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DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 401k Plan overview

Plan NameDISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST
Plan identification number 501

DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

INDUSTRIAL EMPLOYERS & DISTRIBUTORS ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:INDUSTRIAL EMPLOYERS & DISTRIBUTORS ASSOCIATION
Employer identification number (EIN):946080959
NAIC Classification:493100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-06-01
5012020-06-01
5012019-06-01
5012018-06-01
5012017-06-01STACEY CUE
5012016-06-01TONY ANGELO
5012015-06-01DAVID MCKENZIE
5012014-06-01DAVID MCKENZIE
5012013-06-01DAVID MCKENZIE
5012012-06-01DAVID MCKENZIE
5012011-06-01DAVID MCKENZIE DAVID MCKENZIE2013-03-12
5012010-06-01DAVID MCKENZIE DAVID MCKENZIE2012-03-08
5012009-06-01DAVID MCKENZIE DAVID MCKENZIE2011-03-14

Plan Statistics for DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST

401k plan membership statisitcs for DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST

Measure Date Value
2021: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2021 401k membership
Total participants, beginning-of-year2021-06-011
Total number of active participants reported on line 7a of the Form 55002021-06-010
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-010
Number of employers contributing to the scheme2021-06-010
2020: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2020 401k membership
Total participants, beginning-of-year2020-06-01322
Total number of active participants reported on line 7a of the Form 55002020-06-010
Number of retired or separated participants receiving benefits2020-06-01290
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-01290
Number of employers contributing to the scheme2020-06-010
2019: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2019 401k membership
Total participants, beginning-of-year2019-06-01452
Total number of active participants reported on line 7a of the Form 55002019-06-010
Number of retired or separated participants receiving benefits2019-06-01322
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-01322
Number of employers contributing to the scheme2019-06-010
2018: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2018 401k membership
Total participants, beginning-of-year2018-06-01430
Total number of active participants reported on line 7a of the Form 55002018-06-010
Number of retired or separated participants receiving benefits2018-06-01452
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-01452
Number of employers contributing to the scheme2018-06-011
2017: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2017 401k membership
Total participants, beginning-of-year2017-06-01403
Total number of active participants reported on line 7a of the Form 55002017-06-010
Number of retired or separated participants receiving benefits2017-06-01430
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-01430
Number of employers contributing to the scheme2017-06-011
2016: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2016 401k membership
Total participants, beginning-of-year2016-06-011,479
Total number of active participants reported on line 7a of the Form 55002016-06-01816
Number of retired or separated participants receiving benefits2016-06-01403
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-011,219
Number of employers contributing to the scheme2016-06-011
2015: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2015 401k membership
Total participants, beginning-of-year2015-06-011,679
Total number of active participants reported on line 7a of the Form 55002015-06-011,023
Number of retired or separated participants receiving benefits2015-06-01441
Number of other retired or separated participants entitled to future benefits2015-06-0115
Total of all active and inactive participants2015-06-011,479
Number of employers contributing to the scheme2015-06-011
2014: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2014 401k membership
Total participants, beginning-of-year2014-06-011,844
Total number of active participants reported on line 7a of the Form 55002014-06-011,031
Number of retired or separated participants receiving benefits2014-06-01632
Number of other retired or separated participants entitled to future benefits2014-06-0116
Total of all active and inactive participants2014-06-011,679
Number of employers contributing to the scheme2014-06-0118
2013: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2013 401k membership
Total participants, beginning-of-year2013-06-011,915
Total number of active participants reported on line 7a of the Form 55002013-06-011,112
Number of retired or separated participants receiving benefits2013-06-01713
Number of other retired or separated participants entitled to future benefits2013-06-0119
Total of all active and inactive participants2013-06-011,844
Number of employers contributing to the scheme2013-06-0119
2012: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2012 401k membership
Total participants, beginning-of-year2012-06-012,223
Total number of active participants reported on line 7a of the Form 55002012-06-011,134
Number of retired or separated participants receiving benefits2012-06-01753
Number of other retired or separated participants entitled to future benefits2012-06-0128
Total of all active and inactive participants2012-06-011,915
Number of employers contributing to the scheme2012-06-0121
2011: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2011 401k membership
Total participants, beginning-of-year2011-06-012,387
Total number of active participants reported on line 7a of the Form 55002011-06-011,266
Number of retired or separated participants receiving benefits2011-06-01911
Number of other retired or separated participants entitled to future benefits2011-06-0146
Total of all active and inactive participants2011-06-012,223
Number of employers contributing to the scheme2011-06-0122
2010: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2010 401k membership
Total participants, beginning-of-year2010-06-012,695
Total number of active participants reported on line 7a of the Form 55002010-06-011,545
Number of retired or separated participants receiving benefits2010-06-01829
Number of other retired or separated participants entitled to future benefits2010-06-0113
Total of all active and inactive participants2010-06-012,387
Number of employers contributing to the scheme2010-06-0122
2009: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2009 401k membership
Total participants, beginning-of-year2009-06-013,214
Total number of active participants reported on line 7a of the Form 55002009-06-011,818
Number of retired or separated participants receiving benefits2009-06-01877
Number of other retired or separated participants entitled to future benefits2009-06-010
Total of all active and inactive participants2009-06-012,695
Number of employers contributing to the scheme2009-06-0125

Financial Data on DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST

Measure Date Value
2021 : DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2021 401k financial data
Total plan liabilities at end of year2021-07-31$0
Total plan liabilities at beginning of year2021-07-31$117,618
Total income from all sources2021-07-31$550
Expenses. Total of all expenses incurred2021-07-31$65,081
Benefits paid (including direct rollovers)2021-07-31$1,152
Total plan assets at end of year2021-07-31$0
Total plan assets at beginning of year2021-07-31$182,149
Value of fidelity bond covering the plan2021-07-31$2,000,000
Total contributions received or receivable from participants2021-07-31$540
Expenses. Other expenses not covered elsewhere2021-07-31$112
Other income received2021-07-31$10
Net income (gross income less expenses)2021-07-31$-64,531
Net plan assets at end of year (total assets less liabilities)2021-07-31$0
Net plan assets at beginning of year (total assets less liabilities)2021-07-31$64,531
Expenses. Administrative service providers (salaries,fees and commissions)2021-07-31$63,817
Unrealized appreciation/depreciation of other (non real estate) assets2021-05-31$-1,163
Total unrealized appreciation/depreciation of assets2021-05-31$-1,163
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$117,618
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$50,132
Total income from all sources (including contributions)2021-05-31$328,893
Total loss/gain on sale of assets2021-05-31$551
Total of all expenses incurred2021-05-31$453,179
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-05-31$330,961
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-05-31$328,724
Value of total assets at end of year2021-05-31$182,149
Value of total assets at beginning of year2021-05-31$238,949
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-05-31$122,218
Total interest from all sources2021-05-31$712
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-05-31No
Administrative expenses professional fees incurred2021-05-31$34,462
Was this plan covered by a fidelity bond2021-05-31Yes
Value of fidelity bond cover2021-05-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2021-05-31No
Contributions received from participants2021-05-31$328,724
Participant contributions at end of year2021-05-31$0
Participant contributions at beginning of year2021-05-31$2,171
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-05-31$430
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-05-31$2,187
Other income not declared elsewhere2021-05-31$69
Administrative expenses (other) incurred2021-05-31$1,908
Liabilities. Value of operating payables at end of year2021-05-31$117,618
Liabilities. Value of operating payables at beginning of year2021-05-31$47,945
Total non interest bearing cash at end of year2021-05-31$139,800
Total non interest bearing cash at beginning of year2021-05-31$69,119
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Value of net income/loss2021-05-31$-124,286
Value of net assets at end of year (total assets less liabilities)2021-05-31$64,531
Value of net assets at beginning of year (total assets less liabilities)2021-05-31$188,817
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-05-31No
Were any leases to which the plan was party in default or uncollectible2021-05-31No
Investment advisory and management fees2021-05-31$166
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-05-31$42,349
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-05-31$85,184
Income. Interest from US Government securities2021-05-31$694
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-05-31$18
Expenses. Payments to insurance carriers foe the provision of benefits2021-05-31$330,961
Asset value of US Government securities at end of year2021-05-31$0
Asset value of US Government securities at beginning of year2021-05-31$82,045
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-05-31Yes
Was there a failure to transmit to the plan any participant contributions2021-05-31No
Has the plan failed to provide any benefit when due under the plan2021-05-31No
Contributions received in cash from employer2021-05-31$0
Contract administrator fees2021-05-31$85,682
Did the plan have assets held for investment2021-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-05-31No
Aggregate proceeds on sale of assets2021-05-31$310,536
Aggregate carrying amount (costs) on sale of assets2021-05-31$309,985
Opinion of an independent qualified public accountant for this plan2021-05-31Unqualified
Accountancy firm name2021-05-31LINDQUIST LLP
Accountancy firm EIN2021-05-31522385296
2020 : DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-05-31$647
Total unrealized appreciation/depreciation of assets2020-05-31$647
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$50,132
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$8,073
Total income from all sources (including contributions)2020-05-31$564,202
Total loss/gain on sale of assets2020-05-31$2,713
Total of all expenses incurred2020-05-31$673,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-05-31$534,347
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-05-31$546,967
Value of total assets at end of year2020-05-31$238,949
Value of total assets at beginning of year2020-05-31$305,804
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-05-31$138,769
Total interest from all sources2020-05-31$3,363
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-05-31No
Administrative expenses professional fees incurred2020-05-31$31,158
Was this plan covered by a fidelity bond2020-05-31Yes
Value of fidelity bond cover2020-05-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2020-05-31No
Contributions received from participants2020-05-31$392,825
Participant contributions at end of year2020-05-31$2,171
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-05-31$430
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-05-31$220
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-05-31$2,187
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-05-31$6,902
Other income not declared elsewhere2020-05-31$10,512
Administrative expenses (other) incurred2020-05-31$9,005
Liabilities. Value of operating payables at end of year2020-05-31$47,945
Liabilities. Value of operating payables at beginning of year2020-05-31$1,171
Total non interest bearing cash at end of year2020-05-31$69,119
Total non interest bearing cash at beginning of year2020-05-31$79,225
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Value of net income/loss2020-05-31$-108,914
Value of net assets at end of year (total assets less liabilities)2020-05-31$188,817
Value of net assets at beginning of year (total assets less liabilities)2020-05-31$297,731
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-05-31No
Were any leases to which the plan was party in default or uncollectible2020-05-31No
Investment advisory and management fees2020-05-31$387
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-05-31$85,184
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-05-31$98,720
Income. Interest from US Government securities2020-05-31$3,363
Expenses. Payments to insurance carriers foe the provision of benefits2020-05-31$534,347
Asset value of US Government securities at end of year2020-05-31$82,045
Asset value of US Government securities at beginning of year2020-05-31$121,634
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-05-31Yes
Was there a failure to transmit to the plan any participant contributions2020-05-31No
Has the plan failed to provide any benefit when due under the plan2020-05-31No
Contributions received in cash from employer2020-05-31$154,142
Employer contributions (assets) at beginning of year2020-05-31$6,005
Contract administrator fees2020-05-31$98,219
Did the plan have assets held for investment2020-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-05-31No
Aggregate proceeds on sale of assets2020-05-31$310,867
Aggregate carrying amount (costs) on sale of assets2020-05-31$308,154
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-05-31No
Opinion of an independent qualified public accountant for this plan2020-05-31Unqualified
Accountancy firm name2020-05-31LINDQUIST LLP
Accountancy firm EIN2020-05-31522385296
2019 : DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-05-31$761
Total unrealized appreciation/depreciation of assets2019-05-31$761
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-05-31$8,073
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-05-31$22,951
Total income from all sources (including contributions)2019-05-31$1,289,221
Total loss/gain on sale of assets2019-05-31$-386
Total of all expenses incurred2019-05-31$1,420,283
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-05-31$1,261,728
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-05-31$1,284,204
Value of total assets at end of year2019-05-31$305,804
Value of total assets at beginning of year2019-05-31$451,744
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-05-31$158,555
Total interest from all sources2019-05-31$4,605
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-05-31No
Administrative expenses professional fees incurred2019-05-31$30,775
Was this plan covered by a fidelity bond2019-05-31Yes
Value of fidelity bond cover2019-05-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2019-05-31No
Contributions received from participants2019-05-31$457,250
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-05-31$220
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-05-31$754
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-05-31$6,902
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-05-31$18,382
Other income not declared elsewhere2019-05-31$37
Administrative expenses (other) incurred2019-05-31$6,242
Liabilities. Value of operating payables at end of year2019-05-31$1,171
Liabilities. Value of operating payables at beginning of year2019-05-31$4,569
Total non interest bearing cash at end of year2019-05-31$79,225
Total non interest bearing cash at beginning of year2019-05-31$101,391
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-05-31No
Value of net income/loss2019-05-31$-131,062
Value of net assets at end of year (total assets less liabilities)2019-05-31$297,731
Value of net assets at beginning of year (total assets less liabilities)2019-05-31$428,793
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-05-31No
Were any leases to which the plan was party in default or uncollectible2019-05-31No
Investment advisory and management fees2019-05-31$598
Income. Interest from US Government securities2019-05-31$3,791
Income. Interest from corporate debt instruments2019-05-31$43
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-05-31$98,720
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-05-31$7,743
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-05-31$7,743
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-05-31$771
Expenses. Payments to insurance carriers foe the provision of benefits2019-05-31$1,261,728
Asset value of US Government securities at end of year2019-05-31$121,634
Asset value of US Government securities at beginning of year2019-05-31$177,517
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-05-31Yes
Was there a failure to transmit to the plan any participant contributions2019-05-31No
Has the plan failed to provide any benefit when due under the plan2019-05-31No
Contributions received in cash from employer2019-05-31$826,954
Employer contributions (assets) at end of year2019-05-31$6,005
Employer contributions (assets) at beginning of year2019-05-31$134,349
Asset. Corporate debt instrument preferred debt at beginning of year2019-05-31$29,990
Contract administrator fees2019-05-31$120,940
Did the plan have assets held for investment2019-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-05-31No
Aggregate proceeds on sale of assets2019-05-31$1,701,593
Aggregate carrying amount (costs) on sale of assets2019-05-31$1,701,979
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-05-31No
Opinion of an independent qualified public accountant for this plan2019-05-31Unqualified
Accountancy firm name2019-05-31LINDQUIST LLP
Accountancy firm EIN2019-05-31522385296
2018 : DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-05-31$-10
Total unrealized appreciation/depreciation of assets2018-05-31$-10
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$22,951
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$54,530
Total income from all sources (including contributions)2018-05-31$1,295,321
Total loss/gain on sale of assets2018-05-31$-3,067
Total of all expenses incurred2018-05-31$1,336,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-05-31$1,151,376
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-05-31$1,277,489
Value of total assets at end of year2018-05-31$451,744
Value of total assets at beginning of year2018-05-31$524,353
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-05-31$184,975
Total interest from all sources2018-05-31$12,300
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-05-31No
Administrative expenses professional fees incurred2018-05-31$32,842
Was this plan covered by a fidelity bond2018-05-31Yes
Value of fidelity bond cover2018-05-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2018-05-31No
Contributions received from participants2018-05-31$547,182
Participant contributions at end of year2018-05-31$0
Participant contributions at beginning of year2018-05-31$1,160
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-05-31$754
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-05-31$1,999
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-05-31$18,382
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-05-31$53,817
Other income not declared elsewhere2018-05-31$8,609
Administrative expenses (other) incurred2018-05-31$4,240
Liabilities. Value of operating payables at end of year2018-05-31$4,569
Liabilities. Value of operating payables at beginning of year2018-05-31$713
Total non interest bearing cash at end of year2018-05-31$101,391
Total non interest bearing cash at beginning of year2018-05-31$43,697
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Value of net income/loss2018-05-31$-41,030
Value of net assets at end of year (total assets less liabilities)2018-05-31$428,793
Value of net assets at beginning of year (total assets less liabilities)2018-05-31$469,823
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-05-31No
Were any leases to which the plan was party in default or uncollectible2018-05-31No
Investment advisory and management fees2018-05-31$1,241
Income. Interest from US Government securities2018-05-31$8,310
Income. Interest from corporate debt instruments2018-05-31$3,321
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-05-31$7,743
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-05-31$103,121
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-05-31$103,121
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-05-31$669
Expenses. Payments to insurance carriers foe the provision of benefits2018-05-31$1,151,376
Asset value of US Government securities at end of year2018-05-31$177,517
Asset value of US Government securities at beginning of year2018-05-31$185,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-05-31Yes
Was there a failure to transmit to the plan any participant contributions2018-05-31No
Has the plan failed to provide any benefit when due under the plan2018-05-31No
Contributions received in cash from employer2018-05-31$730,307
Employer contributions (assets) at end of year2018-05-31$134,349
Employer contributions (assets) at beginning of year2018-05-31$2,851
Asset. Corporate debt instrument preferred debt at end of year2018-05-31$29,990
Asset. Corporate debt instrument preferred debt at beginning of year2018-05-31$158,544
Asset. Corporate debt instrument debt (other) at beginning of year2018-05-31$27,068
Contract administrator fees2018-05-31$146,652
Did the plan have assets held for investment2018-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-05-31No
Aggregate proceeds on sale of assets2018-05-31$2,190,206
Aggregate carrying amount (costs) on sale of assets2018-05-31$2,193,273
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-05-31No
Opinion of an independent qualified public accountant for this plan2018-05-31Unqualified
Accountancy firm name2018-05-31LINDQUIST LLP
Accountancy firm EIN2018-05-31522385296
2017 : DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-05-31$-3,600
Total unrealized appreciation/depreciation of assets2017-05-31$-3,600
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$54,530
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$72,698
Total income from all sources (including contributions)2017-05-31$1,291,603
Total loss/gain on sale of assets2017-05-31$18,393
Total of all expenses incurred2017-05-31$1,509,444
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-05-31$1,277,122
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-05-31$1,266,657
Value of total assets at end of year2017-05-31$524,353
Value of total assets at beginning of year2017-05-31$760,362
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-05-31$232,322
Total interest from all sources2017-05-31$10,153
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-05-31No
Administrative expenses professional fees incurred2017-05-31$25,323
Was this plan covered by a fidelity bond2017-05-31Yes
Value of fidelity bond cover2017-05-31$2,000,000
If this is an individual account plan, was there a blackout period2017-05-31No
Were there any nonexempt tranactions with any party-in-interest2017-05-31No
Contributions received from participants2017-05-31$560,043
Participant contributions at end of year2017-05-31$1,160
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-05-31$1,999
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-05-31$25,534
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-05-31$53,817
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-05-31$23,624
Administrative expenses (other) incurred2017-05-31$4,613
Liabilities. Value of operating payables at end of year2017-05-31$713
Liabilities. Value of operating payables at beginning of year2017-05-31$49,074
Total non interest bearing cash at end of year2017-05-31$43,697
Total non interest bearing cash at beginning of year2017-05-31$285,642
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Value of net income/loss2017-05-31$-217,841
Value of net assets at end of year (total assets less liabilities)2017-05-31$469,823
Value of net assets at beginning of year (total assets less liabilities)2017-05-31$687,664
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-05-31No
Were any leases to which the plan was party in default or uncollectible2017-05-31No
Investment advisory and management fees2017-05-31$1,264
Income. Interest from US Government securities2017-05-31$1,540
Income. Interest from corporate debt instruments2017-05-31$8,352
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-05-31$103,121
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-05-31$39,090
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-05-31$39,090
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-05-31$261
Expenses. Payments to insurance carriers foe the provision of benefits2017-05-31$1,277,122
Asset value of US Government securities at end of year2017-05-31$185,913
Asset value of US Government securities at beginning of year2017-05-31$61,166
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-05-31Yes
Was there a failure to transmit to the plan any participant contributions2017-05-31No
Has the plan failed to provide any benefit when due under the plan2017-05-31No
Contributions received in cash from employer2017-05-31$706,614
Employer contributions (assets) at end of year2017-05-31$2,851
Asset. Corporate debt instrument preferred debt at end of year2017-05-31$158,544
Asset. Corporate debt instrument preferred debt at beginning of year2017-05-31$276,039
Asset. Corporate debt instrument debt (other) at end of year2017-05-31$27,068
Asset. Corporate debt instrument debt (other) at beginning of year2017-05-31$72,891
Contract administrator fees2017-05-31$201,122
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-05-31No
Did the plan have assets held for investment2017-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-05-31No
Aggregate proceeds on sale of assets2017-05-31$533,676
Aggregate carrying amount (costs) on sale of assets2017-05-31$515,283
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-05-31No
Opinion of an independent qualified public accountant for this plan2017-05-31Unqualified
Accountancy firm name2017-05-31LINDQUIST LLP
Accountancy firm EIN2017-05-31522385296
2016 : DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-05-31$-4,038
Total unrealized appreciation/depreciation of assets2016-05-31$-4,038
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$68,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$49,400
Total income from all sources (including contributions)2016-05-31$2,727,119
Total loss/gain on sale of assets2016-05-31$-23,739
Total of all expenses incurred2016-05-31$4,330,500
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-05-31$4,061,197
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-05-31$2,718,836
Value of total assets at end of year2016-05-31$756,368
Value of total assets at beginning of year2016-05-31$2,340,445
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-05-31$269,303
Total interest from all sources2016-05-31$36,060
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-05-31No
Administrative expenses professional fees incurred2016-05-31$28,073
Was this plan covered by a fidelity bond2016-05-31Yes
Value of fidelity bond cover2016-05-31$1,500,000
If this is an individual account plan, was there a blackout period2016-05-31No
Were there any nonexempt tranactions with any party-in-interest2016-05-31No
Contributions received from participants2016-05-31$2,091,581
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-05-31$21,540
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-05-31$262,378
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-05-31$19,630
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-05-31$27,498
Administrative expenses (other) incurred2016-05-31$7,422
Liabilities. Value of operating payables at end of year2016-05-31$49,074
Liabilities. Value of operating payables at beginning of year2016-05-31$21,902
Total non interest bearing cash at end of year2016-05-31$285,642
Total non interest bearing cash at beginning of year2016-05-31$-54,298
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Value of net income/loss2016-05-31$-1,603,381
Value of net assets at end of year (total assets less liabilities)2016-05-31$687,664
Value of net assets at beginning of year (total assets less liabilities)2016-05-31$2,291,045
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-05-31No
Were any leases to which the plan was party in default or uncollectible2016-05-31No
Investment advisory and management fees2016-05-31$3,851
Income. Interest from US Government securities2016-05-31$10,344
Income. Interest from corporate debt instruments2016-05-31$25,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-05-31$39,090
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-05-31$178,702
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-05-31$178,702
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-05-31$116
Expenses. Payments to insurance carriers foe the provision of benefits2016-05-31$3,997,994
Asset value of US Government securities at end of year2016-05-31$61,166
Asset value of US Government securities at beginning of year2016-05-31$784,229
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-05-31Yes
Was there a failure to transmit to the plan any participant contributions2016-05-31No
Has the plan failed to provide any benefit when due under the plan2016-05-31No
Contributions received in cash from employer2016-05-31$627,255
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-05-31$63,203
Asset. Corporate debt instrument preferred debt at end of year2016-05-31$276,039
Asset. Corporate debt instrument preferred debt at beginning of year2016-05-31$651,042
Asset. Corporate debt instrument debt (other) at end of year2016-05-31$72,891
Asset. Corporate debt instrument debt (other) at beginning of year2016-05-31$518,392
Contract administrator fees2016-05-31$229,957
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-05-31No
Did the plan have assets held for investment2016-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-05-31No
Aggregate proceeds on sale of assets2016-05-31$3,864,771
Aggregate carrying amount (costs) on sale of assets2016-05-31$3,888,510
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-05-31No
Opinion of an independent qualified public accountant for this plan2016-05-31Unqualified
Accountancy firm name2016-05-31LINDQUIST LLP
Accountancy firm EIN2016-05-31522385296
2015 : DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-05-31$-25,204
Total unrealized appreciation/depreciation of assets2015-05-31$-25,204
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$49,400
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$20,057
Total income from all sources (including contributions)2015-05-31$2,756,576
Total loss/gain on sale of assets2015-05-31$-29,162
Total of all expenses incurred2015-05-31$4,863,643
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-05-31$4,634,557
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-05-31$2,715,887
Value of total assets at end of year2015-05-31$2,340,445
Value of total assets at beginning of year2015-05-31$4,418,169
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-05-31$229,086
Total interest from all sources2015-05-31$93,440
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-05-31No
Administrative expenses professional fees incurred2015-05-31$24,263
Was this plan covered by a fidelity bond2015-05-31Yes
Value of fidelity bond cover2015-05-31$1,500,000
If this is an individual account plan, was there a blackout period2015-05-31No
Were there any nonexempt tranactions with any party-in-interest2015-05-31No
Contributions received from participants2015-05-31$2,132,500
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-05-31$262,378
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-05-31$290,478
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-05-31$27,498
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-05-31$13,097
Other income not declared elsewhere2015-05-31$1,615
Administrative expenses (other) incurred2015-05-31$10,249
Liabilities. Value of operating payables at end of year2015-05-31$21,902
Liabilities. Value of operating payables at beginning of year2015-05-31$6,960
Total non interest bearing cash at end of year2015-05-31$-54,298
Total non interest bearing cash at beginning of year2015-05-31$-63,417
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Value of net income/loss2015-05-31$-2,107,067
Value of net assets at end of year (total assets less liabilities)2015-05-31$2,291,045
Value of net assets at beginning of year (total assets less liabilities)2015-05-31$4,398,112
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-05-31No
Were any leases to which the plan was party in default or uncollectible2015-05-31No
Investment advisory and management fees2015-05-31$17,140
Income. Interest from US Government securities2015-05-31$16,708
Income. Interest from corporate debt instruments2015-05-31$76,658
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-05-31$178,702
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-05-31$142,124
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-05-31$142,124
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-05-31$74
Expenses. Payments to insurance carriers foe the provision of benefits2015-05-31$4,548,023
Asset value of US Government securities at end of year2015-05-31$784,229
Asset value of US Government securities at beginning of year2015-05-31$1,513,445
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-05-31Yes
Was there a failure to transmit to the plan any participant contributions2015-05-31No
Has the plan failed to provide any benefit when due under the plan2015-05-31No
Contributions received in cash from employer2015-05-31$583,387
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-05-31$86,534
Asset. Corporate debt instrument preferred debt at end of year2015-05-31$651,042
Asset. Corporate debt instrument preferred debt at beginning of year2015-05-31$1,402,008
Asset. Corporate debt instrument debt (other) at end of year2015-05-31$518,392
Asset. Corporate debt instrument debt (other) at beginning of year2015-05-31$1,133,531
Contract administrator fees2015-05-31$177,434
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-05-31No
Did the plan have assets held for investment2015-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-05-31No
Aggregate proceeds on sale of assets2015-05-31$4,775,865
Aggregate carrying amount (costs) on sale of assets2015-05-31$4,805,027
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-05-31No
Opinion of an independent qualified public accountant for this plan2015-05-31Unqualified
Accountancy firm name2015-05-31LINDQUIST LLP
Accountancy firm EIN2015-05-31522385296
2014 : DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-05-31$-39,210
Total unrealized appreciation/depreciation of assets2014-05-31$-39,210
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$20,057
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$34,183
Total income from all sources (including contributions)2014-05-31$2,108,993
Total loss/gain on sale of assets2014-05-31$-88,530
Total of all expenses incurred2014-05-31$5,020,735
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-05-31$4,797,318
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-05-31$2,001,998
Value of total assets at end of year2014-05-31$4,418,169
Value of total assets at beginning of year2014-05-31$7,344,037
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-05-31$223,417
Total interest from all sources2014-05-31$175,490
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-05-31No
Administrative expenses professional fees incurred2014-05-31$31,705
Was this plan covered by a fidelity bond2014-05-31Yes
Value of fidelity bond cover2014-05-31$1,500,000
If this is an individual account plan, was there a blackout period2014-05-31No
Were there any nonexempt tranactions with any party-in-interest2014-05-31No
Contributions received from participants2014-05-31$1,562,829
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-05-31$290,478
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-05-31$326,155
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-05-31$13,097
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-05-31$19,715
Other income not declared elsewhere2014-05-31$59,245
Administrative expenses (other) incurred2014-05-31$16,348
Liabilities. Value of operating payables at end of year2014-05-31$6,960
Liabilities. Value of operating payables at beginning of year2014-05-31$14,468
Total non interest bearing cash at end of year2014-05-31$-63,417
Total non interest bearing cash at beginning of year2014-05-31$-18,605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Value of net income/loss2014-05-31$-2,911,742
Value of net assets at end of year (total assets less liabilities)2014-05-31$4,398,112
Value of net assets at beginning of year (total assets less liabilities)2014-05-31$7,309,854
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-05-31No
Were any leases to which the plan was party in default or uncollectible2014-05-31No
Investment advisory and management fees2014-05-31$26,103
Income. Interest from US Government securities2014-05-31$26,223
Income. Interest from corporate debt instruments2014-05-31$149,079
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-05-31$142,124
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-05-31$506,707
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-05-31$506,707
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-05-31$188
Expenses. Payments to insurance carriers foe the provision of benefits2014-05-31$4,696,403
Asset value of US Government securities at end of year2014-05-31$1,513,445
Asset value of US Government securities at beginning of year2014-05-31$1,603,355
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-05-31Yes
Was there a failure to transmit to the plan any participant contributions2014-05-31No
Has the plan failed to provide any benefit when due under the plan2014-05-31No
Contributions received in cash from employer2014-05-31$439,169
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-05-31$100,915
Asset. Corporate debt instrument preferred debt at end of year2014-05-31$1,402,008
Asset. Corporate debt instrument preferred debt at beginning of year2014-05-31$1,962,267
Asset. Corporate debt instrument debt (other) at end of year2014-05-31$1,133,531
Asset. Corporate debt instrument debt (other) at beginning of year2014-05-31$2,964,158
Contract administrator fees2014-05-31$149,261
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-05-31No
Did the plan have assets held for investment2014-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-05-31No
Aggregate proceeds on sale of assets2014-05-31$10,245,573
Aggregate carrying amount (costs) on sale of assets2014-05-31$10,334,103
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-05-31No
Opinion of an independent qualified public accountant for this plan2014-05-31Unqualified
Accountancy firm name2014-05-31LINDQUIST LLP
Accountancy firm EIN2014-05-31522385296
2013 : DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-05-31$-39,300
Total unrealized appreciation/depreciation of assets2013-05-31$-39,300
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$34,183
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$83,848
Total income from all sources (including contributions)2013-05-31$2,330,091
Total loss/gain on sale of assets2013-05-31$-28,845
Total of all expenses incurred2013-05-31$5,303,604
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-05-31$5,056,910
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-05-31$2,079,819
Value of total assets at end of year2013-05-31$7,344,037
Value of total assets at beginning of year2013-05-31$10,367,215
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-05-31$246,694
Total interest from all sources2013-05-31$307,736
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-05-31No
Administrative expenses professional fees incurred2013-05-31$36,691
Was this plan covered by a fidelity bond2013-05-31Yes
Value of fidelity bond cover2013-05-31$500,000
If this is an individual account plan, was there a blackout period2013-05-31No
Were there any nonexempt tranactions with any party-in-interest2013-05-31No
Contributions received from participants2013-05-31$2,079,819
Participant contributions at beginning of year2013-05-31$17,716
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-05-31$326,155
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-05-31$421,664
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-05-31$19,715
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-05-31$30,452
Other income not declared elsewhere2013-05-31$10,681
Administrative expenses (other) incurred2013-05-31$15,862
Liabilities. Value of operating payables at end of year2013-05-31$14,468
Liabilities. Value of operating payables at beginning of year2013-05-31$53,396
Total non interest bearing cash at end of year2013-05-31$-18,605
Total non interest bearing cash at beginning of year2013-05-31$-257,569
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Value of net income/loss2013-05-31$-2,973,513
Value of net assets at end of year (total assets less liabilities)2013-05-31$7,309,854
Value of net assets at beginning of year (total assets less liabilities)2013-05-31$10,283,367
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-05-31No
Were any leases to which the plan was party in default or uncollectible2013-05-31No
Investment advisory and management fees2013-05-31$33,457
Income. Interest from US Government securities2013-05-31$47,250
Income. Interest from corporate debt instruments2013-05-31$259,921
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-05-31$506,707
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-05-31$475,237
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-05-31$475,237
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-05-31$565
Expenses. Payments to insurance carriers foe the provision of benefits2013-05-31$4,937,336
Asset value of US Government securities at end of year2013-05-31$1,603,355
Asset value of US Government securities at beginning of year2013-05-31$2,777,926
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-05-31Yes
Was there a failure to transmit to the plan any participant contributions2013-05-31No
Has the plan failed to provide any benefit when due under the plan2013-05-31No
Employer contributions (assets) at beginning of year2013-05-31$12,163
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-05-31$119,574
Asset. Corporate debt instrument preferred debt at end of year2013-05-31$1,962,267
Asset. Corporate debt instrument preferred debt at beginning of year2013-05-31$3,448,141
Asset. Corporate debt instrument debt (other) at end of year2013-05-31$2,964,158
Asset. Corporate debt instrument debt (other) at beginning of year2013-05-31$3,471,937
Contract administrator fees2013-05-31$160,684
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-05-31No
Did the plan have assets held for investment2013-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-05-31No
Aggregate proceeds on sale of assets2013-05-31$13,947,381
Aggregate carrying amount (costs) on sale of assets2013-05-31$13,976,226
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-05-31No
Opinion of an independent qualified public accountant for this plan2013-05-31Unqualified
Accountancy firm name2013-05-31LINDQUIST LLP
Accountancy firm EIN2013-05-31522385296
2012 : DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-05-31$312,724
Total unrealized appreciation/depreciation of assets2012-05-31$312,724
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$83,848
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$69,306
Total income from all sources (including contributions)2012-05-31$3,593,345
Total loss/gain on sale of assets2012-05-31$-136,707
Total of all expenses incurred2012-05-31$6,084,637
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-05-31$5,770,692
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-05-31$2,988,832
Value of total assets at end of year2012-05-31$10,367,215
Value of total assets at beginning of year2012-05-31$12,843,965
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-05-31$313,945
Total interest from all sources2012-05-31$416,682
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-05-31No
Administrative expenses professional fees incurred2012-05-31$58,202
Was this plan covered by a fidelity bond2012-05-31Yes
Value of fidelity bond cover2012-05-31$500,000
If this is an individual account plan, was there a blackout period2012-05-31No
Were there any nonexempt tranactions with any party-in-interest2012-05-31No
Contributions received from participants2012-05-31$2,622,815
Participant contributions at end of year2012-05-31$17,716
Participant contributions at beginning of year2012-05-31$22,212
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-05-31$421,664
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-05-31$605,504
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-05-31$30,452
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-05-31$7,747
Other income not declared elsewhere2012-05-31$11,814
Administrative expenses (other) incurred2012-05-31$15,636
Liabilities. Value of operating payables at end of year2012-05-31$53,396
Liabilities. Value of operating payables at beginning of year2012-05-31$61,559
Total non interest bearing cash at end of year2012-05-31$-257,569
Total non interest bearing cash at beginning of year2012-05-31$9,592
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Value of net income/loss2012-05-31$-2,491,292
Value of net assets at end of year (total assets less liabilities)2012-05-31$10,283,367
Value of net assets at beginning of year (total assets less liabilities)2012-05-31$12,774,659
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-05-31No
Were any leases to which the plan was party in default or uncollectible2012-05-31No
Investment advisory and management fees2012-05-31$39,283
Income. Interest from US Government securities2012-05-31$80,360
Income. Interest from corporate debt instruments2012-05-31$335,382
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-05-31$475,237
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-05-31$728,526
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-05-31$728,526
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-05-31$940
Expenses. Payments to insurance carriers foe the provision of benefits2012-05-31$5,635,306
Asset value of US Government securities at end of year2012-05-31$2,777,926
Asset value of US Government securities at beginning of year2012-05-31$3,955,254
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-05-31Yes
Was there a failure to transmit to the plan any participant contributions2012-05-31No
Has the plan failed to provide any benefit when due under the plan2012-05-31No
Contributions received in cash from employer2012-05-31$366,017
Employer contributions (assets) at end of year2012-05-31$12,163
Employer contributions (assets) at beginning of year2012-05-31$63,776
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-05-31$135,386
Asset. Corporate debt instrument preferred debt at end of year2012-05-31$3,448,141
Asset. Corporate debt instrument preferred debt at beginning of year2012-05-31$3,191,598
Asset. Corporate debt instrument debt (other) at end of year2012-05-31$3,471,937
Asset. Corporate debt instrument debt (other) at beginning of year2012-05-31$4,267,503
Contract administrator fees2012-05-31$200,824
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-05-31No
Did the plan have assets held for investment2012-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-05-31No
Aggregate proceeds on sale of assets2012-05-31$14,845,244
Aggregate carrying amount (costs) on sale of assets2012-05-31$14,981,951
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-05-31No
Opinion of an independent qualified public accountant for this plan2012-05-31Unqualified
Accountancy firm name2012-05-31LINDQUIST LLP
Accountancy firm EIN2012-05-31522385296
2011 : DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-05-31$272,609
Total unrealized appreciation/depreciation of assets2011-05-31$272,609
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$69,306
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$43,730
Total income from all sources (including contributions)2011-05-31$3,954,488
Total loss/gain on sale of assets2011-05-31$185,853
Total of all expenses incurred2011-05-31$6,221,822
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-05-31$5,922,768
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-05-31$2,886,503
Value of total assets at end of year2011-05-31$12,843,965
Value of total assets at beginning of year2011-05-31$15,085,723
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-05-31$299,054
Total interest from all sources2011-05-31$596,937
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-05-31No
Administrative expenses professional fees incurred2011-05-31$56,946
Was this plan covered by a fidelity bond2011-05-31Yes
Value of fidelity bond cover2011-05-31$500,000
If this is an individual account plan, was there a blackout period2011-05-31No
Were there any nonexempt tranactions with any party-in-interest2011-05-31No
Contributions received from participants2011-05-31$2,433,276
Participant contributions at end of year2011-05-31$22,212
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-05-31$605,504
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-05-31$988,200
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-05-31$7,747
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-05-31$4,277
Other income not declared elsewhere2011-05-31$12,586
Administrative expenses (other) incurred2011-05-31$15,902
Liabilities. Value of operating payables at end of year2011-05-31$61,559
Liabilities. Value of operating payables at beginning of year2011-05-31$39,453
Total non interest bearing cash at end of year2011-05-31$9,592
Total non interest bearing cash at beginning of year2011-05-31$-191,252
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Value of net income/loss2011-05-31$-2,267,334
Value of net assets at end of year (total assets less liabilities)2011-05-31$12,774,659
Value of net assets at beginning of year (total assets less liabilities)2011-05-31$15,041,993
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-05-31No
Were any leases to which the plan was party in default or uncollectible2011-05-31No
Investment advisory and management fees2011-05-31$44,269
Income. Interest from US Government securities2011-05-31$124,508
Income. Interest from corporate debt instruments2011-05-31$471,264
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-05-31$728,526
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-05-31$126,246
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-05-31$126,246
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-05-31$1,165
Expenses. Payments to insurance carriers foe the provision of benefits2011-05-31$5,762,806
Asset value of US Government securities at end of year2011-05-31$3,955,254
Asset value of US Government securities at beginning of year2011-05-31$4,489,756
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-05-31Yes
Was there a failure to transmit to the plan any participant contributions2011-05-31No
Has the plan failed to provide any benefit when due under the plan2011-05-31No
Contributions received in cash from employer2011-05-31$453,227
Employer contributions (assets) at end of year2011-05-31$63,776
Employer contributions (assets) at beginning of year2011-05-31$100,584
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-05-31$159,962
Asset. Corporate debt instrument preferred debt at end of year2011-05-31$3,191,598
Asset. Corporate debt instrument preferred debt at beginning of year2011-05-31$4,453,519
Asset. Corporate debt instrument debt (other) at end of year2011-05-31$4,267,503
Asset. Corporate debt instrument debt (other) at beginning of year2011-05-31$5,118,670
Contract administrator fees2011-05-31$181,937
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-05-31No
Did the plan have assets held for investment2011-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-05-31No
Aggregate proceeds on sale of assets2011-05-31$20,230,292
Aggregate carrying amount (costs) on sale of assets2011-05-31$20,044,439
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-05-31No
Opinion of an independent qualified public accountant for this plan2011-05-31Unqualified
Accountancy firm name2011-05-31LINDQUIST LLP
Accountancy firm EIN2011-05-31522385296

Form 5500 Responses for DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST

2021: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2021 form 5500 responses
2021-06-01Type of plan entityMulti-employer plan
2021-06-01This submission is the final filingYes
2021-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-06-01Plan is a collectively bargained planYes
2021-06-01Plan funding arrangement – TrustYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement - TrustYes
2020: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2020 form 5500 responses
2020-06-01Type of plan entityMulti-employer plan
2020-06-01Plan is a collectively bargained planYes
2020-06-01Plan funding arrangement – TrustYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement - TrustYes
2019: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2019 form 5500 responses
2019-06-01Type of plan entityMulti-employer plan
2019-06-01Plan is a collectively bargained planYes
2019-06-01Plan funding arrangement – TrustYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement - TrustYes
2018: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2018 form 5500 responses
2018-06-01Type of plan entityMulti-employer plan
2018-06-01Plan is a collectively bargained planYes
2018-06-01Plan funding arrangement – TrustYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement - TrustYes
2017: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2017 form 5500 responses
2017-06-01Type of plan entityMulti-employer plan
2017-06-01Plan is a collectively bargained planYes
2017-06-01Plan funding arrangement – TrustYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement - TrustYes
2016: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2016 form 5500 responses
2016-06-01Type of plan entityMulti-employer plan
2016-06-01Plan is a collectively bargained planYes
2016-06-01Plan funding arrangement – TrustYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement - TrustYes
2015: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2015 form 5500 responses
2015-06-01Type of plan entityMulti-employer plan
2015-06-01Plan is a collectively bargained planYes
2015-06-01Plan funding arrangement – TrustYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement - TrustYes
2014: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2014 form 5500 responses
2014-06-01Type of plan entityMulti-employer plan
2014-06-01Plan is a collectively bargained planYes
2014-06-01Plan funding arrangement – TrustYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement - TrustYes
2013: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2013 form 5500 responses
2013-06-01Type of plan entityMulti-employer plan
2013-06-01Plan is a collectively bargained planYes
2013-06-01Plan funding arrangement – TrustYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement - TrustYes
2012: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2012 form 5500 responses
2012-06-01Type of plan entityMulti-employer plan
2012-06-01Plan is a collectively bargained planYes
2012-06-01Plan funding arrangement – TrustYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement - TrustYes
2011: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2011 form 5500 responses
2011-06-01Type of plan entityMulti-employer plan
2011-06-01Plan is a collectively bargained planYes
2011-06-01Plan funding arrangement – TrustYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement - TrustYes
2010: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2010 form 5500 responses
2010-06-01Type of plan entityMulti-employer plan
2010-06-01Plan is a collectively bargained planYes
2010-06-01Plan funding arrangement – TrustYes
2010-06-01Plan benefit arrangement – InsuranceYes
2010-06-01Plan benefit arrangement - TrustYes
2009: DISTRIBUTORS ASSOCIATION PENSIONERS HOSPITAL AND MEDICAL TRUST 2009 form 5500 responses
2009-06-01Type of plan entityMulti-employer plan
2009-06-01This submission is the final filingNo
2009-06-01Plan is a collectively bargained planYes
2009-06-01Plan funding arrangement – TrustYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76142
Policy instance 1
Insurance contract or identification number76142
Number of Individuals Covered0
Insurance policy start date2021-06-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76142
Policy instance 3
Insurance contract or identification number76142
Number of Individuals Covered186
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $71,825
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 number10605,61546
Policy instance 2
Insurance contract or identification number10605,61546
Number of Individuals Covered36
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
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $252,734
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 number66
Policy instance 1
Insurance contract or identification number66
Number of Individuals Covered2
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $88,614
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76142
Policy instance 3
Insurance contract or identification number76142
Number of Individuals Covered209
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,479
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 number10605,61546
Policy instance 2
Insurance contract or identification number10605,61546
Number of Individuals Covered42
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
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $326,734
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 number66
Policy instance 1
Insurance contract or identification number66
Number of Individuals Covered96
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $787,253
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76142
Policy instance 3
Insurance contract or identification number76142
Number of Individuals Covered224
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $84,718
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 number10605,61546
Policy instance 2
Insurance contract or identification number10605,61546
Number of Individuals Covered53
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
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $375,679
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 number66
Policy instance 1
Insurance contract or identification number66
Number of Individuals Covered90
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $630,205
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76142
Policy instance 3
Insurance contract or identification number76142
Number of Individuals Covered252
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $89,445
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 number10605,6154
Policy instance 2
Insurance contract or identification number10605,6154
Number of Individuals Covered63
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
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $386,417
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 number66
Policy instance 1
Insurance contract or identification number66
Number of Individuals Covered85
Insurance policy start date2016-08-01
Insurance policy end date2017-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $601,462
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 number10605,6154
Policy instance 2
Insurance contract or identification number10605,6154
Number of Individuals Covered117
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $968,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76142
Policy instance 3
Insurance contract or identification number76142
Number of Individuals Covered278
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
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 $106,629
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 number66
Policy instance 1
Insurance contract or identification number66
Number of Individuals Covered643
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $3,184,262
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 number10605,6154,2213
Policy instance 2
Insurance contract or identification number10605,6154,2213
Number of Individuals Covered175
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,125,830
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 number66
Policy instance 1
Insurance contract or identification number66
Number of Individuals Covered702
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $3,155,301
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76142
Policy instance 3
Insurance contract or identification number76142
Number of Individuals Covered210
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
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 $115,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76142
Policy instance 3
Insurance contract or identification number76142
Number of Individuals Covered219
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $118,053
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 number66
Policy instance 1
Insurance contract or identification number66
Number of Individuals Covered725
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $3,247,599
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 number10605,6154,2213
Policy instance 2
Insurance contract or identification number10605,6154,2213
Number of Individuals Covered414
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
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,247,149
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 number66
Policy instance 1
Insurance contract or identification number66
Number of Individuals Covered725
Insurance policy start date2012-06-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $646,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76142
Policy instance 3
Insurance contract or identification number76142
Number of Individuals Covered220
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $114,420
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 number10605,6154,2213
Policy instance 2
Insurance contract or identification number10605,6154,2213
Number of Individuals Covered259
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,352,647
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number06142-0001
Policy instance 3
Insurance contract or identification number06142-0001
Number of Individuals Covered235
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $120,967
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 number10605,6154,2213
Policy instance 2
Insurance contract or identification number10605,6154,2213
Number of Individuals Covered299
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,427,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number66
Policy instance 1
Insurance contract or identification number66
Number of Individuals Covered770
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
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 $3,934,871
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number711913
Policy instance 3
Insurance contract or identification number711913
Number of Individuals Covered275
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,186
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 number10605A,B61546
Policy instance 2
Insurance contract or identification number10605A,B61546
Number of Individuals Covered27
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,502,822
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 number66
Policy instance 1
Insurance contract or identification number66
Number of Individuals Covered800
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
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 $3,999,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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