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UFCW & EMPLOYERS BENEFIT TRUST 401k Plan overview

Plan NameUFCW & EMPLOYERS BENEFIT TRUST
Plan identification number 502

UFCW & EMPLOYERS BENEFIT TRUST Benefits

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

401k Sponsoring company profile

UFCW & EMPLOYER BENEFIT TRUST has sponsored the creation of one or more 401k plans.

Company Name:UFCW & EMPLOYER BENEFIT TRUST
Employer identification number (EIN):946078804
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFCW & EMPLOYERS BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01JACQUES S LOVEALL2023-10-05 PENNY SCHUMACHER2023-10-05
5022022-01-01JACQUES S LOVEALL2023-10-05 PENNY SCHUMACHER2023-10-05
5022021-01-01JACQUES S. LOVEALL2022-10-14 FRANK JORGENSEN2022-10-17
5022020-01-01FRANK JORGENSEN2021-09-22 JACQUES S. LOVEALL2021-09-22
5022019-01-01JACQUES S LOVEALL2020-10-01 FRANK JORGENSEN2020-10-14
5022019-01-01JACQUES S LOVEALL2020-10-01
5022018-01-01JAQUES LOVEALL2019-10-13 FRANK JORGENSEN2019-10-13
5022017-01-01
5022016-01-01
5022015-01-01
5022014-01-01
5022013-01-01

Plan Statistics for UFCW & EMPLOYERS BENEFIT TRUST

401k plan membership statisitcs for UFCW & EMPLOYERS BENEFIT TRUST

Measure Date Value
2022: UFCW & EMPLOYERS BENEFIT TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-0126,776
Total number of active participants reported on line 7a of the Form 55002022-01-0126,089
Total of all active and inactive participants2022-01-0126,089
Number of employers contributing to the scheme2022-01-0168
2021: UFCW & EMPLOYERS BENEFIT TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-0128,256
Total number of active participants reported on line 7a of the Form 55002021-01-0126,776
Total of all active and inactive participants2021-01-0126,776
Number of employers contributing to the scheme2021-01-0169
2020: UFCW & EMPLOYERS BENEFIT TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-0129,227
Total number of active participants reported on line 7a of the Form 55002020-01-0128,256
Total of all active and inactive participants2020-01-0128,256
Number of employers contributing to the scheme2020-01-0170
2019: UFCW & EMPLOYERS BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-0130,438
Total number of active participants reported on line 7a of the Form 55002019-01-0129,227
Total of all active and inactive participants2019-01-0129,227
Number of employers contributing to the scheme2019-01-0170
2018: UFCW & EMPLOYERS BENEFIT TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-0132,045
Total number of active participants reported on line 7a of the Form 55002018-01-0130,438
Total of all active and inactive participants2018-01-0130,438
Number of employers contributing to the scheme2018-01-0175
2017: UFCW & EMPLOYERS BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-0132,702
Total number of active participants reported on line 7a of the Form 55002017-01-0132,045
Total of all active and inactive participants2017-01-0132,045
Number of employers contributing to the scheme2017-01-0177
2016: UFCW & EMPLOYERS BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-0133,426
Total number of active participants reported on line 7a of the Form 55002016-01-0132,702
Total of all active and inactive participants2016-01-0132,702
Number of employers contributing to the scheme2016-01-0181
2015: UFCW & EMPLOYERS BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-0133,603
Total number of active participants reported on line 7a of the Form 55002015-01-0133,426
Total of all active and inactive participants2015-01-0133,426
Number of employers contributing to the scheme2015-01-0183
2014: UFCW & EMPLOYERS BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-0139,426
Total number of active participants reported on line 7a of the Form 55002014-01-0133,603
Total of all active and inactive participants2014-01-0133,603
Number of employers contributing to the scheme2014-01-0183
2013: UFCW & EMPLOYERS BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-010
Total number of active participants reported on line 7a of the Form 55002013-01-0139,426
Total of all active and inactive participants2013-01-0139,426
Number of employers contributing to the scheme2013-01-0192

Financial Data on UFCW & EMPLOYERS BENEFIT TRUST

Measure Date Value
2022 : UFCW & EMPLOYERS BENEFIT TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-15,588,129
Total unrealized appreciation/depreciation of assets2022-12-31$-15,588,129
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$106,217,281
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$99,813,441
Total income from all sources (including contributions)2022-12-31$428,531,485
Total loss/gain on sale of assets2022-12-31$-7,434,576
Total of all expenses incurred2022-12-31$412,738,930
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$389,380,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$430,131,524
Value of total assets at end of year2022-12-31$459,911,823
Value of total assets at beginning of year2022-12-31$437,715,428
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$23,358,130
Total interest from all sources2022-12-31$4,468,845
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$10,783,343
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$14,693,682
Participant contributions at end of year2022-12-31$1,204,333
Participant contributions at beginning of year2022-12-31$1,090,048
Assets. Other investments not covered elsewhere at end of year2022-12-31$103,601,509
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$54,166,290
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$1,058,685
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$63,408,386
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$22,640,416
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$20,522,136
Other income not declared elsewhere2022-12-31$15,806,201
Administrative expenses (other) incurred2022-12-31$1,421,560
Liabilities. Value of operating payables at end of year2022-12-31$217,458
Liabilities. Value of operating payables at beginning of year2022-12-31$591,625
Total non interest bearing cash at end of year2022-12-31$52,091,224
Total non interest bearing cash at beginning of year2022-12-31$32,065,880
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$15,792,555
Value of net assets at end of year (total assets less liabilities)2022-12-31$353,694,542
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$337,901,987
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$40,603,070
Assets. partnership/joint venture interests at beginning of year2022-12-31$72,178,587
Investment advisory and management fees2022-12-31$1,089,452
Value of interest in pooled separate accounts at end of year2022-12-31$40,245,992
Interest earned on other investments2022-12-31$2,099,395
Income. Interest from US Government securities2022-12-31$841,308
Income. Interest from corporate debt instruments2022-12-31$1,342,618
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$459,207
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$6,694,946
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$6,694,946
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$185,524
Assets. Value of investments in 103.12 investment entities at end of year2022-12-31$50,011,325
Assets. Value of investments in 103.12 investment entities at beginning of year2022-12-31$34,530,396
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$85,236,489
Asset value of US Government securities at end of year2022-12-31$55,716,350
Asset value of US Government securities at beginning of year2022-12-31$54,685,447
Net investment gain/loss from pooled separate accounts2022-12-31$300,874
Net gain/loss from 103.12 investment entities2022-12-31$846,746
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$415,437,842
Employer contributions (assets) at end of year2022-12-31$36,544,951
Employer contributions (assets) at beginning of year2022-12-31$33,729,838
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$304,144,311
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$78,375,177
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$85,165,610
Contract administrator fees2022-12-31$10,063,775
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$83,359,407
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$78,699,680
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$144,791,254
Aggregate carrying amount (costs) on sale of assets2022-12-31$152,225,830
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31EIDE BAILLY LLP
Accountancy firm EIN2022-12-31450250958
2021 : UFCW & EMPLOYERS BENEFIT TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-797,833
Total unrealized appreciation/depreciation of assets2021-12-31$-797,833
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$99,813,441
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$84,728,680
Total income from all sources (including contributions)2021-12-31$427,644,396
Total loss/gain on sale of assets2021-12-31$-437,513
Total of all expenses incurred2021-12-31$415,961,513
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$392,429,074
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$416,240,908
Value of total assets at end of year2021-12-31$437,715,428
Value of total assets at beginning of year2021-12-31$410,947,784
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$23,532,439
Total interest from all sources2021-12-31$5,037,543
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$10,473,222
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$15,174,154
Participant contributions at end of year2021-12-31$1,090,048
Participant contributions at beginning of year2021-12-31$1,139,164
Assets. Other investments not covered elsewhere at end of year2021-12-31$54,166,290
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$83,096,447
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$1,656,562
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$63,408,386
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$9,514,246
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$20,522,136
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$39,891,472
Other income not declared elsewhere2021-12-31$262,692
Administrative expenses (other) incurred2021-12-31$1,453,009
Liabilities. Value of operating payables at end of year2021-12-31$591,625
Liabilities. Value of operating payables at beginning of year2021-12-31$190,620
Total non interest bearing cash at end of year2021-12-31$32,065,880
Total non interest bearing cash at beginning of year2021-12-31$36,414,362
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$11,682,883
Value of net assets at end of year (total assets less liabilities)2021-12-31$337,901,987
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$326,219,104
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Assets. partnership/joint venture interests at end of year2021-12-31$72,178,587
Assets. partnership/joint venture interests at beginning of year2021-12-31$31,729,794
Investment advisory and management fees2021-12-31$1,618,110
Interest earned on other investments2021-12-31$2,984,363
Income. Interest from US Government securities2021-12-31$615,832
Income. Interest from corporate debt instruments2021-12-31$1,390,337
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$6,694,946
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$3,328,676
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$3,328,676
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$47,011
Assets. Value of investments in 103.12 investment entities at end of year2021-12-31$34,530,396
Assets. Value of investments in 103.12 investment entities at beginning of year2021-12-31$91,236,122
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$87,436,194
Asset value of US Government securities at end of year2021-12-31$54,685,447
Asset value of US Government securities at beginning of year2021-12-31$37,948,581
Net gain/loss from 103.12 investment entities2021-12-31$7,338,599
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$399,410,192
Employer contributions (assets) at end of year2021-12-31$33,729,838
Employer contributions (assets) at beginning of year2021-12-31$31,951,156
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$304,992,880
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$84,589,236
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$85,165,610
Contract administrator fees2021-12-31$9,988,098
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$78,699,680
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$44,646,588
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$73,145,532
Aggregate carrying amount (costs) on sale of assets2021-12-31$73,583,045
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31EIDE BAILLY, LLP
Accountancy firm EIN2021-12-31450250958
2020 : UFCW & EMPLOYERS BENEFIT TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$-1,596,523
Total unrealized appreciation/depreciation of assets2020-12-31$-1,596,523
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$84,728,680
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$90,328,156
Total income from all sources (including contributions)2020-12-31$383,095,240
Total loss/gain on sale of assets2020-12-31$1,522,617
Total of all expenses incurred2020-12-31$379,550,260
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$353,536,435
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$374,087,249
Value of total assets at end of year2020-12-31$410,947,784
Value of total assets at beginning of year2020-12-31$413,002,280
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$26,013,825
Total interest from all sources2020-12-31$5,614,919
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$6,678
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$6,678
Administrative expenses professional fees incurred2020-12-31$11,124,472
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$15,857,442
Participant contributions at end of year2020-12-31$1,139,164
Participant contributions at beginning of year2020-12-31$1,318,407
Assets. Other investments not covered elsewhere at end of year2020-12-31$83,096,447
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$112,690,248
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$9,514,246
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$2,918,501
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$39,891,472
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$35,758,635
Other income not declared elsewhere2020-12-31$2,143,688
Administrative expenses (other) incurred2020-12-31$1,606,600
Liabilities. Value of operating payables at end of year2020-12-31$190,620
Liabilities. Value of operating payables at beginning of year2020-12-31$291,931
Total non interest bearing cash at end of year2020-12-31$36,414,362
Total non interest bearing cash at beginning of year2020-12-31$35,450,577
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$3,544,980
Value of net assets at end of year (total assets less liabilities)2020-12-31$326,219,104
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$322,674,124
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
Assets. partnership/joint venture interests at end of year2020-12-31$31,729,794
Investment advisory and management fees2020-12-31$1,294,422
Interest earned on other investments2020-12-31$2,619,098
Income. Interest from US Government securities2020-12-31$1,207,831
Income. Interest from corporate debt instruments2020-12-31$1,722,248
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$3,328,676
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$41,365
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$41,365
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$65,742
Assets. Value of investments in 103.12 investment entities at end of year2020-12-31$91,236,122
Assets. Value of investments in 103.12 investment entities at beginning of year2020-12-31$90,205,836
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$71,622,446
Asset value of US Government securities at end of year2020-12-31$37,948,581
Asset value of US Government securities at beginning of year2020-12-31$71,546,989
Net gain/loss from 103.12 investment entities2020-12-31$1,316,612
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$358,229,807
Employer contributions (assets) at end of year2020-12-31$31,951,156
Employer contributions (assets) at beginning of year2020-12-31$30,693,180
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$281,913,989
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$84,589,236
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$68,137,177
Contract administrator fees2020-12-31$11,988,331
Liabilities. Value of benefit claims payable at end of year2020-12-31$44,646,588
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$54,277,590
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$120,580,191
Aggregate carrying amount (costs) on sale of assets2020-12-31$119,057,574
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31EIDE BAILLY LLP
Accountancy firm EIN2020-12-31450250958
2019 : UFCW & EMPLOYERS BENEFIT TRUST 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$287,304
Unrealized appreciation/depreciation of real estate assets2019-12-31$287,304
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$3,072,579
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$3,072,579
Total unrealized appreciation/depreciation of assets2019-12-31$3,359,883
Total unrealized appreciation/depreciation of assets2019-12-31$3,359,883
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$127,375,287
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$127,375,287
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$99,382,044
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$99,382,044
Total income from all sources (including contributions)2019-12-31$409,695,979
Total income from all sources (including contributions)2019-12-31$409,695,979
Total loss/gain on sale of assets2019-12-31$409,128
Total loss/gain on sale of assets2019-12-31$409,128
Total of all expenses incurred2019-12-31$417,075,243
Total of all expenses incurred2019-12-31$417,075,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$392,154,176
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$392,154,176
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$392,982,745
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$392,982,745
Value of total assets at end of year2019-12-31$411,723,398
Value of total assets at end of year2019-12-31$411,723,398
Value of total assets at beginning of year2019-12-31$391,109,419
Value of total assets at beginning of year2019-12-31$391,109,419
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$24,921,067
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$24,921,067
Total interest from all sources2019-12-31$3,645,961
Total interest from all sources2019-12-31$3,645,961
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$44,421
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$44,421
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$44,421
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$44,421
Assets. Real estate other than employer real property at end of year2019-12-31$10,287,304
Assets. Real estate other than employer real property at end of year2019-12-31$10,287,304
Assets. Real estate other than employer real property at beginning of year2019-12-31$0
Assets. Real estate other than employer real property at beginning of year2019-12-31$0
Administrative expenses professional fees incurred2019-12-31$11,469,246
Administrative expenses professional fees incurred2019-12-31$11,469,246
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$17,724,020
Contributions received from participants2019-12-31$17,724,020
Participant contributions at end of year2019-12-31$1,318,407
Participant contributions at end of year2019-12-31$1,318,407
Participant contributions at beginning of year2019-12-31$1,550,741
Assets. Other investments not covered elsewhere at end of year2019-12-31$102,402,944
Assets. Other investments not covered elsewhere at end of year2019-12-31$102,402,944
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$98,354,202
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$98,354,202
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$946,850
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$946,850
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$516,995
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$516,995
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$72,805,766
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$72,805,766
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$47,254,567
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$47,254,567
Other income not declared elsewhere2019-12-31$158,687
Other income not declared elsewhere2019-12-31$158,687
Administrative expenses (other) incurred2019-12-31$1,746,328
Administrative expenses (other) incurred2019-12-31$1,746,328
Liabilities. Value of operating payables at end of year2019-12-31$291,931
Liabilities. Value of operating payables at end of year2019-12-31$291,931
Liabilities. Value of operating payables at beginning of year2019-12-31$651,439
Liabilities. Value of operating payables at beginning of year2019-12-31$651,439
Total non interest bearing cash at end of year2019-12-31$37,422,228
Total non interest bearing cash at end of year2019-12-31$37,422,228
Total non interest bearing cash at beginning of year2019-12-31$35,662,725
Total non interest bearing cash at beginning of year2019-12-31$35,662,725
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-7,379,264
Value of net income/loss2019-12-31$-7,379,264
Value of net assets at end of year (total assets less liabilities)2019-12-31$284,348,111
Value of net assets at end of year (total assets less liabilities)2019-12-31$284,348,111
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$291,727,375
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$291,727,375
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$1,408,076
Investment advisory and management fees2019-12-31$1,408,076
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$17,932
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$17,932
Interest earned on other investments2019-12-31$2,911,614
Income. Interest from US Government securities2019-12-31$1,502,178
Income. Interest from US Government securities2019-12-31$1,502,178
Income. Interest from corporate debt instruments2019-12-31$1,677,555
Income. Interest from corporate debt instruments2019-12-31$1,677,555
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$41,365
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$41,365
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$624,062
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$624,062
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$624,062
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$624,062
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$466,228
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$466,228
Assets. Value of investments in 103.12 investment entities at end of year2019-12-31$90,205,836
Assets. Value of investments in 103.12 investment entities at end of year2019-12-31$90,205,836
Assets. Value of investments in 103.12 investment entities at beginning of year2019-12-31$84,372,889
Assets. Value of investments in 103.12 investment entities at beginning of year2019-12-31$84,372,889
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$76,998,261
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$76,998,261
Asset value of US Government securities at end of year2019-12-31$71,546,989
Asset value of US Government securities at end of year2019-12-31$71,546,989
Asset value of US Government securities at beginning of year2019-12-31$76,132,861
Asset value of US Government securities at beginning of year2019-12-31$76,132,861
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$11
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$11
Net investment gain or loss from common/collective trusts2019-12-31$2,911,614
Net investment gain or loss from common/collective trusts2019-12-31$2,911,614
Net gain/loss from 103.12 investment entities2019-12-31$6,183,529
Net gain/loss from 103.12 investment entities2019-12-31$6,183,529
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
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
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$375,258,725
Contributions received in cash from employer2019-12-31$375,258,725
Employer contributions (assets) at end of year2019-12-31$29,414,298
Employer contributions (assets) at end of year2019-12-31$29,414,298
Employer contributions (assets) at beginning of year2019-12-31$37,863,347
Employer contributions (assets) at beginning of year2019-12-31$37,863,347
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$315,155,915
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$315,155,915
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$68,137,177
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$68,137,177
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$56,013,665
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$56,013,665
Contract administrator fees2019-12-31$10,297,417
Contract administrator fees2019-12-31$10,297,417
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$54,277,590
Liabilities. Value of benefit claims payable at end of year2019-12-31$54,277,590
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$51,476,038
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$51,476,038
Did the plan have assets held for investment2019-12-31Yes
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
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
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$112,253,224
Aggregate proceeds on sale of assets2019-12-31$112,253,224
Aggregate carrying amount (costs) on sale of assets2019-12-31$111,844,096
Aggregate carrying amount (costs) on sale of assets2019-12-31$111,844,096
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31EIDE BAILLY LLP
Accountancy firm name2019-12-31EIDE BAILLY LLP
Accountancy firm EIN2019-12-31450250958
Accountancy firm EIN2019-12-31450250958
2018 : UFCW & EMPLOYERS BENEFIT TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-1,260,847
Total unrealized appreciation/depreciation of assets2018-12-31$-1,260,847
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$92,582,044
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$99,870,196
Total income from all sources (including contributions)2018-12-31$422,901,329
Total loss/gain on sale of assets2018-12-31$-722,896
Total of all expenses incurred2018-12-31$415,301,613
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$389,889,814
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$422,524,488
Value of total assets at end of year2018-12-31$391,109,419
Value of total assets at beginning of year2018-12-31$390,797,855
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$25,411,799
Total interest from all sources2018-12-31$4,527,316
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$12,181,213
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$18,199,446
Participant contributions at end of year2018-12-31$1,550,741
Participant contributions at beginning of year2018-12-31$1,693,700
Assets. Other investments not covered elsewhere at end of year2018-12-31$98,354,202
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$98,660,048
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$516,995
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$436,031
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$40,454,567
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$50,864,044
Other income not declared elsewhere2018-12-31$705,817
Administrative expenses (other) incurred2018-12-31$1,469,647
Liabilities. Value of operating payables at end of year2018-12-31$651,439
Liabilities. Value of operating payables at beginning of year2018-12-31$855,631
Total non interest bearing cash at end of year2018-12-31$35,662,725
Total non interest bearing cash at beginning of year2018-12-31$48,471,475
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$7,599,716
Value of net assets at end of year (total assets less liabilities)2018-12-31$298,527,375
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$290,927,659
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$1,459,615
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$17,932
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$486,765
Interest earned on other investments2018-12-31$1,825,253
Income. Interest from US Government securities2018-12-31$1,216,155
Income. Interest from corporate debt instruments2018-12-31$1,314,624
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$624,062
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$7,818,468
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$7,818,468
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$171,284
Assets. Value of investments in 103.12 investment entities at end of year2018-12-31$84,372,889
Assets. Value of investments in 103.12 investment entities at beginning of year2018-12-31$83,507,887
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$79,605,745
Asset value of US Government securities at end of year2018-12-31$76,132,861
Asset value of US Government securities at beginning of year2018-12-31$63,615,089
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$726
Net gain/loss from 103.12 investment entities2018-12-31$-2,873,275
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$404,325,042
Employer contributions (assets) at end of year2018-12-31$37,863,347
Employer contributions (assets) at beginning of year2018-12-31$36,683,314
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$310,284,069
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$56,013,665
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$49,425,078
Contract administrator fees2018-12-31$10,301,324
Liabilities. Value of benefit claims payable at end of year2018-12-31$51,476,038
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$48,150,521
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$76,601,569
Aggregate carrying amount (costs) on sale of assets2018-12-31$77,324,465
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 name2018-12-31EIDE BAILLY LLP
Accountancy firm EIN2018-12-31450250958
2017 : UFCW & EMPLOYERS BENEFIT TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$708,388
Total unrealized appreciation/depreciation of assets2017-12-31$708,388
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$99,870,196
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$79,655,964
Total income from all sources (including contributions)2017-12-31$451,623,929
Total loss/gain on sale of assets2017-12-31$337,659
Total of all expenses incurred2017-12-31$433,012,766
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$405,448,315
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$437,257,120
Value of total assets at end of year2017-12-31$390,797,855
Value of total assets at beginning of year2017-12-31$351,972,460
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$27,564,451
Total interest from all sources2017-12-31$2,741,819
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$39,859
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$39,859
Administrative expenses professional fees incurred2017-12-31$14,413,436
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$18,470,647
Participant contributions at end of year2017-12-31$1,693,700
Participant contributions at beginning of year2017-12-31$3,274,611
Assets. Other investments not covered elsewhere at end of year2017-12-31$98,660,048
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$53,773,915
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$436,031
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$23,522,044
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$50,864,044
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$41,148,040
Other income not declared elsewhere2017-12-31$3,698,814
Administrative expenses (other) incurred2017-12-31$1,546,355
Liabilities. Value of operating payables at end of year2017-12-31$855,631
Liabilities. Value of operating payables at beginning of year2017-12-31$410,689
Total non interest bearing cash at end of year2017-12-31$48,471,475
Total non interest bearing cash at beginning of year2017-12-31$59,821,400
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$18,611,163
Value of net assets at end of year (total assets less liabilities)2017-12-31$290,927,659
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$272,316,496
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$1,518,684
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$486,765
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$16,885,564
Interest earned on other investments2017-12-31$1,275,005
Income. Interest from US Government securities2017-12-31$647,273
Income. Interest from corporate debt instruments2017-12-31$690,550
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$7,818,468
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$42,100,492
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$42,100,492
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$128,991
Assets. Value of investments in 103.12 investment entities at end of year2017-12-31$83,507,887
Assets. Value of investments in 103.12 investment entities at beginning of year2017-12-31$32,680,326
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$81,708,332
Asset value of US Government securities at end of year2017-12-31$63,615,089
Asset value of US Government securities at beginning of year2017-12-31$51,322,216
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$835,663
Net gain/loss from 103.12 investment entities2017-12-31$6,004,607
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$418,786,473
Employer contributions (assets) at end of year2017-12-31$36,683,314
Employer contributions (assets) at beginning of year2017-12-31$36,662,201
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$323,739,983
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$49,425,078
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$31,929,691
Contract administrator fees2017-12-31$10,085,976
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$48,150,521
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$38,097,235
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$48,414,726
Aggregate carrying amount (costs) on sale of assets2017-12-31$48,077,067
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 name2017-12-31VAVRINEK, TRINE, DAY & CO., LLP
Accountancy firm EIN2017-12-31952648289
2016 : UFCW & EMPLOYERS BENEFIT TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$5,906,606
Total unrealized appreciation/depreciation of assets2016-12-31$5,906,606
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$79,655,964
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$78,768,979
Total income from all sources (including contributions)2016-12-31$465,923,486
Total loss/gain on sale of assets2016-12-31$-6,013
Total of all expenses incurred2016-12-31$358,178,932
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$329,318,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$452,306,512
Value of total assets at end of year2016-12-31$351,972,460
Value of total assets at beginning of year2016-12-31$243,340,921
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$28,859,972
Total interest from all sources2016-12-31$946,837
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$962,263
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$962,263
Administrative expenses professional fees incurred2016-12-31$13,074,104
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
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$20,667,041
Participant contributions at end of year2016-12-31$3,274,611
Participant contributions at beginning of year2016-12-31$3,653,473
Assets. Other investments not covered elsewhere at end of year2016-12-31$53,773,915
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$22,587,599
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$23,522,044
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$7,043,375
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$41,148,040
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$39,724,577
Other income not declared elsewhere2016-12-31$4,486,540
Administrative expenses (other) incurred2016-12-31$2,355,205
Liabilities. Value of operating payables at end of year2016-12-31$410,689
Liabilities. Value of operating payables at beginning of year2016-12-31$696,965
Total non interest bearing cash at end of year2016-12-31$59,821,400
Total non interest bearing cash at beginning of year2016-12-31$55,661,841
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$107,744,554
Value of net assets at end of year (total assets less liabilities)2016-12-31$272,316,496
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$164,571,942
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$847,653
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$16,885,564
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$42,076,879
Income. Interest from US Government securities2016-12-31$519,138
Income. Interest from corporate debt instruments2016-12-31$406,613
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$42,100,492
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$25,552,621
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$25,552,621
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$21,086
Assets. Value of investments in 103.12 investment entities at end of year2016-12-31$32,680,326
Assets. Value of investments in 103.12 investment entities at beginning of year2016-12-31$10,894,825
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$83,944,407
Asset value of US Government securities at end of year2016-12-31$51,322,216
Asset value of US Government securities at beginning of year2016-12-31$21,858,059
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$6,245,895
Net investment gain or loss from common/collective trusts2016-12-31$201,272
Net gain/loss from 103.12 investment entities2016-12-31$-5,126,426
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$431,639,471
Employer contributions (assets) at end of year2016-12-31$36,662,201
Employer contributions (assets) at beginning of year2016-12-31$35,631,014
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$245,374,553
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$31,929,691
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$18,381,235
Contract administrator fees2016-12-31$12,583,010
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$38,097,235
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$38,347,437
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$17,441,054
Aggregate carrying amount (costs) on sale of assets2016-12-31$17,447,067
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 name2016-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2016-12-31300702322
2015 : UFCW & EMPLOYERS BENEFIT TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$814,146
Total unrealized appreciation/depreciation of assets2015-12-31$814,146
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$78,768,979
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$100,104,341
Total income from all sources (including contributions)2015-12-31$442,866,433
Total loss/gain on sale of assets2015-12-31$-78,364
Total of all expenses incurred2015-12-31$377,637,657
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$350,544,966
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$443,816,987
Value of total assets at end of year2015-12-31$243,340,921
Value of total assets at beginning of year2015-12-31$199,447,507
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$27,092,691
Total interest from all sources2015-12-31$676,030
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,554,335
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,554,335
Administrative expenses professional fees incurred2015-12-31$13,480,264
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
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$22,503,341
Participant contributions at end of year2015-12-31$3,653,473
Participant contributions at beginning of year2015-12-31$3,806,531
Assets. Other investments not covered elsewhere at end of year2015-12-31$22,587,599
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$7,043,375
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$1,505,453
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$39,724,577
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$51,273,236
Other income not declared elsewhere2015-12-31$1,190,452
Administrative expenses (other) incurred2015-12-31$1,563,636
Liabilities. Value of operating payables at end of year2015-12-31$696,965
Liabilities. Value of operating payables at beginning of year2015-12-31$2,778,221
Total non interest bearing cash at end of year2015-12-31$55,661,841
Total non interest bearing cash at beginning of year2015-12-31$72,500,815
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$65,228,776
Value of net assets at end of year (total assets less liabilities)2015-12-31$164,571,942
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$99,343,166
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$781,438
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$42,076,879
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$21,691,729
Income. Interest from US Government securities2015-12-31$372,058
Income. Interest from corporate debt instruments2015-12-31$303,971
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$25,552,621
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$5,557,979
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$5,557,979
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$1
Assets. Value of investments in 103.12 investment entities at end of year2015-12-31$10,894,825
Assets. Value of investments in 103.12 investment entities at beginning of year2015-12-31$17,311,521
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$88,079,854
Asset value of US Government securities at end of year2015-12-31$21,858,059
Asset value of US Government securities at beginning of year2015-12-31$24,553,587
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-5,504,042
Net gain/loss from 103.12 investment entities2015-12-31$396,889
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$421,313,646
Employer contributions (assets) at end of year2015-12-31$35,631,014
Employer contributions (assets) at beginning of year2015-12-31$34,462,118
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$262,465,112
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$18,381,235
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$18,057,774
Contract administrator fees2015-12-31$11,267,353
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$38,347,437
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$46,052,884
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$25,037,221
Aggregate carrying amount (costs) on sale of assets2015-12-31$25,115,585
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2015-12-31300702322
2014 : UFCW & EMPLOYERS BENEFIT TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-2,043,672
Total unrealized appreciation/depreciation of assets2014-12-31$-2,043,672
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$100,104,341
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$97,313,963
Total income from all sources (including contributions)2014-12-31$434,060,003
Total loss/gain on sale of assets2014-12-31$1,919,079
Total of all expenses incurred2014-12-31$395,126,575
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$366,209,020
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$432,117,057
Value of total assets at end of year2014-12-31$199,447,507
Value of total assets at beginning of year2014-12-31$157,723,701
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$28,917,555
Total interest from all sources2014-12-31$613,964
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$1,009,105
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$1,009,105
Administrative expenses professional fees incurred2014-12-31$13,765,017
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
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$23,794,065
Participant contributions at end of year2014-12-31$3,806,531
Participant contributions at beginning of year2014-12-31$3,188,920
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$1,505,453
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$13,804,518
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$51,273,236
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$50,498,763
Other income not declared elsewhere2014-12-31$603,271
Administrative expenses (other) incurred2014-12-31$4,247,228
Liabilities. Value of operating payables at end of year2014-12-31$2,778,221
Liabilities. Value of operating payables at beginning of year2014-12-31$659,425
Total non interest bearing cash at end of year2014-12-31$72,500,815
Total non interest bearing cash at beginning of year2014-12-31$37,413,408
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$38,933,428
Value of net assets at end of year (total assets less liabilities)2014-12-31$99,343,166
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$60,409,738
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$364,759
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$21,691,729
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$17,589,955
Income. Interest from US Government securities2014-12-31$377,119
Income. Interest from corporate debt instruments2014-12-31$236,262
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$5,557,979
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$4,415,395
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$4,415,395
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$583
Assets. Value of investments in 103.12 investment entities at end of year2014-12-31$17,311,521
Assets. Value of investments in 103.12 investment entities at beginning of year2014-12-31$16,667,296
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$94,501,948
Asset value of US Government securities at end of year2014-12-31$24,553,587
Asset value of US Government securities at beginning of year2014-12-31$21,275,773
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-943,436
Net gain/loss from 103.12 investment entities2014-12-31$784,635
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$408,322,992
Employer contributions (assets) at end of year2014-12-31$34,462,118
Employer contributions (assets) at beginning of year2014-12-31$33,954,791
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$271,707,072
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$18,057,774
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$9,413,645
Contract administrator fees2014-12-31$10,540,551
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$46,052,884
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$46,155,775
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$12,616,898
Aggregate carrying amount (costs) on sale of assets2014-12-31$10,697,819
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2014-12-31300702322
2013 : UFCW & EMPLOYERS BENEFIT TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-235,346
Total unrealized appreciation/depreciation of assets2013-12-31$-235,346
Total transfer of assets to this plan2013-12-31$45,882,498
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$97,313,963
Total income from all sources (including contributions)2013-12-31$424,285,860
Total loss/gain on sale of assets2013-12-31$-251,089
Total of all expenses incurred2013-12-31$409,758,620
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$380,753,935
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$420,612,773
Value of total assets at end of year2013-12-31$157,723,701
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$29,004,685
Total interest from all sources2013-12-31$660,342
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$834,609
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$834,609
Administrative expenses professional fees incurred2013-12-31$14,949,710
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
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$14,665,292
Participant contributions at end of year2013-12-31$3,188,920
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$13,804,518
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$50,498,763
Other income not declared elsewhere2013-12-31$1,878,414
Administrative expenses (other) incurred2013-12-31$2,521,639
Liabilities. Value of operating payables at end of year2013-12-31$659,425
Total non interest bearing cash at end of year2013-12-31$37,413,408
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$14,527,240
Value of net assets at end of year (total assets less liabilities)2013-12-31$60,409,738
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$339,691
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$17,589,955
Income. Interest from US Government securities2013-12-31$400,490
Income. Interest from corporate debt instruments2013-12-31$259,206
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$4,415,395
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$646
Assets. Value of investments in 103.12 investment entities at end of year2013-12-31$16,667,296
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$105,357,221
Asset value of US Government securities at end of year2013-12-31$21,275,773
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$-409,857
Net gain/loss from 103.12 investment entities2013-12-31$1,196,014
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$405,947,481
Employer contributions (assets) at end of year2013-12-31$33,954,791
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$275,396,714
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$9,413,645
Contract administrator fees2013-12-31$11,193,645
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$46,155,775
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$33,565,126
Aggregate carrying amount (costs) on sale of assets2013-12-31$33,816,215
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 name2013-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2013-12-31300702322

Form 5500 Responses for UFCW & EMPLOYERS BENEFIT TRUST

2022: UFCW & EMPLOYERS BENEFIT TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedYes
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: UFCW & EMPLOYERS BENEFIT TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedYes
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: UFCW & EMPLOYERS BENEFIT 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: UFCW & EMPLOYERS BENEFIT TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedYes
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: UFCW & EMPLOYERS BENEFIT 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: UFCW & EMPLOYERS BENEFIT 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: UFCW & EMPLOYERS BENEFIT 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: UFCW & EMPLOYERS BENEFIT 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: UFCW & EMPLOYERS BENEFIT 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: UFCW & EMPLOYERS BENEFIT TRUST 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01First time form 5500 has been submittedYes
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

Insurance Providers Used on plan

LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100235
Policy instance 3
Insurance contract or identification number100235
Number of Individuals Covered421
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,010
Total amount of fees paid to insurance companyUSD $1,010
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,010
Amount paid for insurance broker fees1010
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326-1,3
Policy instance 2
Insurance contract or identification number50326-1,3
Number of Individuals Covered77259
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $5,105
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,677,024
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,105
Insurance broker organization code?5
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number84
Policy instance 1
Insurance contract or identification number84
Number of Individuals Covered9421
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $79,442,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100235
Policy instance 3
Insurance contract or identification number100235
Number of Individuals Covered418
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,041
Total amount of fees paid to insurance companyUSD $1,041
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,041
Amount paid for insurance broker fees1041
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326-1,3
Policy instance 2
Insurance contract or identification number50326-1,3
Number of Individuals Covered79240
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 $5,414
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,740,403
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees5414
Insurance broker organization code?5
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number84
Policy instance 1
Insurance contract or identification number84
Number of Individuals Covered15684
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $65,835,171
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 number84
Policy instance 1
Insurance contract or identification number84
Number of Individuals Covered13158
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $72,648,720
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326-1,3
Policy instance 2
Insurance contract or identification number50326-1,3
Number of Individuals Covered83465
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 $5,718
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,692,216
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4859
Insurance broker organization code?5
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100235
Policy instance 3
Insurance contract or identification number100235
Number of Individuals Covered331
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $920
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
Commission paid to Insurance BrokerUSD $920
Insurance broker organization code?3
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number62069U
Policy instance 5
Insurance contract or identification number62069U
Number of Individuals Covered508
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 $1,376,296
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 numberF5676U
Policy instance 4
Insurance contract or identification numberF5676U
Number of Individuals Covered305
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 $1,005,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100235
Policy instance 3
Insurance contract or identification number100235
Number of Individuals Covered356
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $884
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
Commission paid to Insurance BrokerUSD $884
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326-1,3
Policy instance 2
Insurance contract or identification number50326-1,3
Number of Individuals Covered81837
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 $10,701
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,682,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees10701
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number84
Policy instance 1
Insurance contract or identification number84
Number of Individuals Covered14529
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $74,558,651
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100235
Policy instance 3
Insurance contract or identification number100235
Number of Individuals Covered371
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,071
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
Commission paid to Insurance BrokerUSD $1,071
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326-1,3
Policy instance 2
Insurance contract or identification number50326-1,3
Number of Individuals Covered83824
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 $11,185
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,748,633
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees11185
Additional information about fees paid to insurance brokerTHIRS PARTY ADMINISTRATOR
Insurance broker organization code?5
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number84
Policy instance 1
Insurance contract or identification number84
Number of Individuals Covered15702
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $79,916,291
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 number84
Policy instance 1
Insurance contract or identification number84
Number of Individuals Covered16972
Insurance policy start date2016-06-01
Insurance policy end date2017-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $78,813,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100235
Policy instance 3
Insurance contract or identification number100235
Number of Individuals Covered378
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 $65,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326-1,3
Policy instance 2
Insurance contract or identification number50326-1,3
Number of Individuals Covered125335
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 $11,548
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,814,747
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees11548
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5
Insurance broker nameAXA ASSISTANCE, USA
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326-1,3
Policy instance 2
Insurance contract or identification number50326-1,3
Number of Individuals Covered136807
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 $12,132
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,208,298
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees12132
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5
Insurance broker nameAXA ASSISTANCE, USA
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number84
Policy instance 1
Insurance contract or identification number84
Number of Individuals Covered24871
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $118,771,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100235
Policy instance 3
Insurance contract or identification number100235
Number of Individuals Covered581
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 $91,112
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 number84
Policy instance 1
Insurance contract or identification number84
Number of Individuals Covered20043
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
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 $86,325,757
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 number1038
Policy instance 2
Insurance contract or identification number1038
Number of Individuals Covered1
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
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 $5,134,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326-1
Policy instance 3
Insurance contract or identification number50326-1
Number of Individuals Covered138355
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 $11,998
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,433,597
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees11998
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker organization code?5
Insurance broker nameAXA ASSISTANCE, USA
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100235
Policy instance 4
Insurance contract or identification number100235
Number of Individuals Covered635
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $108,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number08054
Policy instance 5
Insurance contract or identification number08054
Number of Individuals Covered49
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
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,516
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100235
Policy instance 6
Insurance contract or identification number100235
Number of Individuals Covered659
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $173,109
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 numberF5676
Policy instance 5
Insurance contract or identification numberF5676
Number of Individuals Covered680
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 $834,578
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 number62069
Policy instance 4
Insurance contract or identification number62069
Number of Individuals Covered1357
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 $11,375,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326-1
Policy instance 3
Insurance contract or identification number50326-1
Number of Individuals Covered141902
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 $13,715
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,595,630
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13715
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker nameAXA ASSISTANCE, USA
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number1038
Policy instance 2
Insurance contract or identification number1038
Number of Individuals Covered6792
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
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 $28,479,400
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 number84
Policy instance 1
Insurance contract or identification number84
Number of Individuals Covered14383
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
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 $63,400,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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