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INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 401k Plan overview

Plan NameINDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST
Plan identification number 502

INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST Benefits

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

401k Sponsoring company profile

INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LI has sponsored the creation of one or more 401k plans.

Company Name:INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LI
Employer identification number (EIN):946064474
NAIC Classification:493100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01
5022017-01-01TONY ANGELO
5022016-01-01BRUCE MARSHALL
5022015-01-01DAVID MCKENZIE
5022014-01-01DAVID MCKENZIE
5022013-01-01DAVID MCKENZIE
5022012-01-01DAVID MCKENZIE
5022011-01-01DAVID MCKENZIE
5022009-01-01DAVID MCKENZIE

Plan Statistics for INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST

401k plan membership statisitcs for INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST

Measure Date Value
2021: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01194
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-010
Number of employers contributing to the scheme2021-01-013
2020: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01225
Total number of active participants reported on line 7a of the Form 55002020-01-01194
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01194
Number of employers contributing to the scheme2020-01-014
2019: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01228
Total number of active participants reported on line 7a of the Form 55002019-01-01225
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01225
Number of employers contributing to the scheme2019-01-014
2018: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01227
Total number of active participants reported on line 7a of the Form 55002018-01-01228
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01228
Number of employers contributing to the scheme2018-01-015
2017: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01251
Total number of active participants reported on line 7a of the Form 55002017-01-01227
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01227
Number of employers contributing to the scheme2017-01-017
2016: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01270
Total number of active participants reported on line 7a of the Form 55002016-01-01251
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01251
Number of employers contributing to the scheme2016-01-017
2015: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01286
Total number of active participants reported on line 7a of the Form 55002015-01-01270
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01270
Number of employers contributing to the scheme2015-01-017
2014: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01290
Total number of active participants reported on line 7a of the Form 55002014-01-01286
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01286
Number of employers contributing to the scheme2014-01-018
2013: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01297
Total number of active participants reported on line 7a of the Form 55002013-01-01290
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01290
Number of employers contributing to the scheme2013-01-019
2012: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-01385
Total number of active participants reported on line 7a of the Form 55002012-01-01297
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01297
Number of employers contributing to the scheme2012-01-018
2011: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01397
Total number of active participants reported on line 7a of the Form 55002011-01-01385
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01385
Number of employers contributing to the scheme2011-01-017
2009: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01453
Total number of active participants reported on line 7a of the Form 55002009-01-01418
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01418
Number of employers contributing to the scheme2009-01-0111

Financial Data on INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST

Measure Date Value
2021 : INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$16,393
Total income from all sources (including contributions)2021-11-30$2,396,743
Total of all expenses incurred2021-11-30$3,850,111
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-11-30$3,644,026
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-11-30$2,395,958
Value of total assets at beginning of year2021-11-30$1,469,761
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-11-30$206,085
Total interest from all sources2021-11-30$39
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-11-30No
Administrative expenses professional fees incurred2021-11-30$61,212
Was this plan covered by a fidelity bond2021-11-30Yes
Value of fidelity bond cover2021-11-30$2,000,000
Were there any nonexempt tranactions with any party-in-interest2021-11-30No
Contributions received from participants2021-11-30$139,050
Participant contributions at beginning of year2021-11-30$18,360
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-11-30$371,288
Other income not declared elsewhere2021-11-30$746
Administrative expenses (other) incurred2021-11-30$25,538
Liabilities. Value of operating payables at end of year2021-11-30$0
Liabilities. Value of operating payables at beginning of year2021-11-30$11,610
Total non interest bearing cash at beginning of year2021-11-30$324,347
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Value of net income/loss2021-11-30$-1,453,368
Value of net assets at end of year (total assets less liabilities)2021-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2021-11-30$1,453,368
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-11-30No
Were any leases to which the plan was party in default or uncollectible2021-11-30No
Investment advisory and management fees2021-11-30$2,500
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-11-30$445,028
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-11-30$445,028
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-11-30$39
Expenses. Payments to insurance carriers foe the provision of benefits2021-11-30$3,525,592
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-11-30Yes
Was there a failure to transmit to the plan any participant contributions2021-11-30No
Has the plan failed to provide any benefit when due under the plan2021-11-30No
Contributions received in cash from employer2021-11-30$2,256,908
Employer contributions (assets) at beginning of year2021-11-30$310,738
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-11-30$118,434
Contract administrator fees2021-11-30$116,835
Liabilities. Value of benefit claims payable at beginning of year2021-11-30$4,783
Did the plan have assets held for investment2021-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-11-30Yes
Opinion of an independent qualified public accountant for this plan2021-11-30Unqualified
Accountancy firm name2021-11-30WITHUMSMITH+BROWN, PC
Accountancy firm EIN2021-11-30222027092
2020 : INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$-12,000
Total unrealized appreciation/depreciation of assets2020-12-31$-12,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$16,393
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$35,725
Total income from all sources (including contributions)2020-12-31$4,292,862
Total loss/gain on sale of assets2020-12-31$14,403
Total of all expenses incurred2020-12-31$5,158,247
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,991,721
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$4,239,091
Value of total assets at end of year2020-12-31$1,469,761
Value of total assets at beginning of year2020-12-31$2,354,478
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$166,526
Total interest from all sources2020-12-31$14,940
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$32,638
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$224,790
Participant contributions at end of year2020-12-31$18,360
Participant contributions at beginning of year2020-12-31$17,600
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$371,288
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$437,681
Other income not declared elsewhere2020-12-31$36,428
Administrative expenses (other) incurred2020-12-31$30,416
Liabilities. Value of operating payables at end of year2020-12-31$11,610
Liabilities. Value of operating payables at beginning of year2020-12-31$26,778
Total non interest bearing cash at end of year2020-12-31$324,347
Total non interest bearing cash at beginning of year2020-12-31$-23,893
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-865,385
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,453,368
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,318,753
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$5,377
Income. Interest from US Government securities2020-12-31$1,065
Income. Interest from corporate debt instruments2020-12-31$13,215
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$445,028
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$151,751
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$151,751
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$660
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$4,871,793
Asset value of US Government securities at end of year2020-12-31$0
Asset value of US Government securities at beginning of year2020-12-31$274,388
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$4,014,301
Employer contributions (assets) at end of year2020-12-31$310,738
Employer contributions (assets) at beginning of year2020-12-31$426,649
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$119,928
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$648,657
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$421,645
Contract administrator fees2020-12-31$98,095
Liabilities. Value of benefit claims payable at end of year2020-12-31$4,783
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$8,947
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$3,934,169
Aggregate carrying amount (costs) on sale of assets2020-12-31$3,919,766
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31LINDQUIST LLP
Accountancy firm EIN2020-12-31522385296
2019 : INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$14,374
Total unrealized appreciation/depreciation of assets2019-12-31$14,374
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$35,725
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$28,854
Total income from all sources (including contributions)2019-12-31$4,821,619
Total loss/gain on sale of assets2019-12-31$20,311
Total of all expenses incurred2019-12-31$5,483,912
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,294,967
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$4,726,861
Value of total assets at end of year2019-12-31$2,354,478
Value of total assets at beginning of year2019-12-31$3,009,900
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$188,945
Total interest from all sources2019-12-31$50,634
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$30,991
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$214,579
Participant contributions at end of year2019-12-31$17,600
Participant contributions at beginning of year2019-12-31$18,614
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$437,681
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$413,677
Other income not declared elsewhere2019-12-31$9,439
Administrative expenses (other) incurred2019-12-31$40,068
Liabilities. Value of operating payables at end of year2019-12-31$26,778
Liabilities. Value of operating payables at beginning of year2019-12-31$19,907
Total non interest bearing cash at end of year2019-12-31$-23,893
Total non interest bearing cash at beginning of year2019-12-31$32,085
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-662,293
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,318,753
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,981,046
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$8,338
Income. Interest from US Government securities2019-12-31$17,497
Income. Interest from corporate debt instruments2019-12-31$30,922
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$151,751
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$49,277
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$49,277
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$2,215
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$5,108,385
Asset value of US Government securities at end of year2019-12-31$274,388
Asset value of US Government securities at beginning of year2019-12-31$1,097,923
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$4,512,282
Employer contributions (assets) at end of year2019-12-31$426,649
Employer contributions (assets) at beginning of year2019-12-31$360,501
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$186,582
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$648,657
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$508,941
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$421,645
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$528,882
Contract administrator fees2019-12-31$109,548
Liabilities. Value of benefit claims payable at end of year2019-12-31$8,947
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$8,947
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$7,692,456
Aggregate carrying amount (costs) on sale of assets2019-12-31$7,672,145
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31LINDQUIST LLP
Accountancy firm EIN2019-12-31522385296
2018 : INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-1,191
Total unrealized appreciation/depreciation of assets2018-12-31$-1,191
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$28,854
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$19,750
Total income from all sources (including contributions)2018-12-31$4,480,740
Total loss/gain on sale of assets2018-12-31$-15,376
Total of all expenses incurred2018-12-31$4,794,426
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$4,614,556
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$4,444,044
Value of total assets at end of year2018-12-31$3,009,900
Value of total assets at beginning of year2018-12-31$3,314,482
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$179,870
Total interest from all sources2018-12-31$53,263
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$31,523
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$203,213
Participant contributions at end of year2018-12-31$18,614
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$413,677
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$376,359
Administrative expenses (other) incurred2018-12-31$29,887
Liabilities. Value of operating payables at end of year2018-12-31$19,907
Liabilities. Value of operating payables at beginning of year2018-12-31$1,803
Total non interest bearing cash at end of year2018-12-31$32,085
Total non interest bearing cash at beginning of year2018-12-31$397,080
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-313,686
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,981,046
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,294,732
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$8,383
Income. Interest from US Government securities2018-12-31$26,186
Income. Interest from corporate debt instruments2018-12-31$26,027
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$49,277
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$41,823
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$41,823
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$1,050
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$4,443,356
Asset value of US Government securities at end of year2018-12-31$1,097,923
Asset value of US Government securities at beginning of year2018-12-31$1,144,885
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$4,240,831
Employer contributions (assets) at end of year2018-12-31$360,501
Employer contributions (assets) at beginning of year2018-12-31$391,325
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$171,200
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$508,941
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$610,732
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$528,882
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$352,278
Contract administrator fees2018-12-31$110,077
Liabilities. Value of benefit claims payable at end of year2018-12-31$8,947
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$17,947
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$7,872,641
Aggregate carrying amount (costs) on sale of assets2018-12-31$7,888,017
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31LINDQUIST LLP
Accountancy firm EIN2018-12-31522385296
2017 : INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-5,129
Total unrealized appreciation/depreciation of assets2017-12-31$-5,129
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$19,750
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$25,978
Total income from all sources (including contributions)2017-12-31$5,079,382
Total loss/gain on sale of assets2017-12-31$-8,780
Total of all expenses incurred2017-12-31$4,999,128
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,789,888
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$5,053,966
Value of total assets at end of year2017-12-31$3,314,482
Value of total assets at beginning of year2017-12-31$3,240,456
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$209,240
Total interest from all sources2017-12-31$39,325
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$28,469
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$256,760
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$376,359
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$400,152
Administrative expenses (other) incurred2017-12-31$33,302
Liabilities. Value of operating payables at end of year2017-12-31$1,803
Liabilities. Value of operating payables at beginning of year2017-12-31$8,031
Total non interest bearing cash at end of year2017-12-31$397,080
Total non interest bearing cash at beginning of year2017-12-31$274,755
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$80,254
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,294,732
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,214,478
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$7,837
Income. Interest from US Government securities2017-12-31$16,426
Income. Interest from corporate debt instruments2017-12-31$22,482
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$41,823
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$38,406
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$38,406
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$417
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$4,578,028
Asset value of US Government securities at end of year2017-12-31$1,144,885
Asset value of US Government securities at beginning of year2017-12-31$1,099,107
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$4,797,206
Employer contributions (assets) at end of year2017-12-31$391,325
Employer contributions (assets) at beginning of year2017-12-31$443,204
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$211,860
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$610,732
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$709,508
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$352,278
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$275,324
Contract administrator fees2017-12-31$139,632
Liabilities. Value of benefit claims payable at end of year2017-12-31$17,947
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$17,947
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$7,368,899
Aggregate carrying amount (costs) on sale of assets2017-12-31$7,377,679
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31LINDQUIST LLP
Accountancy firm EIN2017-12-31522385296
2016 : INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-10,451
Total unrealized appreciation/depreciation of assets2016-12-31$-10,451
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$25,978
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$22,740
Total income from all sources (including contributions)2016-12-31$5,367,385
Total loss/gain on sale of assets2016-12-31$6,265
Total of all expenses incurred2016-12-31$4,998,559
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$4,779,177
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,336,119
Value of total assets at end of year2016-12-31$3,240,456
Value of total assets at beginning of year2016-12-31$2,868,392
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$219,382
Total interest from all sources2016-12-31$35,452
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$28,351
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$2,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$251,570
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$400,152
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$410,387
Administrative expenses (other) incurred2016-12-31$34,773
Liabilities. Value of operating payables at end of year2016-12-31$8,031
Liabilities. Value of operating payables at beginning of year2016-12-31$4,793
Total non interest bearing cash at end of year2016-12-31$274,755
Total non interest bearing cash at beginning of year2016-12-31$44,726
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$368,826
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,214,478
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,845,652
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$7,227
Income. Interest from US Government securities2016-12-31$10,169
Income. Interest from corporate debt instruments2016-12-31$25,042
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$38,406
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$113,808
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$113,808
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$241
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$4,542,328
Asset value of US Government securities at end of year2016-12-31$1,099,107
Asset value of US Government securities at beginning of year2016-12-31$920,625
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$5,084,549
Employer contributions (assets) at end of year2016-12-31$443,204
Employer contributions (assets) at beginning of year2016-12-31$419,100
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$236,849
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$709,508
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$851,920
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$275,324
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$107,826
Contract administrator fees2016-12-31$149,031
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$17,947
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$17,947
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$9,708,724
Aggregate carrying amount (costs) on sale of assets2016-12-31$9,702,459
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31LINDQUIST LLP
Accountancy firm EIN2016-12-31522385296
2015 : INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-11,614
Total unrealized appreciation/depreciation of assets2015-12-31$-11,614
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$22,740
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$17,947
Total income from all sources (including contributions)2015-12-31$5,500,198
Total loss/gain on sale of assets2015-12-31$-3,800
Total of all expenses incurred2015-12-31$5,512,378
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$5,292,924
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$5,483,328
Value of total assets at end of year2015-12-31$2,868,392
Value of total assets at beginning of year2015-12-31$2,875,779
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$219,454
Total interest from all sources2015-12-31$32,228
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$32,355
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$252,835
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$410,387
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$440,862
Other income not declared elsewhere2015-12-31$56
Administrative expenses (other) incurred2015-12-31$34,635
Liabilities. Value of operating payables at end of year2015-12-31$4,793
Total non interest bearing cash at end of year2015-12-31$44,726
Total non interest bearing cash at beginning of year2015-12-31$667,827
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-12,180
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,845,652
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,857,832
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$6,671
Income. Interest from US Government securities2015-12-31$7,495
Income. Interest from corporate debt instruments2015-12-31$24,623
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$113,808
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$41,216
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$41,216
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$110
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$5,011,892
Asset value of US Government securities at end of year2015-12-31$920,625
Asset value of US Government securities at beginning of year2015-12-31$300,403
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$5,230,493
Employer contributions (assets) at end of year2015-12-31$419,100
Employer contributions (assets) at beginning of year2015-12-31$474,032
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$281,032
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$851,920
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$659,664
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$107,826
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$291,775
Contract administrator fees2015-12-31$145,793
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$17,947
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$17,947
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$11,604,238
Aggregate carrying amount (costs) on sale of assets2015-12-31$11,608,038
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31LINDQUIST LLP
Accountancy firm EIN2015-12-31522385296
2014 : INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-7,347
Total unrealized appreciation/depreciation of assets2014-12-31$-7,347
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$17,947
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$15,624
Total income from all sources (including contributions)2014-12-31$5,420,999
Total loss/gain on sale of assets2014-12-31$4,652
Total of all expenses incurred2014-12-31$5,425,427
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,201,963
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$5,395,599
Value of total assets at end of year2014-12-31$2,875,779
Value of total assets at beginning of year2014-12-31$2,877,884
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$223,464
Total interest from all sources2014-12-31$28,095
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$40,800
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$242,849
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$440,862
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$412,704
Administrative expenses (other) incurred2014-12-31$46,479
Total non interest bearing cash at end of year2014-12-31$667,827
Total non interest bearing cash at beginning of year2014-12-31$224,201
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-4,428
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,857,832
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,862,260
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$5,764
Income. Interest from US Government securities2014-12-31$5,539
Income. Interest from corporate debt instruments2014-12-31$22,524
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$41,216
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$168,622
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$168,622
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$32
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$4,949,424
Asset value of US Government securities at end of year2014-12-31$300,403
Asset value of US Government securities at beginning of year2014-12-31$832,267
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$5,152,750
Employer contributions (assets) at end of year2014-12-31$474,032
Employer contributions (assets) at beginning of year2014-12-31$423,473
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$252,539
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$659,664
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$522,730
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$291,775
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$293,887
Contract administrator fees2014-12-31$130,421
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$17,947
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$15,624
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$8,519,478
Aggregate carrying amount (costs) on sale of assets2014-12-31$8,514,826
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31LINDQUIST LLP
Accountancy firm EIN2014-12-31522385296
2013 : INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-6,107
Total unrealized appreciation/depreciation of assets2013-12-31$-6,107
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$15,624
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$33,022
Total income from all sources (including contributions)2013-12-31$4,949,109
Total loss/gain on sale of assets2013-12-31$-28,866
Total of all expenses incurred2013-12-31$5,370,434
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$5,138,208
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,936,190
Value of total assets at end of year2013-12-31$2,877,884
Value of total assets at beginning of year2013-12-31$3,316,607
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$232,226
Total interest from all sources2013-12-31$47,846
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$49,786
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$342,685
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$412,704
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$406,528
Other income not declared elsewhere2013-12-31$46
Administrative expenses (other) incurred2013-12-31$42,674
Liabilities. Value of operating payables at end of year2013-12-31$0
Liabilities. Value of operating payables at beginning of year2013-12-31$3,642
Total non interest bearing cash at end of year2013-12-31$224,201
Total non interest bearing cash at beginning of year2013-12-31$320,597
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-421,325
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,862,260
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,283,585
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$7,312
Income. Interest from US Government securities2013-12-31$10,194
Income. Interest from corporate debt instruments2013-12-31$37,568
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$168,622
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$82,857
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$82,857
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$84
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$4,900,670
Asset value of US Government securities at end of year2013-12-31$832,267
Asset value of US Government securities at beginning of year2013-12-31$890,565
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$4,593,505
Employer contributions (assets) at end of year2013-12-31$423,473
Employer contributions (assets) at beginning of year2013-12-31$353,747
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$237,538
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$522,730
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$869,491
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$293,887
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$392,822
Contract administrator fees2013-12-31$132,454
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$15,624
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$29,380
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$5,229,371
Aggregate carrying amount (costs) on sale of assets2013-12-31$5,258,237
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31LINDQUIST LLP
Accountancy firm EIN2013-12-31522385296
2012 : INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-20,210
Total unrealized appreciation/depreciation of assets2012-12-31$-20,210
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$33,022
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$68,590
Total income from all sources (including contributions)2012-12-31$4,486,916
Total loss/gain on sale of assets2012-12-31$19,180
Total of all expenses incurred2012-12-31$5,128,050
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$4,914,473
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$4,417,837
Value of total assets at end of year2012-12-31$3,316,607
Value of total assets at beginning of year2012-12-31$3,993,309
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$213,577
Total interest from all sources2012-12-31$70,051
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$34,001
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$269,766
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$406,528
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$407,299
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$36,838
Other income not declared elsewhere2012-12-31$58
Administrative expenses (other) incurred2012-12-31$38,346
Liabilities. Value of operating payables at end of year2012-12-31$3,642
Liabilities. Value of operating payables at beginning of year2012-12-31$994
Total non interest bearing cash at end of year2012-12-31$320,597
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-641,134
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,283,585
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,924,719
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$7,253
Income. Interest from US Government securities2012-12-31$17,220
Income. Interest from corporate debt instruments2012-12-31$52,579
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$82,857
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$478,015
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$478,015
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$252
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$4,632,692
Asset value of US Government securities at end of year2012-12-31$890,565
Asset value of US Government securities at beginning of year2012-12-31$1,093,411
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$4,148,071
Employer contributions (assets) at end of year2012-12-31$353,747
Employer contributions (assets) at beginning of year2012-12-31$553,165
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$281,781
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$869,491
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$1,061,198
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$392,822
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$400,221
Contract administrator fees2012-12-31$133,977
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$29,380
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$30,758
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$2,604,072
Aggregate carrying amount (costs) on sale of assets2012-12-31$2,584,892
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31LINDQUIST LLP
Accountancy firm EIN2012-12-31522385296
2011 : INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-25,468
Total unrealized appreciation/depreciation of assets2011-12-31$-25,468
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$68,590
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$29,018
Total income from all sources (including contributions)2011-12-31$5,778,694
Total loss/gain on sale of assets2011-12-31$981
Total of all expenses incurred2011-12-31$6,282,415
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$5,975,026
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$5,678,836
Value of total assets at end of year2011-12-31$3,993,309
Value of total assets at beginning of year2011-12-31$4,457,458
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$307,389
Total interest from all sources2011-12-31$96,508
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$42,061
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$38,361
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$407,299
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$430,557
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$36,838
Other income not declared elsewhere2011-12-31$27,837
Administrative expenses (other) incurred2011-12-31$45,352
Liabilities. Value of operating payables at end of year2011-12-31$994
Liabilities. Value of operating payables at beginning of year2011-12-31$2,515
Total non interest bearing cash at beginning of year2011-12-31$391,594
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-503,721
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,924,719
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,428,440
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$8,350
Income. Interest from US Government securities2011-12-31$23,987
Income. Interest from corporate debt instruments2011-12-31$72,113
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$478,015
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$193,098
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$193,098
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$408
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$5,601,398
Asset value of US Government securities at end of year2011-12-31$1,093,411
Asset value of US Government securities at beginning of year2011-12-31$1,196,370
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$5,640,475
Employer contributions (assets) at end of year2011-12-31$553,165
Employer contributions (assets) at beginning of year2011-12-31$479,627
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$373,628
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$1,061,198
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$1,152,802
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$400,221
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$613,410
Contract administrator fees2011-12-31$211,626
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$30,758
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$26,503
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$4,613,171
Aggregate carrying amount (costs) on sale of assets2011-12-31$4,612,190
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31LINDQUIST LLP
Accountancy firm EIN2011-12-31522385296
2010 : INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$43,916
Total unrealized appreciation/depreciation of assets2010-12-31$43,916
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$29,018
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$54,972
Total income from all sources (including contributions)2010-12-31$6,070,621
Total loss/gain on sale of assets2010-12-31$5,960
Total of all expenses incurred2010-12-31$6,126,187
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$5,822,485
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$5,888,188
Value of total assets at end of year2010-12-31$4,457,458
Value of total assets at beginning of year2010-12-31$4,538,978
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$303,702
Total interest from all sources2010-12-31$111,255
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$62,495
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$14,252
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$430,557
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$399,685
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$21,197
Other income not declared elsewhere2010-12-31$21,302
Administrative expenses (other) incurred2010-12-31$45,514
Liabilities. Value of operating payables at end of year2010-12-31$2,515
Liabilities. Value of operating payables at beginning of year2010-12-31$3,899
Total non interest bearing cash at end of year2010-12-31$391,594
Total non interest bearing cash at beginning of year2010-12-31$151,373
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-55,566
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,428,440
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,484,006
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$6,635
Income. Interest from US Government securities2010-12-31$26,731
Income. Interest from corporate debt instruments2010-12-31$83,486
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$193,098
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$471,118
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$471,118
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$1,038
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$5,517,170
Asset value of US Government securities at end of year2010-12-31$1,196,370
Asset value of US Government securities at beginning of year2010-12-31$1,969,224
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$5,873,936
Employer contributions (assets) at end of year2010-12-31$479,627
Employer contributions (assets) at beginning of year2010-12-31$483,995
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$305,315
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$1,152,802
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$520,014
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$613,410
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$543,569
Contract administrator fees2010-12-31$189,058
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$26,503
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$29,876
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$4,496,917
Aggregate carrying amount (costs) on sale of assets2010-12-31$4,490,957
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31LINDQUIST LLP
Accountancy firm EIN2010-12-31522385296

Form 5500 Responses for INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST

2021: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01This submission is the final filingYes
2021-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOC. HEALTH AND WELFARE AND LIFE INSURANCE TRUST 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number600371
Policy instance 4
Insurance contract or identification number600371
Number of Individuals Covered525
Insurance policy start date2021-08-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $841,117
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 number711913
Policy instance 3
Insurance contract or identification number711913
Number of Individuals Covered72
Insurance policy start date2021-01-01
Insurance policy end date2021-09-30
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 $18,656
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 number600371
Policy instance 2
Insurance contract or identification number600371
Number of Individuals Covered523
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,525,964
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000642A
Policy instance 1
Insurance contract or identification numberG000642A
Number of Individuals Covered36
Insurance policy start date2021-01-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,316
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 number711913
Policy instance 3
Insurance contract or identification number711913
Number of Individuals Covered83
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,577
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 number600371
Policy instance 2
Insurance contract or identification number600371
Number of Individuals Covered593
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,186,183
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000642A
Policy instance 1
Insurance contract or identification numberG000642A
Number of Individuals Covered36
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,018
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 number711913
Policy instance 3
Insurance contract or identification number711913
Number of Individuals Covered44
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,529
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 number600371
Policy instance 2
Insurance contract or identification number600371
Number of Individuals Covered632
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,828,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000642A
Policy instance 1
Insurance contract or identification numberG000642A
Number of Individuals Covered58
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,334
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 number711913
Policy instance 3
Insurance contract or identification number711913
Number of Individuals Covered39
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,311
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 number600371
Policy instance 2
Insurance contract or identification number600371
Number of Individuals Covered593
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,316,430
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000642A
Policy instance 1
Insurance contract or identification numberG000642A
Number of Individuals Covered54
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $3,593
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 number711913
Policy instance 3
Insurance contract or identification number711913
Number of Individuals Covered119
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,191
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 number600371
Policy instance 2
Insurance contract or identification number600371
Number of Individuals Covered693
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,594,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000642A
Policy instance 1
Insurance contract or identification numberG000642A
Number of Individuals Covered46
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,870
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000642A
Policy instance 1
Insurance contract or identification numberG000642A
Number of Individuals Covered69
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $5,309
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 number600371
Policy instance 2
Insurance contract or identification number600371
Number of Individuals Covered833
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $5,065,803
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 number711913
Policy instance 3
Insurance contract or identification number711913
Number of Individuals Covered59
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,668
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000642A
Policy instance 1
Insurance contract or identification numberG000642A
Number of Individuals Covered70
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $5,495
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 number61547A
Policy instance 2
Insurance contract or identification number61547A
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,705
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 number600371
Policy instance 3
Insurance contract or identification number600371
Number of Individuals Covered813
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $4,686,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number711913
Policy instance 4
Insurance contract or identification number711913
Number of Individuals Covered167
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,660
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 number711913
Policy instance 4
Insurance contract or identification number711913
Number of Individuals Covered178
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $60,719
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 number61547A
Policy instance 2
Insurance contract or identification number61547A
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $542,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000642A
Policy instance 1
Insurance contract or identification numberG000642A
Number of Individuals Covered66
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $5,934
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 number600371
Policy instance 3
Insurance contract or identification number600371
Number of Individuals Covered756
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $4,015,025
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 number61547A
Policy instance 2
Insurance contract or identification number61547A
Number of Individuals Covered21
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $616,294
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 number600371
Policy instance 3
Insurance contract or identification number600371
Number of Individuals Covered701
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedHEALTH CARE SERVICE PLAN
Welfare Benefit Premiums Paid to CarrierUSD $3,940,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000642A
Policy instance 1
Insurance contract or identification numberG000642A
Number of Individuals Covered59
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,853
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 number711913
Policy instance 4
Insurance contract or identification number711913
Number of Individuals Covered174
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $59,752
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 number711913
Policy instance 4
Insurance contract or identification number711913
Number of Individuals Covered225
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000642A
Policy instance 1
Insurance contract or identification numberG000642A
Number of Individuals Covered65
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,111
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 number61547A
Policy instance 2
Insurance contract or identification number61547A
Number of Individuals Covered32
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $765,125
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 number600371
Policy instance 3
Insurance contract or identification number600371
Number of Individuals Covered864
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedHEALTH CARE SERVICE PLAN
Welfare Benefit Premiums Paid to CarrierUSD $4,368,498
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 number600371
Policy instance 3
Insurance contract or identification number600371
Number of Individuals Covered971
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedHEALTH CARE SERVICE PLAN
Welfare Benefit Premiums Paid to CarrierUSD $4,913,554
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000642A
Policy instance 1
Insurance contract or identification numberG000642A
Number of Individuals Covered66
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,442
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 number711913
Policy instance 4
Insurance contract or identification number711913
Number of Individuals Covered275
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $83,560
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 number61547A
Policy instance 2
Insurance contract or identification number61547A
Number of Individuals Covered44
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $846,546
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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