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CMTA HEALTH & WELFARE PLAN 401k Plan overview

Plan NameCMTA HEALTH & WELFARE PLAN
Plan identification number 501

CMTA HEALTH & WELFARE PLAN Benefits

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

401k Sponsoring company profile

CALIFORNIA METAL TRADES ASSOCIATION TRUST has sponsored the creation of one or more 401k plans.

Company Name:CALIFORNIA METAL TRADES ASSOCIATION TRUST
Employer identification number (EIN):946065714
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CMTA HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01THOMAS A. DILLON2023-07-13
5012020-10-01THOMAS A. DILLON2022-07-15
5012019-10-01THOMAS A. DILLON2021-07-15
5012018-10-01THOMAS A. DILLON2020-07-15
5012017-10-01THOMAS A. DILLON2019-07-11
5012016-10-01
5012016-10-01THOMAS A. DILLON2019-04-01
5012015-10-01
5012015-10-01THOMAS A. DILLON2017-07-14
5012014-10-01
5012013-10-01
5012012-10-01THOMAS A. DILLON
5012011-10-01THOMAS A. DILLON
5012009-10-01THOMAS A. DILLON
5012009-10-01THOMAS A DILLON
5012008-10-01

Plan Statistics for CMTA HEALTH & WELFARE PLAN

401k plan membership statisitcs for CMTA HEALTH & WELFARE PLAN

Measure Date Value
2021: CMTA HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-0178
Total number of active participants reported on line 7a of the Form 55002021-10-010
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-010
2020: CMTA HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-0190
Total number of active participants reported on line 7a of the Form 55002020-10-0165
Number of retired or separated participants receiving benefits2020-10-0113
Total of all active and inactive participants2020-10-0178
2019: CMTA HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-0190
Number of retired or separated participants receiving benefits2019-10-0198
Total of all active and inactive participants2019-10-0198
2018: CMTA HEALTH & WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-0198
Number of other retired or separated participants entitled to future benefits2018-10-0190
Total of all active and inactive participants2018-10-0190
2017: CMTA HEALTH & WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-0186
Total number of active participants reported on line 7a of the Form 55002017-10-0198
Number of other retired or separated participants entitled to future benefits2017-10-0122
Total of all active and inactive participants2017-10-01120
2016: CMTA HEALTH & WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01123
Total number of active participants reported on line 7a of the Form 55002016-10-0186
Number of retired or separated participants receiving benefits2016-10-0119
Total of all active and inactive participants2016-10-01105
2015: CMTA HEALTH & WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01208
Total number of active participants reported on line 7a of the Form 55002015-10-01123
Number of retired or separated participants receiving benefits2015-10-0120
Total of all active and inactive participants2015-10-01143
2014: CMTA HEALTH & WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01236
Total number of active participants reported on line 7a of the Form 55002014-10-01191
Number of retired or separated participants receiving benefits2014-10-0117
Total of all active and inactive participants2014-10-01208
2013: CMTA HEALTH & WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01270
Total number of active participants reported on line 7a of the Form 55002013-10-01215
Number of retired or separated participants receiving benefits2013-10-0121
Total of all active and inactive participants2013-10-01236
2012: CMTA HEALTH & WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01281
Total number of active participants reported on line 7a of the Form 55002012-10-01251
Number of retired or separated participants receiving benefits2012-10-0119
Total of all active and inactive participants2012-10-01270
2011: CMTA HEALTH & WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01310
Total number of active participants reported on line 7a of the Form 55002011-10-01261
Number of retired or separated participants receiving benefits2011-10-0120
Total of all active and inactive participants2011-10-01281
2009: CMTA HEALTH & WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01457
Total number of active participants reported on line 7a of the Form 55002009-10-01288
Number of retired or separated participants receiving benefits2009-10-0124
Total of all active and inactive participants2009-10-01312

Financial Data on CMTA HEALTH & WELFARE PLAN

Measure Date Value
2022 : CMTA HEALTH & WELFARE PLAN 2022 401k financial data
Total plan liabilities at end of year2022-09-30$542,332
Total plan liabilities at beginning of year2022-09-30$542,432
Total income from all sources2022-09-30$281,890
Expenses. Total of all expenses incurred2022-09-30$358,482
Benefits paid (including direct rollovers)2022-09-30$196,719
Total plan assets at end of year2022-09-30$491,939
Total plan assets at beginning of year2022-09-30$568,631
Value of fidelity bond covering the plan2022-09-30$500,000
Expenses. Other expenses not covered elsewhere2022-09-30$111,866
Other income received2022-09-30$-6,400
Net income (gross income less expenses)2022-09-30$-76,592
Net plan assets at end of year (total assets less liabilities)2022-09-30$-50,393
Net plan assets at beginning of year (total assets less liabilities)2022-09-30$26,199
Total contributions received or receivable from employer(s)2022-09-30$288,290
Expenses. Administrative service providers (salaries,fees and commissions)2022-09-30$49,897
2021 : CMTA HEALTH & WELFARE PLAN 2021 401k financial data
Total plan liabilities at end of year2021-09-30$542,432
Total plan liabilities at beginning of year2021-09-30$580,570
Total income from all sources2021-09-30$1,288,099
Expenses. Total of all expenses incurred2021-09-30$1,399,005
Benefits paid (including direct rollovers)2021-09-30$1,247,111
Total plan assets at end of year2021-09-30$568,631
Total plan assets at beginning of year2021-09-30$717,675
Value of fidelity bond covering the plan2021-09-30$500,000
Other income received2021-09-30$6,640
Net income (gross income less expenses)2021-09-30$-110,906
Net plan assets at end of year (total assets less liabilities)2021-09-30$26,199
Net plan assets at beginning of year (total assets less liabilities)2021-09-30$137,105
Total contributions received or receivable from employer(s)2021-09-30$1,281,459
Expenses. Administrative service providers (salaries,fees and commissions)2021-09-30$151,894
2020 : CMTA HEALTH & WELFARE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-09-30$7,606
Total unrealized appreciation/depreciation of assets2020-09-30$7,606
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$580,570
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$1,019,366
Total income from all sources (including contributions)2020-09-30$1,588,740
Total of all expenses incurred2020-09-30$1,219,956
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$1,131,910
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$1,574,720
Value of total assets at end of year2020-09-30$717,675
Value of total assets at beginning of year2020-09-30$787,687
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$88,046
Total interest from all sources2020-09-30$28
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$6,386
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-09-30$6,386
Administrative expenses professional fees incurred2020-09-30$16,317
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-09-30$300,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-09-30$300,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-09-30$525,348
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-09-30$968,515
Administrative expenses (other) incurred2020-09-30$36,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$368,784
Value of net assets at end of year (total assets less liabilities)2020-09-30$137,105
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$-231,679
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-09-30$195,672
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-09-30$181,679
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-09-30$5,124
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-09-30$123,603
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-09-30$123,603
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-09-30$28
Expenses. Payments to insurance carriers foe the provision of benefits2020-09-30$1,131,910
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$1,574,720
Employer contributions (assets) at end of year2020-09-30$216,879
Employer contributions (assets) at beginning of year2020-09-30$182,405
Contract administrator fees2020-09-30$35,700
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-09-30No
Liabilities. Value of benefit claims payable at end of year2020-09-30$55,222
Liabilities. Value of benefit claims payable at beginning of year2020-09-30$50,851
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30No
Opinion of an independent qualified public accountant for this plan2020-09-30Unqualified
Accountancy firm name2020-09-30SD MAYER & ASSOCIATES, LLP
Accountancy firm EIN2020-09-30461171913
2019 : CMTA HEALTH & WELFARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-09-30$9,277
Total unrealized appreciation/depreciation of assets2019-09-30$9,277
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$760,796
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$759,524
Total income from all sources (including contributions)2019-09-30$1,812,812
Total of all expenses incurred2019-09-30$1,793,794
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$1,698,959
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$1,798,978
Value of total assets at end of year2019-09-30$747,156
Value of total assets at beginning of year2019-09-30$726,866
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$94,835
Total interest from all sources2019-09-30$44
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$4,513
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-09-30$4,513
Administrative expenses professional fees incurred2019-09-30$29,509
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
If this is an individual account plan, was there a blackout period2019-09-30No
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-09-30$300,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-09-30$300,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-09-30$709,945
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-09-30$746,049
Administrative expenses (other) incurred2019-09-30$45,326
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$19,018
Value of net assets at end of year (total assets less liabilities)2019-09-30$-13,640
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$-32,658
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$180,272
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$166,481
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-09-30$96,789
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-09-30$124,751
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-09-30$124,751
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-09-30$44
Expenses. Payments to insurance carriers foe the provision of benefits2019-09-30$1,698,959
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$1,798,978
Employer contributions (assets) at end of year2019-09-30$170,095
Employer contributions (assets) at beginning of year2019-09-30$135,634
Contract administrator fees2019-09-30$20,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-09-30No
Liabilities. Value of benefit claims payable at end of year2019-09-30$50,851
Liabilities. Value of benefit claims payable at beginning of year2019-09-30$13,475
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30No
Opinion of an independent qualified public accountant for this plan2019-09-30Unqualified
Accountancy firm name2019-09-30SD MAYER & ASSOCIATES, LLP
Accountancy firm EIN2019-09-30461171913
2018 : CMTA HEALTH & WELFARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-09-30$-5,476
Total unrealized appreciation/depreciation of assets2018-09-30$-5,476
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$759,524
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$534,945
Total income from all sources (including contributions)2018-09-30$1,858,251
Total of all expenses incurred2018-09-30$2,042,025
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$1,927,409
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$1,858,401
Value of total assets at end of year2018-09-30$726,866
Value of total assets at beginning of year2018-09-30$686,061
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$114,616
Total interest from all sources2018-09-30$50
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$5,276
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-09-30$5,276
Administrative expenses professional fees incurred2018-09-30$35,031
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$500,000
If this is an individual account plan, was there a blackout period2018-09-30No
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-09-30$300,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-09-30$300,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-09-30$746,049
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-09-30$525,758
Administrative expenses (other) incurred2018-09-30$62,485
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$-183,774
Value of net assets at end of year (total assets less liabilities)2018-09-30$-32,658
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$151,116
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$166,481
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$166,681
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-09-30$124,751
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-09-30$93,127
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-09-30$93,127
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-09-30$50
Expenses. Payments to insurance carriers foe the provision of benefits2018-09-30$1,927,409
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$1,858,401
Employer contributions (assets) at end of year2018-09-30$135,634
Employer contributions (assets) at beginning of year2018-09-30$126,253
Contract administrator fees2018-09-30$17,100
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-09-30No
Liabilities. Value of benefit claims payable at end of year2018-09-30$13,475
Liabilities. Value of benefit claims payable at beginning of year2018-09-30$9,187
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30No
Opinion of an independent qualified public accountant for this plan2018-09-30Unqualified
Accountancy firm name2018-09-30SD MAYER & ASSOCIATES, LLP
Accountancy firm EIN2018-09-30461171913
2017 : CMTA HEALTH & WELFARE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-09-30$-2,120
Total unrealized appreciation/depreciation of assets2017-09-30$-2,120
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$538,797
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$456,215
Total income from all sources (including contributions)2017-09-30$1,838,145
Total of all expenses incurred2017-09-30$2,065,726
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$1,731,363
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$1,834,323
Value of total assets at end of year2017-09-30$682,947
Value of total assets at beginning of year2017-09-30$827,946
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$334,363
Total interest from all sources2017-09-30$32
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$5,910
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-09-30$5,910
Administrative expenses professional fees incurred2017-09-30$27,345
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$500,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-09-30$300,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-09-30$300,000
Assets. Loans (other than to participants) at end of year2017-09-30$0
Assets. Loans (other than to participants) at beginning of year2017-09-30$1,750
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-09-30$529,610
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-09-30$448,005
Administrative expenses (other) incurred2017-09-30$290,518
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$-227,581
Value of net assets at end of year (total assets less liabilities)2017-09-30$144,150
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$371,731
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$166,681
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$332,906
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-09-30$90,013
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-09-30$18,916
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-09-30$18,916
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-09-30$32
Expenses. Payments to insurance carriers foe the provision of benefits2017-09-30$1,731,363
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30Yes
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$1,834,323
Employer contributions (assets) at end of year2017-09-30$126,253
Employer contributions (assets) at beginning of year2017-09-30$174,374
Contract administrator fees2017-09-30$16,500
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-09-30No
Liabilities. Value of benefit claims payable at end of year2017-09-30$9,187
Liabilities. Value of benefit claims payable at beginning of year2017-09-30$8,210
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30No
Opinion of an independent qualified public accountant for this plan2017-09-30Unqualified
Accountancy firm name2017-09-30SD MAYER & ASSOCIATES, LLP
Accountancy firm EIN2017-09-30461171913
2016 : CMTA HEALTH & WELFARE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-09-30$6,967
Total unrealized appreciation/depreciation of assets2016-09-30$6,967
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$456,215
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$478,756
Total income from all sources (including contributions)2016-09-30$2,816,705
Total of all expenses incurred2016-09-30$2,811,455
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$2,739,353
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$2,795,291
Value of total assets at end of year2016-09-30$827,946
Value of total assets at beginning of year2016-09-30$845,237
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$72,102
Total interest from all sources2016-09-30$51
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$14,396
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-09-30$14,396
Administrative expenses professional fees incurred2016-09-30$28,628
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$500,000
If this is an individual account plan, was there a blackout period2016-09-30No
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-09-30$300,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-09-30$462
Assets. Loans (other than to participants) at end of year2016-09-30$1,750
Assets. Loans (other than to participants) at beginning of year2016-09-30$1,750
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-09-30$448,005
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-09-30$473,165
Administrative expenses (other) incurred2016-09-30$25,474
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$5,250
Value of net assets at end of year (total assets less liabilities)2016-09-30$371,731
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$366,481
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$332,906
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$711,558
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-09-30$18,916
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-09-30$105,518
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-09-30$105,518
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-09-30$51
Expenses. Payments to insurance carriers foe the provision of benefits2016-09-30$2,739,353
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30Yes
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$2,795,291
Employer contributions (assets) at end of year2016-09-30$174,374
Employer contributions (assets) at beginning of year2016-09-30$25,949
Contract administrator fees2016-09-30$18,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-09-30No
Liabilities. Value of benefit claims payable at end of year2016-09-30$8,210
Liabilities. Value of benefit claims payable at beginning of year2016-09-30$5,591
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30No
Opinion of an independent qualified public accountant for this plan2016-09-30Unqualified
Accountancy firm name2016-09-30SD MAYER & ASSOCIATES LLP
Accountancy firm EIN2016-09-30461171913
2015 : CMTA HEALTH & WELFARE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-09-30$-20,947
Total unrealized appreciation/depreciation of assets2015-09-30$-20,947
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$921,525
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$1,059,957
Total income from all sources (including contributions)2015-09-30$3,099,881
Total of all expenses incurred2015-09-30$3,401,019
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$3,258,321
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$3,095,995
Value of total assets at end of year2015-09-30$984,017
Value of total assets at beginning of year2015-09-30$1,423,587
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$142,698
Total interest from all sources2015-09-30$144
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$24,689
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-09-30$24,689
Administrative expenses professional fees incurred2015-09-30$31,789
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-09-30$462
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-09-30$462
Assets. Loans (other than to participants) at end of year2015-09-30$1,750
Assets. Loans (other than to participants) at beginning of year2015-09-30$1,750
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-09-30$918,803
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-09-30$1,021,777
Administrative expenses (other) incurred2015-09-30$92,909
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-301,138
Value of net assets at end of year (total assets less liabilities)2015-09-30$62,492
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$363,630
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$711,558
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$907,831
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-09-30$82,344
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-09-30$383,422
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-09-30$383,422
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-09-30$144
Expenses. Payments to insurance carriers foe the provision of benefits2015-09-30$3,258,321
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30Yes
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$3,095,995
Employer contributions (assets) at end of year2015-09-30$187,903
Employer contributions (assets) at beginning of year2015-09-30$130,122
Contract administrator fees2015-09-30$18,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-09-30No
Liabilities. Value of benefit claims payable at end of year2015-09-30$2,722
Liabilities. Value of benefit claims payable at beginning of year2015-09-30$38,180
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30No
Opinion of an independent qualified public accountant for this plan2015-09-30Unqualified
Accountancy firm name2015-09-30SD MAYER & ASSOCIATES LLP
Accountancy firm EIN2015-09-30461171913
2014 : CMTA HEALTH & WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-09-30$19,907
Total unrealized appreciation/depreciation of assets2014-09-30$19,907
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$1,059,957
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$801,547
Total income from all sources (including contributions)2014-09-30$3,332,614
Total of all expenses incurred2014-09-30$3,534,355
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$3,391,855
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$3,283,034
Value of total assets at end of year2014-09-30$1,423,587
Value of total assets at beginning of year2014-09-30$1,366,918
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$142,500
Total interest from all sources2014-09-30$165
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$29,508
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-09-30$29,508
Administrative expenses professional fees incurred2014-09-30$28,696
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$500,000
If this is an individual account plan, was there a blackout period2014-09-30No
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-09-30$462
Assets. Loans (other than to participants) at end of year2014-09-30$1,750
Assets. Loans (other than to participants) at beginning of year2014-09-30$1,750
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-09-30$1,021,777
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-09-30$699,571
Administrative expenses (other) incurred2014-09-30$95,804
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$-201,741
Value of net assets at end of year (total assets less liabilities)2014-09-30$363,630
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$565,371
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$907,831
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-09-30$858,416
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-09-30$383,422
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-09-30$478,435
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-09-30$478,435
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-09-30$165
Expenses. Payments to insurance carriers foe the provision of benefits2014-09-30$3,391,855
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$3,283,034
Employer contributions (assets) at end of year2014-09-30$130,122
Employer contributions (assets) at beginning of year2014-09-30$28,317
Contract administrator fees2014-09-30$18,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-09-30No
Liabilities. Value of benefit claims payable at end of year2014-09-30$38,180
Liabilities. Value of benefit claims payable at beginning of year2014-09-30$101,976
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30No
Opinion of an independent qualified public accountant for this plan2014-09-30Unqualified
Accountancy firm name2014-09-30PMB HELIN DONOVAN, LLP
Accountancy firm EIN2014-09-30743001153
2013 : CMTA HEALTH & WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-09-30$-62,372
Total unrealized appreciation/depreciation of assets2013-09-30$-62,372
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$801,547
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$454,561
Total income from all sources (including contributions)2013-09-30$3,058,428
Total loss/gain on sale of assets2013-09-30$41,905
Total of all expenses incurred2013-09-30$3,402,998
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$3,269,924
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$3,051,211
Value of total assets at end of year2013-09-30$1,366,918
Value of total assets at beginning of year2013-09-30$1,364,502
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$133,074
Total interest from all sources2013-09-30$109
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$27,575
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-09-30$27,575
Administrative expenses professional fees incurred2013-09-30$27,163
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$500,000
If this is an individual account plan, was there a blackout period2013-09-30No
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Assets. Loans (other than to participants) at end of year2013-09-30$1,750
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-09-30$699,571
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-09-30$432,335
Administrative expenses (other) incurred2013-09-30$87,911
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$-344,570
Value of net assets at end of year (total assets less liabilities)2013-09-30$565,371
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$909,941
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$858,416
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$1,165,324
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-09-30$478,435
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-09-30$154,775
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-09-30$154,775
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-09-30$109
Expenses. Payments to insurance carriers foe the provision of benefits2013-09-30$3,269,924
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30Yes
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$3,051,211
Employer contributions (assets) at end of year2013-09-30$28,317
Employer contributions (assets) at beginning of year2013-09-30$44,403
Contract administrator fees2013-09-30$18,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-09-30No
Liabilities. Value of benefit claims payable at end of year2013-09-30$101,976
Liabilities. Value of benefit claims payable at beginning of year2013-09-30$22,226
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Aggregate proceeds on sale of assets2013-09-30$314,015
Aggregate carrying amount (costs) on sale of assets2013-09-30$272,110
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30No
Opinion of an independent qualified public accountant for this plan2013-09-30Unqualified
Accountancy firm name2013-09-30PMB HELIN DONOVAN, LLP
Accountancy firm EIN2013-09-30743001153
2012 : CMTA HEALTH & WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-09-30$31,109
Total unrealized appreciation/depreciation of assets2012-09-30$31,109
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$454,561
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$459,250
Total income from all sources (including contributions)2012-09-30$3,315,432
Total of all expenses incurred2012-09-30$3,500,378
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$3,396,487
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$3,217,174
Value of total assets at end of year2012-09-30$1,364,502
Value of total assets at beginning of year2012-09-30$1,554,137
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$103,891
Total interest from all sources2012-09-30$134
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$46,235
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-09-30$46,235
Administrative expenses professional fees incurred2012-09-30$8,900
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$500,000
If this is an individual account plan, was there a blackout period2012-09-30No
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-09-30$2,370
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-09-30$432,335
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-09-30$315,975
Administrative expenses (other) incurred2012-09-30$76,991
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$-184,946
Value of net assets at end of year (total assets less liabilities)2012-09-30$909,941
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$1,094,887
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-09-30$1,165,324
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-09-30$1,332,259
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-09-30$154,775
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-09-30$219,508
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-09-30$219,508
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-09-30$134
Expenses. Payments to insurance carriers foe the provision of benefits2012-09-30$3,396,487
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$20,780
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30Yes
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$3,217,174
Employer contributions (assets) at end of year2012-09-30$44,403
Contract administrator fees2012-09-30$18,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-09-30No
Liabilities. Value of benefit claims payable at end of year2012-09-30$22,226
Liabilities. Value of benefit claims payable at beginning of year2012-09-30$143,275
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30No
Opinion of an independent qualified public accountant for this plan2012-09-30Unqualified
Accountancy firm name2012-09-30PMB HELIN DONOVAN, LLP
Accountancy firm EIN2012-09-30743001153
2011 : CMTA HEALTH & WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-09-30$-52,311
Total unrealized appreciation/depreciation of assets2011-09-30$-52,311
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$459,250
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$457,924
Total income from all sources (including contributions)2011-09-30$3,246,521
Total of all expenses incurred2011-09-30$3,543,410
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$3,418,310
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$3,194,407
Value of total assets at end of year2011-09-30$1,554,137
Value of total assets at beginning of year2011-09-30$1,849,700
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$125,100
Total interest from all sources2011-09-30$426
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$62,310
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-09-30$62,310
Administrative expenses professional fees incurred2011-09-30$24,879
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$500,000
If this is an individual account plan, was there a blackout period2011-09-30No
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-09-30$2,370
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-09-30$2,370
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-09-30$315,975
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-09-30$319,697
Administrative expenses (other) incurred2011-09-30$82,221
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$-296,889
Value of net assets at end of year (total assets less liabilities)2011-09-30$1,094,887
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$1,391,776
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-09-30$1,332,259
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-09-30$1,661,647
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-09-30$219,508
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-09-30$185,683
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-09-30$185,683
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-09-30$426
Expenses. Payments to insurance carriers foe the provision of benefits2011-09-30$3,418,310
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-09-30$41,689
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30Yes
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$3,194,407
Contract administrator fees2011-09-30$18,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-09-30No
Liabilities. Value of benefit claims payable at end of year2011-09-30$143,275
Liabilities. Value of benefit claims payable at beginning of year2011-09-30$138,227
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30No
Opinion of an independent qualified public accountant for this plan2011-09-30Unqualified
Accountancy firm name2011-09-30PMB HELIN DONOVAN, LLP
Accountancy firm EIN2011-09-30743001153

Form 5500 Responses for CMTA HEALTH & WELFARE PLAN

2021: CMTA HEALTH & WELFARE PLAN 2021 form 5500 responses
2021-10-01Type of plan entityMulitple employer plan
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: CMTA HEALTH & WELFARE PLAN 2020 form 5500 responses
2020-10-01Type of plan entityMulitple employer plan
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: CMTA HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-10-01Type of plan entityMulitple employer plan
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: CMTA HEALTH & WELFARE PLAN 2018 form 5500 responses
2018-10-01Type of plan entityMulitple employer plan
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: CMTA HEALTH & WELFARE PLAN 2017 form 5500 responses
2017-10-01Type of plan entityMulitple employer plan
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: CMTA HEALTH & WELFARE PLAN 2016 form 5500 responses
2016-10-01Type of plan entityMulitple employer plan
2016-10-01Submission has been amendedYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: CMTA HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-10-01Type of plan entityMulitple employer plan
2015-10-01Submission has been amendedYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: CMTA HEALTH & WELFARE PLAN 2014 form 5500 responses
2014-10-01Type of plan entityMulitple employer plan
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: CMTA HEALTH & WELFARE PLAN 2013 form 5500 responses
2013-10-01Type of plan entityMulitple employer plan
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: CMTA HEALTH & WELFARE PLAN 2012 form 5500 responses
2012-10-01Type of plan entityMulitple employer plan
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: CMTA HEALTH & WELFARE PLAN 2011 form 5500 responses
2011-10-01Type of plan entityMulitple employer plan
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2009: CMTA HEALTH & WELFARE PLAN 2009 form 5500 responses
2009-10-01Type of plan entityMulitple employer plan
2009-10-01Submission has been amendedYes
2009-10-01This submission is the final filingNo
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2008: CMTA HEALTH & WELFARE PLAN 2008 form 5500 responses
2008-10-01Type of plan entityMulitple employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG-2607 C-3864
Policy instance 2
Insurance contract or identification numberG-2607 C-3864
Number of Individuals Covered54
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $6,800
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 number8405
Policy instance 3
Insurance contract or identification number8405
Number of Individuals Covered71
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedHMO CONTRACT
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 number105202
Policy instance 4
Insurance contract or identification number105202
Number of Individuals Covered2
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedHMO CONTRACT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12088821
Policy instance 5
Insurance contract or identification number12088821
Number of Individuals Covered56
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
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 number740
Policy instance 6
Insurance contract or identification number740
Number of Individuals Covered13
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0901990
Policy instance 7
Insurance contract or identification number0901990
Number of Individuals Covered10
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,309
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3198
Policy instance 1
Insurance contract or identification number3198
Number of Individuals Covered148
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3198
Policy instance 1
Insurance contract or identification number3198
Number of Individuals Covered182
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG-2607 C-3864
Policy instance 2
Insurance contract or identification numberG-2607 C-3864
Number of Individuals Covered69
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 providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $8,370
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 number8405
Policy instance 3
Insurance contract or identification number8405
Number of Individuals Covered92
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedHMO CONTRACT
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 number105202
Policy instance 4
Insurance contract or identification number105202
Number of Individuals Covered2
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedHMO CONTRACT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12088821
Policy instance 5
Insurance contract or identification number12088821
Number of Individuals Covered56
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number740
Policy instance 6
Insurance contract or identification number740
Number of Individuals Covered20
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0901990
Policy instance 7
Insurance contract or identification number0901990
Number of Individuals Covered13
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,896
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 number0901990
Policy instance 7
Insurance contract or identification number0901990
Number of Individuals Covered12
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,657
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 number740
Policy instance 6
Insurance contract or identification number740
Number of Individuals Covered29
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12088821
Policy instance 5
Insurance contract or identification number12088821
Number of Individuals Covered75
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
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 number105202
Policy instance 4
Insurance contract or identification number105202
Number of Individuals Covered2
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHMO CONTRACT
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 number8405
Policy instance 3
Insurance contract or identification number8405
Number of Individuals Covered112
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHMO CONTRACT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG-2607 C-3864
Policy instance 2
Insurance contract or identification numberG-2607 C-3864
Number of Individuals Covered80
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 providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $9,461
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3198
Policy instance 1
Insurance contract or identification number3198
Number of Individuals Covered111
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3198
Policy instance 1
Insurance contract or identification number3198
Number of Individuals Covered111
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG-2607 C-3864
Policy instance 2
Insurance contract or identification numberG-2607 C-3864
Number of Individuals Covered84
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 providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $10,672
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 number8405
Policy instance 3
Insurance contract or identification number8405
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHMO CONTRACT
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 number105202
Policy instance 4
Insurance contract or identification number105202
Number of Individuals Covered2
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHMO CONTRACT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12088821
Policy instance 5
Insurance contract or identification number12088821
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number740
Policy instance 6
Insurance contract or identification number740
Number of Individuals Covered40
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0901990
Policy instance 7
Insurance contract or identification number0901990
Number of Individuals Covered8
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,121
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG-2607 C-3864
Policy instance 2
Insurance contract or identification numberG-2607 C-3864
Number of Individuals Covered92
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
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,733
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 number8405
Policy instance 3
Insurance contract or identification number8405
Number of Individuals Covered132
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHMO CONTRACT
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 number105202
Policy instance 4
Insurance contract or identification number105202
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHMO CONTRACT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12088821
Policy instance 5
Insurance contract or identification number12088821
Number of Individuals Covered83
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number740
Policy instance 6
Insurance contract or identification number740
Number of Individuals Covered43
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0901990
Policy instance 7
Insurance contract or identification number0901990
Number of Individuals Covered16
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3198
Policy instance 1
Insurance contract or identification number3198
Number of Individuals Covered127
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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