249
Aggregate carrying amount (costs) on sale of assets2014-06-30$5,184,685
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2014-06-30300702322
2013 : NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$-101,998
Total unrealized appreciation/depreciation of assets2013-06-30$-101,998
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$1,704,789
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$1,629,883
Total income from all sources (including contributions)2013-06-30$8,573,377
Total loss/gain on sale of assets2013-06-30$3,224
Total of all expenses incurred2013-06-30$9,446,737
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$9,080,856
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$8,459,901
Value of total assets at end of year2013-06-30$5,649,522
Value of total assets at beginning of year2013-06-30$6,447,976
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$365,881
Total interest from all sources2013-06-30$196,250
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$173,823
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$1,569,839
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$53,395
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$53,965
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-06-30$1,656,398
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$1,541,500
Other income not declared elsewhere2013-06-30$16,000
Administrative expenses (other) incurred2013-06-30$63,334
Liabilities. Value of operating payables at end of year2013-06-30$26,638
Liabilities. Value of operating payables at beginning of year2013-06-30$38,277
Total non interest bearing cash at end of year2013-06-30$176,914
Total non interest bearing cash at beginning of year2013-06-30$501,109
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-873,360
Value of net assets at end of year (total assets less liabilities)2013-06-30$3,944,733
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$4,818,093
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
Investment advisory and management fees2013-06-30$17,839
Income. Interest from US Government securities2013-06-30$89,879
Income. Interest from corporate debt instruments2013-06-30$106,320
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$138,614
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$688,412
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$688,412
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$51
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$8,970,017
Asset value of US Government securities at end of year2013-06-30$2,729,951
Asset value of US Government securities at beginning of year2013-06-30$2,688,731
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$6,890,062
Employer contributions (assets) at end of year2013-06-30$566,061
Employer contributions (assets) at beginning of year2013-06-30$535,213
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$110,839
Asset. Corporate debt instrument preferred debt at end of year2013-06-30$1,984,587
Asset. Corporate debt instrument preferred debt at beginning of year2013-06-30$1,980,546
Contract administrator fees2013-06-30$110,885
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Liabilities. Value of benefit claims payable at end of year2013-06-30$21,753
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$50,106
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
Aggregate proceeds on sale of assets2013-06-30$3,226,907
Aggregate carrying amount (costs) on sale of assets2013-06-30$3,223,683
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2013-06-30300702322
2012 : NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$-18,294
Total unrealized appreciation/depreciation of assets2012-06-30$-18,294
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$1,629,883
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$1,803,774
Total income from all sources (including contributions)2012-06-30$8,598,363
Total loss/gain on sale of assets2012-06-30$33,431
Total of all expenses incurred2012-06-30$8,872,126
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$8,442,219
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$8,269,273
Value of total assets at end of year2012-06-30$6,447,976
Value of total assets at beginning of year2012-06-30$6,895,630
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$429,907
Total interest from all sources2012-06-30$249,409
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$225,334
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$1,804,801
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$4,477
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$53,965
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$94,762
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$1,541,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$1,722,569
Other income not declared elsewhere2012-06-30$64,544
Administrative expenses (other) incurred2012-06-30$73,715
Liabilities. Value of operating payables at end of year2012-06-30$38,277
Liabilities. Value of operating payables at beginning of year2012-06-30$60,632
Total non interest bearing cash at end of year2012-06-30$501,109
Total non interest bearing cash at beginning of year2012-06-30$501,206
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-273,763
Value of net assets at end of year (total assets less liabilities)2012-06-30$4,818,093
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$5,091,856
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
Investment advisory and management fees2012-06-30$18,390
Income. Interest from US Government securities2012-06-30$128,939
Income. Interest from corporate debt instruments2012-06-30$120,433
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$688,412
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$399,986
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$399,986
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$37
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$8,265,799
Asset value of US Government securities at end of year2012-06-30$2,688,731
Asset value of US Government securities at beginning of year2012-06-30$3,079,592
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$6,459,995
Employer contributions (assets) at end of year2012-06-30$535,213
Employer contributions (assets) at beginning of year2012-06-30$455,306
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$176,420
Asset. Corporate debt instrument preferred debt at end of year2012-06-30$1,980,546
Asset. Corporate debt instrument preferred debt at beginning of year2012-06-30$2,364,778
Contract administrator fees2012-06-30$112,468
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Liabilities. Value of benefit claims payable at end of year2012-06-30$50,106
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$20,573
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
Aggregate proceeds on sale of assets2012-06-30$5,906,541
Aggregate carrying amount (costs) on sale of assets2012-06-30$5,873,110
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 name2012-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2012-06-30300702322
2011 : NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$248
Total unrealized appreciation/depreciation of assets2011-06-30$248
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$1,803,774
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$1,684,010
Total income from all sources (including contributions)2011-06-30$8,681,461
Total loss/gain on sale of assets2011-06-30$16,077
Total of all expenses incurred2011-06-30$8,765,608
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$8,309,644
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$8,388,205
Value of total assets at end of year2011-06-30$6,895,630
Value of total assets at beginning of year2011-06-30$6,860,013
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$455,964
Total interest from all sources2011-06-30$271,141
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$222,882
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$2,041,122
Income. Received or receivable in cash from other sources (including rollovers)2011-06-30$31,104
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$94,762
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$78,731
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$1,722,569
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$1,607,319
Other income not declared elsewhere2011-06-30$5,790
Administrative expenses (other) incurred2011-06-30$102,767
Liabilities. Value of operating payables at end of year2011-06-30$60,632
Liabilities. Value of operating payables at beginning of year2011-06-30$41,106
Total non interest bearing cash at end of year2011-06-30$501,206
Total non interest bearing cash at beginning of year2011-06-30$502,069
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$-84,147
Value of net assets at end of year (total assets less liabilities)2011-06-30$5,091,856
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$5,176,003
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
Investment advisory and management fees2011-06-30$17,089
Income. Interest from US Government securities2011-06-30$142,621
Income. Interest from corporate debt instruments2011-06-30$128,452
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$399,986
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$302,947
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$302,947
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$68
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$8,204,212
Asset value of US Government securities at end of year2011-06-30$3,079,592
Asset value of US Government securities at beginning of year2011-06-30$3,029,089
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$6,315,979
Employer contributions (assets) at end of year2011-06-30$455,306
Employer contributions (assets) at beginning of year2011-06-30$524,485
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$105,432
Asset. Corporate debt instrument preferred debt at end of year2011-06-30$2,364,778
Asset. Corporate debt instrument preferred debt at beginning of year2011-06-30$2,422,692
Contract administrator fees2011-06-30$113,226
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Liabilities. Value of benefit claims payable at end of year2011-06-30$20,573
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$35,585
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
Aggregate proceeds on sale of assets2011-06-30$3,728,247
Aggregate carrying amount (costs) on sale of assets2011-06-30$3,712,170
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 name2011-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2011-06-30300702322

Form 5500 Responses for NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND

2021: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE 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: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE 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: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Submission has been amendedYes
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: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE 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: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE 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: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE 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: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE 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: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
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: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE 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: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE 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: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE 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
2009: NORTHERN CALIFORNIA UFCW WHOLESALE HEALTH AND WELFARE TRUST FUND 2009 form 5500 responses
2009-07-01Type of plan entityMulti-employer plan
2009-07-01This submission is the final filingNo
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

UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract numberS5921
Policy instance 10
Insurance contract or identification numberS5921
Number of Individuals Covered8
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $36,911
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 number34459
Policy instance 1
Insurance contract or identification number34459
Number of Individuals Covered428
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,341,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number6200
Policy instance 2
Insurance contract or identification number6200
Number of Individuals Covered22
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $151,875
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 number02455
Policy instance 3
Insurance contract or identification number02455
Number of Individuals Covered455
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 $153,859
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 numberNP3082 500C
Policy instance 4
Insurance contract or identification numberNP3082 500C
Number of Individuals Covered28
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 $18,159
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 numberNP3083 500C
Policy instance 5
Insurance contract or identification numberNP3083 500C
Number of Individuals Covered3
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 $1,523
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 number75145-00001
Policy instance 6
Insurance contract or identification number75145-00001
Number of Individuals Covered39
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 $7,156
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 number0717403
Policy instance 7
Insurance contract or identification number0717403
Number of Individuals Covered24
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 $19,808
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 numberSRSUP
Policy instance 8
Insurance contract or identification numberSRSUP
Number of Individuals Covered8
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 $33,159
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0067190
Policy instance 9
Insurance contract or identification numberW0067190
Number of Individuals Covered201
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,858,027
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 number34459
Policy instance 1
Insurance contract or identification number34459
Number of Individuals Covered505
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,913,923
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number6200
Policy instance 2
Insurance contract or identification number6200
Number of Individuals Covered25
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $200,674
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 number02455
Policy instance 3
Insurance contract or identification number02455
Number of Individuals Covered499
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 $158,237
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 numberNP3082 500C
Policy instance 4
Insurance contract or identification numberNP3082 500C
Number of Individuals Covered30
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 $19,028
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 numberNP3083 500C
Policy instance 5
Insurance contract or identification numberNP3083 500C
Number of Individuals Covered5
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 $2,748
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 number75145-00001
Policy instance 6
Insurance contract or identification number75145-00001
Number of Individuals Covered37
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 $7,073
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 number0717403
Policy instance 7
Insurance contract or identification number0717403
Number of Individuals Covered31
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 $22,500
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 numberSRSUP
Policy instance 8
Insurance contract or identification numberSRSUP
Number of Individuals Covered8
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 $32,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0067190
Policy instance 9
Insurance contract or identification numberW0067190
Number of Individuals Covered247
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,963,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract numberS5921
Policy instance 10
Insurance contract or identification numberS5921
Number of Individuals Covered8
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $36,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number6200
Policy instance 2
Insurance contract or identification number6200
Number of Individuals Covered34
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $219,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract numberS5921
Policy instance 10
Insurance contract or identification numberS5921
Number of Individuals Covered11
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $41,525
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 numberSRSUP
Policy instance 8
Insurance contract or identification numberSRSUP
Number of Individuals Covered11
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 $37,304
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0067190
Policy instance 9
Insurance contract or identification numberW0067190
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Number of Individuals Covered244
Welfare Benefit Premiums Paid to CarrierUSD $1,779,833
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number356259/356262
Policy instance 8
Insurance contract or identification number356259/356262
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 number0717403
Policy instance 7
Insurance contract or identification number0717403
Number of Individuals Covered109
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 $26,660
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 number34459
Policy instance 1
Insurance contract or identification number34459
Number of Individuals Covered527
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $3,083,122
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 number02455
Policy instance 3
Insurance contract or identification number02455
Number of Individuals Covered531
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 $189,183
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 numberNP3082 500C
Policy instance 4
Insurance contract or identification numberNP3082 500C
Number of Individuals Covered30
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 $19,225
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 numberNP3083 500C
Policy instance 5
Insurance contract or identification numberNP3083 500C
Number of Individuals Covered7
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 $3,868
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 number75145-00001
Policy instance 6
Insurance contract or identification number75145-00001
Number of Individuals Covered38
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 $8,392
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 number34459
Policy instance 1
Insurance contract or identification number34459
Number of Individuals Covered568
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,682,225
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number6200
Policy instance 2
Insurance contract or identification number6200
Number of Individuals Covered39
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $267,878
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 number2455
Policy instance 3
Insurance contract or identification number2455
Number of Individuals Covered557
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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 $179,090
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 numberNP3082 500C
Policy instance 4
Insurance contract or identification numberNP3082 500C
Number of Individuals Covered34
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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 $21,607
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 numberNP3083 500C
Policy instance 5
Insurance contract or identification numberNP3083 500C
Number of Individuals Covered10
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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 $5,133
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 number75145-00001
Policy instance 6
Insurance contract or identification number75145-00001
Number of Individuals Covered48
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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 $10,238
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 number0717403
Policy instance 7
Insurance contract or identification number0717403
Number of Individuals Covered44
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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 $92,470
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 number356259/356262
Policy instance 8
Insurance contract or identification number356259/356262
Number of Individuals Covered0
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $534,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0067190
Policy instance 9
Insurance contract or identification numberW0067190
Number of Individuals Covered269
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,510,652
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number6200
Policy instance 2
Insurance contract or identification number6200
Number of Individuals Covered70
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $309,306
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 number2455
Policy instance 3
Insurance contract or identification number2455
Number of Individuals Covered581
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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 $232,439
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 numberNP3082 500C
Policy instance 4
Insurance contract or identification numberNP3082 500C
Number of Individuals Covered41
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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 $26,147
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 numberNP3083 500C
Policy instance 5
Insurance contract or identification numberNP3083 500C
Number of Individuals Covered14
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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 $7,303
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 number75145-00001
Policy instance 6
Insurance contract or identification number75145-00001
Number of Individuals Covered56
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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 $11,600
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 number0717403
Policy instance 7
Insurance contract or identification number0717403
Number of Individuals Covered54
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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 $260,965
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 number356259
Policy instance 8
Insurance contract or identification number356259
Number of Individuals Covered92
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,208,134
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 number34459
Policy instance 1
Insurance contract or identification number34459
Number of Individuals Covered642
Insurance policy start date2016-08-01
Insurance policy end date2017-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $4,195,454
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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