WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST
| Measure | Date | Value |
|---|
| 2022 : WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST 2022 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-06-30 | $65,545 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-06-30 | $1,849,964 |
| Total income from all sources (including contributions) | 2022-06-30 | $4,286,041 |
| Total of all expenses incurred | 2022-06-30 | $4,720,166 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-06-30 | $4,612,377 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-06-30 | $4,285,901 |
| Value of total assets at end of year | 2022-06-30 | $1,680,266 |
| Value of total assets at beginning of year | 2022-06-30 | $3,898,810 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-06-30 | $107,789 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-06-30 | No |
| Administrative expenses professional fees incurred | 2022-06-30 | $38,608 |
| Was this plan covered by a fidelity bond | 2022-06-30 | Yes |
| Value of fidelity bond cover | 2022-06-30 | $405,052 |
| If this is an individual account plan, was there a blackout period | 2022-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-06-30 | $50 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-06-30 | $59,943 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-06-30 | $1,830,708 |
| Other income not declared elsewhere | 2022-06-30 | $140 |
| Administrative expenses (other) incurred | 2022-06-30 | $14,830 |
| Liabilities. Value of operating payables at end of year | 2022-06-30 | $5,602 |
| Liabilities. Value of operating payables at beginning of year | 2022-06-30 | $19,256 |
| Total non interest bearing cash at end of year | 2022-06-30 | $1,456,888 |
| Total non interest bearing cash at beginning of year | 2022-06-30 | $2,308,489 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-06-30 | No |
| Value of net income/loss | 2022-06-30 | $-434,125 |
| Value of net assets at end of year (total assets less liabilities) | 2022-06-30 | $1,614,721 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-06-30 | $2,048,846 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-06-30 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-06-30 | $4,612,377 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-06-30 | No |
| Contributions received in cash from employer | 2022-06-30 | $4,285,901 |
| Employer contributions (assets) at end of year | 2022-06-30 | $223,328 |
| Employer contributions (assets) at beginning of year | 2022-06-30 | $1,590,321 |
| Contract administrator fees | 2022-06-30 | $54,351 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-06-30 | No |
| Did the plan have assets held for investment | 2022-06-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-06-30 | Unqualified |
| Accountancy firm name | 2022-06-30 | EIDE BAILLY LLP |
| Accountancy firm EIN | 2022-06-30 | 450250958 |
| 2021 : WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-06-30 | $1,632,982 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-06-30 | $544,345 |
| Total income from all sources (including contributions) | 2021-06-30 | $9,106,079 |
| Total of all expenses incurred | 2021-06-30 | $9,706,896 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-06-30 | $9,582,114 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-06-30 | $9,106,054 |
| Value of total assets at end of year | 2021-06-30 | $3,898,811 |
| Value of total assets at beginning of year | 2021-06-30 | $3,410,991 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-06-30 | $124,782 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-06-30 | No |
| Administrative expenses professional fees incurred | 2021-06-30 | $35,013 |
| Was this plan covered by a fidelity bond | 2021-06-30 | Yes |
| Value of fidelity bond cover | 2021-06-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2021-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-06-30 | $40,272 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-06-30 | $1,613,726 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-06-30 | $542,892 |
| Other income not declared elsewhere | 2021-06-30 | $25 |
| Administrative expenses (other) incurred | 2021-06-30 | $14,065 |
| Liabilities. Value of operating payables at end of year | 2021-06-30 | $19,256 |
| Liabilities. Value of operating payables at beginning of year | 2021-06-30 | $1,453 |
| Total non interest bearing cash at end of year | 2021-06-30 | $2,308,489 |
| Total non interest bearing cash at beginning of year | 2021-06-30 | $2,855,985 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-06-30 | No |
| Value of net income/loss | 2021-06-30 | $-600,817 |
| Value of net assets at end of year (total assets less liabilities) | 2021-06-30 | $2,265,829 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-06-30 | $2,866,646 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-06-30 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-06-30 | $9,582,114 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-06-30 | No |
| Contributions received in cash from employer | 2021-06-30 | $9,106,054 |
| Employer contributions (assets) at end of year | 2021-06-30 | $1,550,050 |
| Employer contributions (assets) at beginning of year | 2021-06-30 | $555,006 |
| Contract administrator fees | 2021-06-30 | $75,704 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-06-30 | No |
| Did the plan have assets held for investment | 2021-06-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-06-30 | Unqualified |
| Accountancy firm name | 2021-06-30 | EIDE BAILLY LLP |
| Accountancy firm EIN | 2021-06-30 | 450250958 |
| 2020 : WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-06-30 | $544,345 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-06-30 | $429,750 |
| Total income from all sources (including contributions) | 2020-06-30 | $9,612,467 |
| Total of all expenses incurred | 2020-06-30 | $10,429,402 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-06-30 | $10,278,893 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-06-30 | $9,606,939 |
| Value of total assets at end of year | 2020-06-30 | $3,410,991 |
| Value of total assets at beginning of year | 2020-06-30 | $4,113,331 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-06-30 | $150,509 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-06-30 | No |
| Administrative expenses professional fees incurred | 2020-06-30 | $51,680 |
| Was this plan covered by a fidelity bond | 2020-06-30 | Yes |
| Value of fidelity bond cover | 2020-06-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2020-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-06-30 | No |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-06-30 | $542,892 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-06-30 | $428,406 |
| Other income not declared elsewhere | 2020-06-30 | $5,528 |
| Administrative expenses (other) incurred | 2020-06-30 | $14,982 |
| Liabilities. Value of operating payables at end of year | 2020-06-30 | $1,453 |
| Liabilities. Value of operating payables at beginning of year | 2020-06-30 | $1,344 |
| Total non interest bearing cash at end of year | 2020-06-30 | $2,855,985 |
| Total non interest bearing cash at beginning of year | 2020-06-30 | $3,195,061 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-06-30 | No |
| Value of net income/loss | 2020-06-30 | $-816,935 |
| Value of net assets at end of year (total assets less liabilities) | 2020-06-30 | $2,866,646 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-06-30 | $3,683,581 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-06-30 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-06-30 | $10,278,893 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-06-30 | No |
| Contributions received in cash from employer | 2020-06-30 | $9,606,939 |
| Employer contributions (assets) at end of year | 2020-06-30 | $555,006 |
| Employer contributions (assets) at beginning of year | 2020-06-30 | $918,270 |
| Contract administrator fees | 2020-06-30 | $83,847 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-06-30 | No |
| Did the plan have assets held for investment | 2020-06-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-06-30 | Unqualified |
| Accountancy firm name | 2020-06-30 | EIDE BAILLY LLP |
| Accountancy firm EIN | 2020-06-30 | 450250958 |
| 2019 : WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-06-30 | $429,750 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-06-30 | $554,109 |
| Total income from all sources (including contributions) | 2019-06-30 | $10,097,355 |
| Total of all expenses incurred | 2019-06-30 | $10,423,713 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-06-30 | $10,258,356 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-06-30 | $10,075,597 |
| Value of total assets at end of year | 2019-06-30 | $4,113,331 |
| Value of total assets at beginning of year | 2019-06-30 | $4,564,048 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-06-30 | $165,357 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-06-30 | No |
| Administrative expenses professional fees incurred | 2019-06-30 | $60,957 |
| Was this plan covered by a fidelity bond | 2019-06-30 | Yes |
| Value of fidelity bond cover | 2019-06-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2019-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-06-30 | $13,118 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-06-30 | $428,406 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-06-30 | $552,766 |
| Other income not declared elsewhere | 2019-06-30 | $21,758 |
| Administrative expenses (other) incurred | 2019-06-30 | $14,744 |
| Liabilities. Value of operating payables at end of year | 2019-06-30 | $1,344 |
| Liabilities. Value of operating payables at beginning of year | 2019-06-30 | $1,343 |
| Total non interest bearing cash at end of year | 2019-06-30 | $3,195,061 |
| Total non interest bearing cash at beginning of year | 2019-06-30 | $3,946,941 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-06-30 | No |
| Value of net income/loss | 2019-06-30 | $-326,358 |
| Value of net assets at end of year (total assets less liabilities) | 2019-06-30 | $3,683,581 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-06-30 | $4,009,939 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-06-30 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-06-30 | $10,258,356 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-06-30 | No |
| Contributions received in cash from employer | 2019-06-30 | $10,075,597 |
| Employer contributions (assets) at end of year | 2019-06-30 | $918,270 |
| Employer contributions (assets) at beginning of year | 2019-06-30 | $603,989 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-06-30 | $0 |
| Contract administrator fees | 2019-06-30 | $89,656 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-06-30 | No |
| Did the plan have assets held for investment | 2019-06-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-06-30 | Unqualified |
| Accountancy firm name | 2019-06-30 | EIDE BAILLY LLP |
| Accountancy firm EIN | 2019-06-30 | 450250958 |
| 2018 : WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-06-30 | $554,109 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-06-30 | $650,471 |
| Total income from all sources (including contributions) | 2018-06-30 | $12,145,707 |
| Total of all expenses incurred | 2018-06-30 | $12,680,675 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-06-30 | $12,503,600 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-06-30 | $12,135,090 |
| Value of total assets at end of year | 2018-06-30 | $4,564,048 |
| Value of total assets at beginning of year | 2018-06-30 | $5,195,378 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-06-30 | $177,075 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-06-30 | No |
| Administrative expenses professional fees incurred | 2018-06-30 | $57,989 |
| Was this plan covered by a fidelity bond | 2018-06-30 | Yes |
| Value of fidelity bond cover | 2018-06-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2018-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-06-30 | $13,118 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-06-30 | $552,766 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-06-30 | $535,675 |
| Other income not declared elsewhere | 2018-06-30 | $10,617 |
| Administrative expenses (other) incurred | 2018-06-30 | $14,467 |
| Liabilities. Value of operating payables at end of year | 2018-06-30 | $1,343 |
| Liabilities. Value of operating payables at beginning of year | 2018-06-30 | $114,796 |
| Total non interest bearing cash at end of year | 2018-06-30 | $3,946,941 |
| Total non interest bearing cash at beginning of year | 2018-06-30 | $4,578,719 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-06-30 | No |
| Value of net income/loss | 2018-06-30 | $-534,968 |
| Value of net assets at end of year (total assets less liabilities) | 2018-06-30 | $4,009,939 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-06-30 | $4,544,907 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-06-30 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-06-30 | $12,390,957 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-06-30 | No |
| Contributions received in cash from employer | 2018-06-30 | $12,135,090 |
| Employer contributions (assets) at end of year | 2018-06-30 | $603,989 |
| Employer contributions (assets) at beginning of year | 2018-06-30 | $616,659 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-06-30 | $112,643 |
| Contract administrator fees | 2018-06-30 | $104,619 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-06-30 | No |
| Did the plan have assets held for investment | 2018-06-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-06-30 | Unqualified |
| Accountancy firm name | 2018-06-30 | VAVRINEK, TRINE, DAY & CO., LLP |
| Accountancy firm EIN | 2018-06-30 | 952648289 |
| 2017 : WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-06-30 | $650,471 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-06-30 | $1,681,575 |
| Total income from all sources (including contributions) | 2017-06-30 | $14,090,625 |
| Total of all expenses incurred | 2017-06-30 | $14,145,727 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-06-30 | $13,673,608 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-06-30 | $14,008,735 |
| Value of total assets at end of year | 2017-06-30 | $5,195,378 |
| Value of total assets at beginning of year | 2017-06-30 | $6,281,584 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-06-30 | $472,119 |
| Total interest from all sources | 2017-06-30 | $109 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-06-30 | $18,643 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-06-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-06-30 | $18,643 |
| Administrative expenses professional fees incurred | 2017-06-30 | $296,674 |
| Was this plan covered by a fidelity bond | 2017-06-30 | Yes |
| Value of fidelity bond cover | 2017-06-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-06-30 | $345,850 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-06-30 | $535,675 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-06-30 | $1,103,151 |
| Other income not declared elsewhere | 2017-06-30 | $21,638 |
| Administrative expenses (other) incurred | 2017-06-30 | $12,717 |
| Liabilities. Value of operating payables at end of year | 2017-06-30 | $114,796 |
| Liabilities. Value of operating payables at beginning of year | 2017-06-30 | $93,515 |
| Total non interest bearing cash at end of year | 2017-06-30 | $4,578,719 |
| Total non interest bearing cash at beginning of year | 2017-06-30 | $2,808,090 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-06-30 | No |
| Value of net income/loss | 2017-06-30 | $-55,102 |
| Value of net assets at end of year (total assets less liabilities) | 2017-06-30 | $4,544,907 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-06-30 | $4,600,009 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-06-30 | No |
| Investment advisory and management fees | 2017-06-30 | $6,777 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-06-30 | $1,646,059 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-06-30 | $14,363 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-06-30 | $14,363 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-06-30 | $109 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-06-30 | $10,998,339 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-06-30 | $41,500 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-06-30 | No |
| Contributions received in cash from employer | 2017-06-30 | $14,008,735 |
| Employer contributions (assets) at end of year | 2017-06-30 | $616,659 |
| Employer contributions (assets) at beginning of year | 2017-06-30 | $1,467,222 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-06-30 | $2,675,269 |
| Contract administrator fees | 2017-06-30 | $155,951 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-06-30 | No |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-06-30 | $484,909 |
| Did the plan have assets held for investment | 2017-06-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-06-30 | Unqualified |
| Accountancy firm name | 2017-06-30 | VAVRINEK, TRINE, DAY & CO., LLP |
| Accountancy firm EIN | 2017-06-30 | 952648289 |
| 2016 : WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-06-30 | $1,386,090 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-06-30 | $2,024,611 |
| Total income from all sources (including contributions) | 2016-06-30 | $16,269,698 |
| Total of all expenses incurred | 2016-06-30 | $15,674,731 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-06-30 | $14,712,526 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-06-30 | $16,309,996 |
| Value of total assets at end of year | 2016-06-30 | $6,281,584 |
| Value of total assets at beginning of year | 2016-06-30 | $6,325,138 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-06-30 | $962,205 |
| Total interest from all sources | 2016-06-30 | $19 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-06-30 | $29,500 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-06-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-06-30 | $29,500 |
| Administrative expenses professional fees incurred | 2016-06-30 | $619,244 |
| Was this plan covered by a fidelity bond | 2016-06-30 | Yes |
| Value of fidelity bond cover | 2016-06-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-06-30 | $345,850 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-06-30 | $450,188 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-06-30 | $1,103,151 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-06-30 | $1,717,773 |
| Other income not declared elsewhere | 2016-06-30 | $23,713 |
| Administrative expenses (other) incurred | 2016-06-30 | $97,521 |
| Liabilities. Value of operating payables at end of year | 2016-06-30 | $93,515 |
| Liabilities. Value of operating payables at beginning of year | 2016-06-30 | $71,045 |
| Total non interest bearing cash at end of year | 2016-06-30 | $2,808,090 |
| Total non interest bearing cash at beginning of year | 2016-06-30 | $3,503,628 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-06-30 | No |
| Value of net income/loss | 2016-06-30 | $594,967 |
| Value of net assets at end of year (total assets less liabilities) | 2016-06-30 | $4,895,494 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-06-30 | $4,300,527 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-06-30 | No |
| Investment advisory and management fees | 2016-06-30 | $13,204 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-06-30 | $1,646,059 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-06-30 | $1,709,132 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-06-30 | $14,363 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-06-30 | $15,301 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-06-30 | $15,301 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-06-30 | $19 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-06-30 | $7,874,240 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-06-30 | $-93,530 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-06-30 | No |
| Contributions received in cash from employer | 2016-06-30 | $16,309,996 |
| Employer contributions (assets) at end of year | 2016-06-30 | $1,467,222 |
| Employer contributions (assets) at beginning of year | 2016-06-30 | $646,889 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-06-30 | $6,838,286 |
| Contract administrator fees | 2016-06-30 | $232,236 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-06-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2016-06-30 | $189,424 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-06-30 | $235,793 |
| Did the plan have assets held for investment | 2016-06-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-06-30 | Unqualified |
| Accountancy firm name | 2016-06-30 | HEMMING MORSE CPAS AND CONSULTANTS |
| Accountancy firm EIN | 2016-06-30 | 300702322 |
| 2015 : WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-06-30 | $2,024,611 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-06-30 | $1,935,284 |
| Total income from all sources (including contributions) | 2015-06-30 | $18,772,744 |
| Total of all expenses incurred | 2015-06-30 | $17,887,211 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-06-30 | $16,790,710 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-06-30 | $18,212,298 |
| Value of total assets at end of year | 2015-06-30 | $6,325,138 |
| Value of total assets at beginning of year | 2015-06-30 | $5,350,278 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-06-30 | $1,096,501 |
| Total interest from all sources | 2015-06-30 | $1 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-06-30 | $32,036 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-06-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-06-30 | $32,036 |
| Administrative expenses professional fees incurred | 2015-06-30 | $690,686 |
| Was this plan covered by a fidelity bond | 2015-06-30 | Yes |
| Value of fidelity bond cover | 2015-06-30 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-06-30 | $450,188 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-06-30 | $7,802 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-06-30 | $1,717,773 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-06-30 | $1,598,037 |
| Other income not declared elsewhere | 2015-06-30 | $555,464 |
| Administrative expenses (other) incurred | 2015-06-30 | $127,563 |
| Liabilities. Value of operating payables at end of year | 2015-06-30 | $71,045 |
| Liabilities. Value of operating payables at beginning of year | 2015-06-30 | $76,773 |
| Total non interest bearing cash at end of year | 2015-06-30 | $3,503,628 |
| Total non interest bearing cash at beginning of year | 2015-06-30 | $3,185,225 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-06-30 | No |
| Value of net income/loss | 2015-06-30 | $885,533 |
| Value of net assets at end of year (total assets less liabilities) | 2015-06-30 | $4,300,527 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-06-30 | $3,414,994 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-06-30 | No |
| Investment advisory and management fees | 2015-06-30 | $12,972 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-06-30 | $1,709,132 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-06-30 | $1,203,951 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-06-30 | $15,301 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-06-30 | $15,500 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-06-30 | $15,500 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-06-30 | $1 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-06-30 | $8,311,816 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-06-30 | $-27,055 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-06-30 | No |
| Contributions received in cash from employer | 2015-06-30 | $18,212,298 |
| Employer contributions (assets) at end of year | 2015-06-30 | $646,889 |
| Employer contributions (assets) at beginning of year | 2015-06-30 | $937,800 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-06-30 | $8,478,894 |
| Contract administrator fees | 2015-06-30 | $265,280 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-06-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2015-06-30 | $235,793 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-06-30 | $260,474 |
| Did the plan have assets held for investment | 2015-06-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-06-30 | Unqualified |
| Accountancy firm name | 2015-06-30 | HEMMING MORSE CPAS AND CONSULTANTS |
| Accountancy firm EIN | 2015-06-30 | 300702322 |
| 2014 : WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-06-30 | $1,935,284 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-06-30 | $2,567,184 |
| Total income from all sources (including contributions) | 2014-06-30 | $17,452,525 |
| Total of all expenses incurred | 2014-06-30 | $15,716,059 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-06-30 | $14,752,981 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-06-30 | $17,143,263 |
| Value of total assets at end of year | 2014-06-30 | $5,350,278 |
| Value of total assets at beginning of year | 2014-06-30 | $4,245,712 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-06-30 | $963,078 |
| Total interest from all sources | 2014-06-30 | $18 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-06-30 | $23,652 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-06-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-06-30 | $23,652 |
| Administrative expenses professional fees incurred | 2014-06-30 | $591,215 |
| Was this plan covered by a fidelity bond | 2014-06-30 | Yes |
| Value of fidelity bond cover | 2014-06-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-06-30 | $7,802 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-06-30 | $21,714 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-06-30 | $1,598,037 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-06-30 | $2,268,051 |
| Other income not declared elsewhere | 2014-06-30 | $118,781 |
| Administrative expenses (other) incurred | 2014-06-30 | $87,102 |
| Liabilities. Value of operating payables at end of year | 2014-06-30 | $76,773 |
| Liabilities. Value of operating payables at beginning of year | 2014-06-30 | $50,127 |
| Total non interest bearing cash at end of year | 2014-06-30 | $3,185,225 |
| Total non interest bearing cash at beginning of year | 2014-06-30 | $2,619,782 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-06-30 | No |
| Value of net income/loss | 2014-06-30 | $1,736,466 |
| Value of net assets at end of year (total assets less liabilities) | 2014-06-30 | $3,414,994 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-06-30 | $1,678,528 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-06-30 | No |
| Investment advisory and management fees | 2014-06-30 | $10,821 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-06-30 | $1,203,951 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-06-30 | $1,013,607 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-06-30 | $15,500 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-06-30 | $15,363 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-06-30 | $15,363 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-06-30 | $18 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-06-30 | $7,558,830 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-06-30 | $166,811 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-06-30 | No |
| Contributions received in cash from employer | 2014-06-30 | $17,143,263 |
| Employer contributions (assets) at end of year | 2014-06-30 | $937,800 |
| Employer contributions (assets) at beginning of year | 2014-06-30 | $575,246 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-06-30 | $7,194,151 |
| Contract administrator fees | 2014-06-30 | $273,940 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-06-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2014-06-30 | $260,474 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-06-30 | $249,006 |
| Did the plan have assets held for investment | 2014-06-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-06-30 | Unqualified |
| Accountancy firm name | 2014-06-30 | HEMMING MORSE CPAS AND CONSULTANTS |
| Accountancy firm EIN | 2014-06-30 | 300702322 |
| 2013 : WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-06-30 | $2,567,184 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-06-30 | $2,718,011 |
| Total income from all sources (including contributions) | 2013-06-30 | $19,256,280 |
| Total of all expenses incurred | 2013-06-30 | $17,843,215 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-06-30 | $16,854,930 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-06-30 | $18,763,197 |
| Value of total assets at end of year | 2013-06-30 | $4,245,712 |
| Value of total assets at beginning of year | 2013-06-30 | $2,983,474 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-06-30 | $988,285 |
| Total interest from all sources | 2013-06-30 | $17 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-06-30 | $29,650 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-06-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-06-30 | $29,650 |
| Administrative expenses professional fees incurred | 2013-06-30 | $624,690 |
| Was this plan covered by a fidelity bond | 2013-06-30 | Yes |
| Value of fidelity bond cover | 2013-06-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-06-30 | $21,714 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-06-30 | $188 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-06-30 | $2,268,051 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-06-30 | $2,422,107 |
| Other income not declared elsewhere | 2013-06-30 | $372,667 |
| Administrative expenses (other) incurred | 2013-06-30 | $46,134 |
| Liabilities. Value of operating payables at end of year | 2013-06-30 | $50,127 |
| Liabilities. Value of operating payables at beginning of year | 2013-06-30 | $73,355 |
| Total non interest bearing cash at end of year | 2013-06-30 | $2,619,782 |
| Total non interest bearing cash at beginning of year | 2013-06-30 | $1,390,294 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-06-30 | No |
| Value of net income/loss | 2013-06-30 | $1,413,065 |
| Value of net assets at end of year (total assets less liabilities) | 2013-06-30 | $1,678,528 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-06-30 | $265,463 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-06-30 | No |
| Investment advisory and management fees | 2013-06-30 | $9,932 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-06-30 | $1,013,607 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-06-30 | $893,282 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-06-30 | $15,363 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-06-30 | $15,273 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-06-30 | $15,273 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-06-30 | $17 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-06-30 | $8,944,970 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-06-30 | $90,749 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-06-30 | No |
| Contributions received in cash from employer | 2013-06-30 | $18,763,197 |
| Employer contributions (assets) at end of year | 2013-06-30 | $575,246 |
| Employer contributions (assets) at beginning of year | 2013-06-30 | $684,437 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-06-30 | $7,909,960 |
| Contract administrator fees | 2013-06-30 | $307,529 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-06-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2013-06-30 | $249,006 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-06-30 | $222,549 |
| Did the plan have assets held for investment | 2013-06-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-06-30 | Unqualified |
| Accountancy firm name | 2013-06-30 | HEMMING MORSE CPAS AND CONSULTANTS |
| Accountancy firm EIN | 2013-06-30 | 300702322 |
| 2012 : WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-06-30 | $2,718,011 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-06-30 | $3,527,655 |
| Total income from all sources (including contributions) | 2012-06-30 | $17,390,118 |
| Total of all expenses incurred | 2012-06-30 | $15,531,260 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-06-30 | $14,577,967 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-06-30 | $17,240,443 |
| Value of total assets at end of year | 2012-06-30 | $2,983,474 |
| Value of total assets at beginning of year | 2012-06-30 | $1,934,260 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-06-30 | $953,293 |
| Total interest from all sources | 2012-06-30 | $12 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-06-30 | $21,899 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-06-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-06-30 | $21,899 |
| Administrative expenses professional fees incurred | 2012-06-30 | $593,486 |
| Was this plan covered by a fidelity bond | 2012-06-30 | Yes |
| Value of fidelity bond cover | 2012-06-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-06-30 | $188 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-06-30 | $5,697 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-06-30 | $2,422,107 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-06-30 | $3,061,623 |
| Other income not declared elsewhere | 2012-06-30 | $178,149 |
| Administrative expenses (other) incurred | 2012-06-30 | $39,217 |
| Liabilities. Value of operating payables at end of year | 2012-06-30 | $73,355 |
| Liabilities. Value of operating payables at beginning of year | 2012-06-30 | $141,069 |
| Total non interest bearing cash at end of year | 2012-06-30 | $1,390,294 |
| Total non interest bearing cash at beginning of year | 2012-06-30 | $440,180 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-06-30 | No |
| Value of net income/loss | 2012-06-30 | $1,858,858 |
| Value of net assets at end of year (total assets less liabilities) | 2012-06-30 | $265,463 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-06-30 | $-1,593,395 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-06-30 | No |
| Investment advisory and management fees | 2012-06-30 | $8,900 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-06-30 | $893,282 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-06-30 | $903,933 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-06-30 | $15,273 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-06-30 | $33,106 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-06-30 | $33,106 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-06-30 | $12 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-06-30 | $8,237,469 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-06-30 | $-50,385 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-06-30 | No |
| Contributions received in cash from employer | 2012-06-30 | $17,240,443 |
| Employer contributions (assets) at end of year | 2012-06-30 | $684,437 |
| Employer contributions (assets) at beginning of year | 2012-06-30 | $551,344 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-06-30 | $6,340,498 |
| Contract administrator fees | 2012-06-30 | $311,690 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-06-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2012-06-30 | $222,549 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-06-30 | $324,963 |
| Did the plan have assets held for investment | 2012-06-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-06-30 | Unqualified |
| Accountancy firm name | 2012-06-30 | HEMMING MORSE CPAS AND CONSULTANTS |
| Accountancy firm EIN | 2012-06-30 | 300702322 |
| 2011 : WHOLESALE BEER DISTRIBUTORS INDUSTRY TRUST 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-06-30 | $3,527,655 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-06-30 | $4,186,384 |
| Total income from all sources (including contributions) | 2011-06-30 | $20,100,819 |
| Total of all expenses incurred | 2011-06-30 | $19,442,806 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-06-30 | $18,416,654 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-06-30 | $19,313,466 |
| Value of total assets at end of year | 2011-06-30 | $1,934,260 |
| Value of total assets at beginning of year | 2011-06-30 | $1,934,976 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-06-30 | $1,026,152 |
| Total interest from all sources | 2011-06-30 | $177 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-06-30 | $31,891 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-06-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-06-30 | $31,891 |
| Administrative expenses professional fees incurred | 2011-06-30 | $546,196 |
| Was this plan covered by a fidelity bond | 2011-06-30 | Yes |
| Value of fidelity bond cover | 2011-06-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-06-30 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-06-30 | $5,697 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-06-30 | $476,180 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-06-30 | $3,061,623 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-06-30 | $3,570,262 |
| Other income not declared elsewhere | 2011-06-30 | $655,005 |
| Administrative expenses (other) incurred | 2011-06-30 | $16,299 |
| Liabilities. Value of operating payables at end of year | 2011-06-30 | $141,069 |
| Liabilities. Value of operating payables at beginning of year | 2011-06-30 | $263,764 |
| Total non interest bearing cash at end of year | 2011-06-30 | $440,180 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-06-30 | No |
| Value of net income/loss | 2011-06-30 | $658,013 |
| Value of net assets at end of year (total assets less liabilities) | 2011-06-30 | $-1,593,395 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-06-30 | $-2,251,408 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-06-30 | No |
| Investment advisory and management fees | 2011-06-30 | $9,128 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-06-30 | $903,933 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-06-30 | $759,110 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-06-30 | $33,106 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-06-30 | $45,717 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-06-30 | $45,717 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-06-30 | $177 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-06-30 | $9,563,961 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-06-30 | $100,280 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-06-30 | No |
| Contributions received in cash from employer | 2011-06-30 | $19,313,466 |
| Employer contributions (assets) at end of year | 2011-06-30 | $551,344 |
| Employer contributions (assets) at beginning of year | 2011-06-30 | $653,969 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-06-30 | $8,852,693 |
| Contract administrator fees | 2011-06-30 | $454,529 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-06-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2011-06-30 | $324,963 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-06-30 | $352,358 |
| Did the plan have assets held for investment | 2011-06-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-06-30 | Unqualified |
| Accountancy firm name | 2011-06-30 | HEMMING MORSE CPAS AND CONSULTANTS |
| Accountancy firm EIN | 2011-06-30 | 300702322 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7935 |
| Policy instance | 2 |
| Insurance contract or identification number | 7935 | | Number of Individuals Covered | 433 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $40,215 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $4,067,357 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $40,215 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 77002 |
| Policy instance | 6 |
| Insurance contract or identification number | 77002 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $18,791 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 033341 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 033341 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 278780 |
| Policy instance | 3 |
| Insurance contract or identification number | 278780 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 278780 |
| Policy instance | 4 |
| Insurance contract or identification number | 278780 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | 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 number | 17248 |
| Policy instance | 5 |
| Insurance contract or identification number | 17248 | | Number of Individuals Covered | 676 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $3,507 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $333,246 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,507 | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 033341 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 033341 | | Number of Individuals Covered | 658 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $1,885 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,471 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,885 | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7935 |
| Policy instance | 2 |
| Insurance contract or identification number | 7935 | | Number of Individuals Covered | 649 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $39,707 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $3,602,884 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $39,682 | | Insurance broker organization code? | 3 |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 278780 |
| Policy instance | 3 |
| Insurance contract or identification number | 278780 | | Number of Individuals Covered | 1166 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $53,444 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,950,863 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $53,417 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 17248 |
| Policy instance | 5 |
| Insurance contract or identification number | 17248 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 77002 |
| Policy instance | 6 |
| Insurance contract or identification number | 77002 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 278780 |
| Policy instance | 4 |
| Insurance contract or identification number | 278780 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | 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 number | 7935 |
| Policy instance | 2 |
| Insurance contract or identification number | 7935 | | Number of Individuals Covered | 681 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $45,937 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $4,531,202 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $45,931 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 17248 |
| Policy instance | 5 |
| Insurance contract or identification number | 17248 | | Number of Individuals Covered | 1064 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $4,639 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $463,929 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,639 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 77002 |
| Policy instance | 6 |
| Insurance contract or identification number | 77002 | | Number of Individuals Covered | 167 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $34,017 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 033341 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 033341 | | Number of Individuals Covered | 673 | | Insurance policy start date | 2019-06-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $2,262 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,569 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,262 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 278780 |
| Policy instance | 4 |
| Insurance contract or identification number | 278780 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $4,873 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 278780 |
| Policy instance | 3 |
| Insurance contract or identification number | 278780 | | Number of Individuals Covered | 1260 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $60,142 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,275,069 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $47,914 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 77002 |
| Policy instance | 6 |
| Insurance contract or identification number | 77002 | | Number of Individuals Covered | 261 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $45,550 | | 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 number | 17248 |
| Policy instance | 5 |
| Insurance contract or identification number | 17248 | | Number of Individuals Covered | 1246 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $4,947 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $494,642 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,104 | | Insurance broker organization code? | 3 |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 278780 |
| Policy instance | 4 |
| Insurance contract or identification number | 278780 | | Number of Individuals Covered | 680 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $7,426 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 278780 |
| Policy instance | 3 |
| Insurance contract or identification number | 278780 | | Number of Individuals Covered | 1516 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $4,389 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,977,356 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,289 | | Insurance broker organization code? | 3 |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7935 |
| Policy instance | 2 |
| Insurance contract or identification number | 7935 | | Number of Individuals Covered | 786 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $47,534 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $5,107,008 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $34,792 | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 033341 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 033341 | | Number of Individuals Covered | 723 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $2,509 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,937 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,509 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 17248 |
| Policy instance | 7 |
| Insurance contract or identification number | 17248 | | Number of Individuals Covered | 1411 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $5,928 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $594,169 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 278780 |
| Policy instance | 5 |
| Insurance contract or identification number | 278780 | | Number of Individuals Covered | 1625 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $61,565 | | Total amount of fees paid to insurance company | USD $16 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,585,330 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 278780 |
| Policy instance | 6 |
| Insurance contract or identification number | 278780 | | Number of Individuals Covered | 729 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $9,522 | | 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 number | 7935 |
| Policy instance | 4 |
| Insurance contract or identification number | 7935 | | Number of Individuals Covered | 790 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $44,245 | | Total amount of fees paid to insurance company | USD $3 | | Welfare Benefit Premiums Paid to Carrier | USD $4,249,640 | | 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 number | 711872 |
| Policy instance | 3 |
| Insurance contract or identification number | 711872 | | Number of Individuals Covered | 37 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,066 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 033341 |
| Policy instance | 2 |
| Insurance contract or identification number | GL 033341 | | Number of Individuals Covered | 1020 | | Insurance policy start date | 2017-06-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $3,715 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,637 | | 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 number | 104566 |
| Policy instance | 1 |
| Insurance contract or identification number | 104566 | | Number of Individuals Covered | 302 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $18,347 | | Total amount of fees paid to insurance company | USD $1 | | Welfare Benefit Premiums Paid to Carrier | USD $1,538,630 | | 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 number | 77002 |
| Policy instance | 8 |
| Insurance contract or identification number | 77002 | | Number of Individuals Covered | 338 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $45,052 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 033341 |
| Policy instance | 2 |
| Insurance contract or identification number | GL 033341 | | Number of Individuals Covered | 1483 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $5,169 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,714 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,169 | | Insurance broker organization code? | 3 | | Insurance broker name | ANDREINI & COMPANY |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 104566 |
| Policy instance | 1 |
| Insurance contract or identification number | 104566 | | Number of Individuals Covered | 368 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $18,251 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,301,408 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $18,251 | | Insurance broker organization code? | 3 | | Insurance broker name | ANDREINI & COMPANY |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 711872 |
| Policy instance | 3 |
| Insurance contract or identification number | 711872 | | Number of Individuals Covered | 43 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $31,524 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | NONE |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7935 |
| Policy instance | 4 |
| Insurance contract or identification number | 7935 | | Number of Individuals Covered | 958 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $6,301,881 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | NONE |
|
| TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
| Policy contract number | 00000 |
| Policy instance | 5 |
| Insurance contract or identification number | 00000 | | Number of Individuals Covered | 626 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $36,967 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $528,093 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $36,967 | | Insurance broker organization code? | 3 | | Insurance broker name | ANDREINI & COMPANY |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 77002 DIV00001 |
| Policy instance | 6 |
| Insurance contract or identification number | 77002 DIV00001 | | Number of Individuals Covered | 363 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $70,572 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | NONE |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 27878 |
| Policy instance | 7 |
| Insurance contract or identification number | 27878 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,462 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,828 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1462 | | Additional information about fees paid to insurance broker | BONUS, OVERRIDE, & NON-MONETARY COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | ANDREINI & COMPANY |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 033341 |
| Policy instance | 2 |
| Insurance contract or identification number | GL 033341 | | Number of Individuals Covered | 1461 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $5,310 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,501 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,310 | | Insurance broker organization code? | 3 | | Insurance broker name | ANDREINI & COMPANY |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 711872 |
| Policy instance | 3 |
| Insurance contract or identification number | 711872 | | Number of Individuals Covered | 52 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $82,227 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | NONE |
|
| U. S. BEHAVIORAL HEALTH PLAN, CALIFORNIA DBA OPTUMHEALTH (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | 10000843 |
| Policy instance | 4 |
| Insurance contract or identification number | 10000843 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Insurance broker name | NONE |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7935 |
| Policy instance | 5 |
| Insurance contract or identification number | 7935 | | Number of Individuals Covered | 1108 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $5,457,914 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | NONE |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 77002 DIV00001 |
| Policy instance | 7 |
| Insurance contract or identification number | 77002 DIV00001 | | Number of Individuals Covered | 521 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $38,251 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | NONE |
|
| TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
| Policy contract number | 00000 |
| Policy instance | 6 |
| Insurance contract or identification number | 00000 | | Number of Individuals Covered | 861 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $43,432 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $620,464 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $43,432 | | Insurance broker organization code? | 3 | | Insurance broker name | ANDREINI & COMPANY |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 104566 |
| Policy instance | 1 |
| Insurance contract or identification number | 104566 | | Number of Individuals Covered | 412 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $15,970 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,461,869 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $15,970 | | Insurance broker organization code? | 3 | | Insurance broker name | ANDREINI & COMPANY |
|
| TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
| Policy contract number | 00000 |
| Policy instance | 6 |
| Insurance contract or identification number | 00000 | | Number of Individuals Covered | 864 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $45,306 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $647,232 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $45,306 | | Insurance broker organization code? | 3 | | Insurance broker name | MUNICH RE STOP LOSS |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7935 |
| Policy instance | 5 |
| Insurance contract or identification number | 7935 | | Number of Individuals Covered | 1053 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $5,724,320 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | NONE |
|
| U. S. BEHAVIORAL HEALTH PLAN, CALIFORNIA DBA OPTUMHEALTH (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | 10000843 |
| Policy instance | 4 |
| Insurance contract or identification number | 10000843 | | Number of Individuals Covered | 1439 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,675 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | NONE |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 711872 |
| Policy instance | 3 |
| Insurance contract or identification number | 711872 | | Number of Individuals Covered | 317 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $144,126 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | NONE |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 033341 |
| Policy instance | 2 |
| Insurance contract or identification number | GL 033341 | | Number of Individuals Covered | 1413 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $5,082 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,232 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,082 | | Insurance broker organization code? | 3 | | Insurance broker name | ANDREINI & COMPANY |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 104566 |
| Policy instance | 1 |
| Insurance contract or identification number | 104566 | | Number of Individuals Covered | 372 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $30,152 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $2,405,830 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,152 | | Insurance broker organization code? | 3 | | Insurance broker name | ANDREINI & COMPANY |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 033341 |
| Policy instance | 2 |
| Insurance contract or identification number | GL 033341 | | Number of Individuals Covered | 1627 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $6,333 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $35,185 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,333 | | Insurance broker organization code? | 3 | | Insurance broker name | ANDREINI & COMPANY |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 104566 |
| Policy instance | 1 |
| Insurance contract or identification number | 104566 | | Number of Individuals Covered | 800 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $33,449 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | HEATLH CARE SERVICE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $2,581,103 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $33,449 | | Insurance broker organization code? | 3 | | Insurance broker name | ANDREINI & COMPANY |
|
| U. S. BEHAVIORAL HEALTH PLAN, CALIFORNIA DBA OPTUMHEALTH (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | 10000843 |
| Policy instance | 4 |
| Insurance contract or identification number | 10000843 | | Number of Individuals Covered | 1623 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,504 | | 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 number | 711872 |
| Policy instance | 3 |
| Insurance contract or identification number | 711872 | | Number of Individuals Covered | 465 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $193,578 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | NONE |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7935 |
| Policy instance | 1 |
| Insurance contract or identification number | 7935 | | Number of Individuals Covered | 1122 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | HEALTH CARE SERVICE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $4,884,020 | | 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 number | 104566 |
| Policy instance | 2 |
| Insurance contract or identification number | 104566 | | Number of Individuals Covered | 787 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $24,389 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | HEATLH CARE SERVICE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $2,062,593 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 033341 |
| Policy instance | 3 |
| Insurance contract or identification number | GL 033341 | | Number of Individuals Covered | 1651 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $6,398 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $35,543 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| U. S. BEHAVIORAL HEALTH PLAN, CALIFORNIA DBA OPTUMHEALTH (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | 10000843 |
| Policy instance | 5 |
| Insurance contract or identification number | 10000843 | | Number of Individuals Covered | 1622 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | BEHAVIORAL HEALTH | | Welfare Benefit Premiums Paid to Carrier | USD $52,790 | | 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 number | 711872 |
| Policy instance | 6 |
| Insurance contract or identification number | 711872 | | Number of Individuals Covered | 488 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $207,092 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | EXRK |
| Policy instance | 4 |
| Insurance contract or identification number | EXRK | | Number of Individuals Covered | 1423 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $54,731 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | INDIVIDUAL EXCESS RISK | | Welfare Benefit Premiums Paid to Carrier | USD $781,879 | | 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 number | 7935 |
| Policy instance | 1 |
| Insurance contract or identification number | 7935 | | Number of Individuals Covered | 1607 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | HEALTH CARE SERVICE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $6,242,689 | | 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 number | 104566 |
| Policy instance | 2 |
| Insurance contract or identification number | 104566 | | Number of Individuals Covered | 502 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $27,246 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | HEATLH CARE SERVICE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $2,223,116 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 033341 |
| Policy instance | 3 |
| Insurance contract or identification number | GL 033341 | | Number of Individuals Covered | 1674 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $7,131 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $39,618 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | EXRK |
| Policy instance | 5 |
| Insurance contract or identification number | EXRK | | Number of Individuals Covered | 1418 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $44,728 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | INDIVIDUAL EXCESS RISK | | Welfare Benefit Premiums Paid to Carrier | USD $638,973 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| U. S. BEHAVIORAL HEALTH PLAN, CALIFORNIA DBA OPTUMHEALTH (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | 10000843 |
| Policy instance | 6 |
| Insurance contract or identification number | 10000843 | | Number of Individuals Covered | 1671 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | BEHAVIORAL HEALTH | | Welfare Benefit Premiums Paid to Carrier | USD $106,736 | | 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 number | 711872 |
| Policy instance | 7 |
| Insurance contract or identification number | 711872 | | Number of Individuals Covered | 899 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $238,677 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VG 003990 |
| Policy instance | 8 |
| Insurance contract or identification number | VG 003990 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $165 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,647 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 400141/145957 |
| Policy instance | 4 |
| Insurance contract or identification number | 400141/145957 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,108,903 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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