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OPERATING ENGINEERS HEALTH AND WELFARE FUND 401k Plan overview

Plan NameOPERATING ENGINEERS HEALTH AND WELFARE FUND
Plan identification number 501

OPERATING ENGINEERS HEALTH AND WELFARE FUND Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES, OPERATING ENGINEERS HEALTH AND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES, OPERATING ENGINEERS HEALTH AND
Employer identification number (EIN):956034886
NAIC Classification:237990
NAIC Description:Other Heavy and Civil Engineering Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OPERATING ENGINEERS HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01
5012012-07-01WILLIAM C. WAGGONER
5012011-07-01WILLIAM C. WAGGONER
5012009-07-01WILLIAM C. WAGGONER

Plan Statistics for OPERATING ENGINEERS HEALTH AND WELFARE FUND

401k plan membership statisitcs for OPERATING ENGINEERS HEALTH AND WELFARE FUND

Measure Date Value
2021: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-07-0116,123
Total number of active participants reported on line 7a of the Form 55002021-07-0112,150
Number of retired or separated participants receiving benefits2021-07-014,354
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-0116,504
Total participants2021-07-0116,504
Number of employers contributing to the scheme2021-07-011,188
2020: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-07-0116,153
Total number of active participants reported on line 7a of the Form 55002020-07-0111,732
Number of retired or separated participants receiving benefits2020-07-014,391
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-0116,123
Total participants2020-07-0116,123
Number of employers contributing to the scheme2020-07-011,173
2019: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-07-0117,020
Total number of active participants reported on line 7a of the Form 55002019-07-0111,770
Number of retired or separated participants receiving benefits2019-07-014,383
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-0116,153
Total participants2019-07-0116,153
Number of employers contributing to the scheme2019-07-011,175
2018: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-07-0116,610
Total number of active participants reported on line 7a of the Form 55002018-07-0111,384
Number of retired or separated participants receiving benefits2018-07-014,394
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-0115,778
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-011,242
Total participants2018-07-0117,020
Number of participants with account balances2018-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-010
Number of employers contributing to the scheme2018-07-011,166
2017: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-07-0116,166
Total number of active participants reported on line 7a of the Form 55002017-07-0110,939
Number of retired or separated participants receiving benefits2017-07-014,434
Total of all active and inactive participants2017-07-0115,373
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-011,237
Total participants2017-07-0116,610
Number of employers contributing to the scheme2017-07-011,254
2016: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-07-0115,935
Total number of active participants reported on line 7a of the Form 55002016-07-0110,416
Number of retired or separated participants receiving benefits2016-07-014,509
Total of all active and inactive participants2016-07-0114,925
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-011,241
Number of employers contributing to the scheme2016-07-011,094
2015: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-07-0116,228
Total number of active participants reported on line 7a of the Form 55002015-07-0110,139
Number of retired or separated participants receiving benefits2015-07-014,545
Total of all active and inactive participants2015-07-0114,684
Number of employers contributing to the scheme2015-07-011,094
2014: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-07-0116,058
Total number of active participants reported on line 7a of the Form 55002014-07-0110,083
Number of retired or separated participants receiving benefits2014-07-014,203
Total of all active and inactive participants2014-07-0114,286
2013: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-07-0116,177
Total number of active participants reported on line 7a of the Form 55002013-07-019,833
Number of retired or separated participants receiving benefits2013-07-014,279
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-0114,112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-011,946
Total participants2013-07-0116,058
Number of employers contributing to the scheme2013-07-011,141
2012: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-07-0116,385
Total number of active participants reported on line 7a of the Form 55002012-07-019,814
Number of retired or separated participants receiving benefits2012-07-014,377
Total of all active and inactive participants2012-07-0114,191
Number of employers contributing to the scheme2012-07-011,124
2011: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-07-0116,539
Total number of active participants reported on line 7a of the Form 55002011-07-019,821
Number of retired or separated participants receiving benefits2011-07-014,516
Total of all active and inactive participants2011-07-0114,337
Number of employers contributing to the scheme2011-07-011,172
2009: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-07-0117,996
Total number of active participants reported on line 7a of the Form 55002009-07-0110,660
Number of retired or separated participants receiving benefits2009-07-014,778
Total of all active and inactive participants2009-07-0115,438
Number of employers contributing to the scheme2009-07-01898

Financial Data on OPERATING ENGINEERS HEALTH AND WELFARE FUND

Measure Date Value
2022 : OPERATING ENGINEERS HEALTH AND WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-06-30$-2,119,104
Total unrealized appreciation/depreciation of assets2022-06-30$-2,119,104
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$179,120,821
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$161,723,196
Total income from all sources (including contributions)2022-06-30$269,260,442
Total loss/gain on sale of assets2022-06-30$-874,829
Total of all expenses incurred2022-06-30$308,334,285
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$292,829,035
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$274,977,596
Value of total assets at end of year2022-06-30$155,541,589
Value of total assets at beginning of year2022-06-30$177,217,807
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$15,505,250
Total interest from all sources2022-06-30$1,031,614
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$1,076,499
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$1,076,499
Administrative expenses professional fees incurred2022-06-30$1,050,482
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$20,809,922
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$12,741,865
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$15,004,921
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$1,028,092
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$1,720,990
Other income not declared elsewhere2022-06-30$716,314
Administrative expenses (other) incurred2022-06-30$14,007,752
Liabilities. Value of operating payables at end of year2022-06-30$1,169,729
Liabilities. Value of operating payables at beginning of year2022-06-30$1,654,206
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-39,073,843
Value of net assets at end of year (total assets less liabilities)2022-06-30$-23,579,232
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$15,494,611
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$447,016
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$19,012,922
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$27,796,506
Income. Interest from US Government securities2022-06-30$191,767
Income. Interest from corporate debt instruments2022-06-30$836,160
Value of interest in common/collective trusts at end of year2022-06-30$32,544,767
Value of interest in common/collective trusts at beginning of year2022-06-30$37,065,992
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$11,404,375
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$15,937,808
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$15,937,808
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$3,687
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$95,691,178
Asset value of US Government securities at end of year2022-06-30$18,230,273
Asset value of US Government securities at beginning of year2022-06-30$18,346,002
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-1,946,422
Net investment gain or loss from common/collective trusts2022-06-30$-3,601,226
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30Yes
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$254,167,674
Employer contributions (assets) at end of year2022-06-30$24,628,081
Employer contributions (assets) at beginning of year2022-06-30$23,457,647
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$197,137,857
Asset. Corporate debt instrument debt (other) at end of year2022-06-30$36,779,306
Asset. Corporate debt instrument debt (other) at beginning of year2022-06-30$39,608,931
Liabilities. Value of benefit claims payable at end of year2022-06-30$176,923,000
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$158,348,000
Assets. Value of buildings and other operty used in plan operation at end of year2022-06-30$200,000
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-06-30$0
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Aggregate proceeds on sale of assets2022-06-30$90,054,977
Aggregate carrying amount (costs) on sale of assets2022-06-30$90,929,806
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2022-06-30952036255
2021 : OPERATING ENGINEERS HEALTH AND WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-06-30$-201,415
Total unrealized appreciation/depreciation of assets2021-06-30$-201,415
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$161,723,196
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$154,597,104
Total income from all sources (including contributions)2021-06-30$276,119,739
Total loss/gain on sale of assets2021-06-30$-238,756
Total of all expenses incurred2021-06-30$264,682,976
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$249,104,508
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$267,600,851
Value of total assets at end of year2021-06-30$177,217,807
Value of total assets at beginning of year2021-06-30$158,654,952
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$15,578,468
Total interest from all sources2021-06-30$1,168,130
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$1,115,120
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$1,115,120
Administrative expenses professional fees incurred2021-06-30$1,028,911
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$21,089,513
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$15,004,921
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$5,681,078
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-06-30$1,720,990
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$3,529,251
Other income not declared elsewhere2021-06-30$677,932
Administrative expenses (other) incurred2021-06-30$13,841,321
Liabilities. Value of operating payables at end of year2021-06-30$1,654,206
Liabilities. Value of operating payables at beginning of year2021-06-30$719,853
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$11,436,763
Value of net assets at end of year (total assets less liabilities)2021-06-30$15,494,611
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$4,057,848
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$708,236
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$27,796,506
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$19,757,910
Income. Interest from US Government securities2021-06-30$353,083
Income. Interest from corporate debt instruments2021-06-30$811,670
Value of interest in common/collective trusts at end of year2021-06-30$37,065,992
Value of interest in common/collective trusts at beginning of year2021-06-30$32,212,605
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$15,937,808
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$24,837,570
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$24,837,570
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$3,377
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$89,494,174
Asset value of US Government securities at end of year2021-06-30$18,346,002
Asset value of US Government securities at beginning of year2021-06-30$22,773,772
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$1,921,150
Net investment gain or loss from common/collective trusts2021-06-30$4,076,727
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30Yes
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$246,511,338
Employer contributions (assets) at end of year2021-06-30$23,457,647
Employer contributions (assets) at beginning of year2021-06-30$22,437,137
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$159,610,334
Asset. Corporate debt instrument debt (other) at end of year2021-06-30$39,608,931
Asset. Corporate debt instrument debt (other) at beginning of year2021-06-30$30,954,880
Liabilities. Value of benefit claims payable at end of year2021-06-30$158,348,000
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$150,348,000
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Aggregate proceeds on sale of assets2021-06-30$97,424,646
Aggregate carrying amount (costs) on sale of assets2021-06-30$97,663,402
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2021-06-30952036255
2020 : OPERATING ENGINEERS HEALTH AND WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-06-30$585,114
Total unrealized appreciation/depreciation of assets2020-06-30$585,114
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$154,597,104
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$150,240,923
Total income from all sources (including contributions)2020-06-30$262,526,574
Total loss/gain on sale of assets2020-06-30$-75,216
Total of all expenses incurred2020-06-30$252,205,689
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$239,687,002
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$260,968,837
Value of total assets at end of year2020-06-30$158,654,952
Value of total assets at beginning of year2020-06-30$143,977,886
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$12,518,687
Total interest from all sources2020-06-30$1,440,550
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$1,101,908
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$1,101,908
Administrative expenses professional fees incurred2020-06-30$1,002,107
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$20,342,245
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$5,681,078
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$6,214,640
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$3,529,251
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$894,734
Other income not declared elsewhere2020-06-30$515,230
Administrative expenses (other) incurred2020-06-30$10,631,302
Liabilities. Value of operating payables at end of year2020-06-30$719,853
Liabilities. Value of operating payables at beginning of year2020-06-30$525,189
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$10,320,885
Value of net assets at end of year (total assets less liabilities)2020-06-30$4,057,848
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$-6,263,037
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$885,278
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$19,757,910
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$14,082,815
Income. Interest from US Government securities2020-06-30$514,663
Income. Interest from corporate debt instruments2020-06-30$839,906
Value of interest in common/collective trusts at end of year2020-06-30$32,212,605
Value of interest in common/collective trusts at beginning of year2020-06-30$29,645,209
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$24,837,570
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$20,483,925
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$20,483,925
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$85,981
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$88,185,637
Asset value of US Government securities at end of year2020-06-30$22,773,772
Asset value of US Government securities at beginning of year2020-06-30$29,374,742
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$-2,409,456
Net investment gain or loss from common/collective trusts2020-06-30$399,607
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30Yes
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$240,626,592
Employer contributions (assets) at end of year2020-06-30$22,437,137
Employer contributions (assets) at beginning of year2020-06-30$22,632,965
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$151,501,365
Asset. Corporate debt instrument debt (other) at end of year2020-06-30$30,954,880
Asset. Corporate debt instrument debt (other) at beginning of year2020-06-30$21,543,590
Liabilities. Value of benefit claims payable at end of year2020-06-30$150,348,000
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$148,821,000
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Aggregate proceeds on sale of assets2020-06-30$95,764,906
Aggregate carrying amount (costs) on sale of assets2020-06-30$95,840,122
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2020-06-30952036255
2019 : OPERATING ENGINEERS HEALTH AND WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-06-30$597,036
Total unrealized appreciation/depreciation of assets2019-06-30$597,036
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$150,240,923
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$142,515,835
Total income from all sources (including contributions)2019-06-30$259,366,885
Total loss/gain on sale of assets2019-06-30$307,901
Total of all expenses incurred2019-06-30$260,238,135
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$248,290,433
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$254,799,809
Value of total assets at end of year2019-06-30$143,977,886
Value of total assets at beginning of year2019-06-30$137,124,048
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$11,947,702
Total interest from all sources2019-06-30$1,178,705
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$787,833
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$787,833
Administrative expenses professional fees incurred2019-06-30$841,476
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$5,000,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$20,048,902
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$6,214,640
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$9,713,704
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-06-30$894,734
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-06-30$1,120,732
Other income not declared elsewhere2019-06-30$650,417
Administrative expenses (other) incurred2019-06-30$10,658,475
Liabilities. Value of operating payables at end of year2019-06-30$525,189
Liabilities. Value of operating payables at beginning of year2019-06-30$281,103
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-871,250
Value of net assets at end of year (total assets less liabilities)2019-06-30$-6,263,037
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$-5,391,787
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$447,751
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$14,082,815
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$35,581,037
Income. Interest from US Government securities2019-06-30$623,026
Income. Interest from corporate debt instruments2019-06-30$494,377
Value of interest in common/collective trusts at end of year2019-06-30$29,645,209
Value of interest in common/collective trusts at beginning of year2019-06-30$24,425,592
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$20,483,925
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$14,332,133
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$14,332,133
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$61,302
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$85,480,712
Asset value of US Government securities at end of year2019-06-30$29,374,742
Asset value of US Government securities at beginning of year2019-06-30$20,707,064
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$-1,087,150
Net investment gain or loss from common/collective trusts2019-06-30$2,132,334
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30Yes
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$234,750,907
Employer contributions (assets) at end of year2019-06-30$22,632,965
Employer contributions (assets) at beginning of year2019-06-30$22,812,047
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$162,809,721
Asset. Corporate debt instrument debt (other) at end of year2019-06-30$21,543,590
Asset. Corporate debt instrument debt (other) at beginning of year2019-06-30$9,437,471
Liabilities. Value of benefit claims payable at end of year2019-06-30$148,821,000
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$141,114,000
Assets. Value of buildings and other operty used in plan operation at end of year2019-06-30$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-06-30$115,000
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Aggregate proceeds on sale of assets2019-06-30$148,316,642
Aggregate carrying amount (costs) on sale of assets2019-06-30$148,008,741
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2019-06-30952036255
2018 : OPERATING ENGINEERS HEALTH AND WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-06-30$-315,156
Total unrealized appreciation/depreciation of assets2018-06-30$-315,156
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$142,515,835
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$134,110,196
Total income from all sources (including contributions)2018-06-30$252,021,334
Total loss/gain on sale of assets2018-06-30$-286,437
Total of all expenses incurred2018-06-30$241,850,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$229,478,686
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$251,276,361
Value of total assets at end of year2018-06-30$137,124,048
Value of total assets at beginning of year2018-06-30$118,547,689
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$12,371,928
Total interest from all sources2018-06-30$686,775
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$620,112
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$620,112
Administrative expenses professional fees incurred2018-06-30$1,066,883
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$5,000,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$20,373,980
Assets. Other investments not covered elsewhere at end of year2018-06-30$0
Assets. Other investments not covered elsewhere at beginning of year2018-06-30$2,075,495
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$9,713,704
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$9,332,117
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-06-30$1,120,732
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-06-30$1,490,743
Other income not declared elsewhere2018-06-30$616,683
Administrative expenses (other) incurred2018-06-30$11,100,115
Liabilities. Value of operating payables at end of year2018-06-30$281,103
Liabilities. Value of operating payables at beginning of year2018-06-30$489,453
Total non interest bearing cash at end of year2018-06-30$0
Total non interest bearing cash at beginning of year2018-06-30$1,548,076
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$10,170,720
Value of net assets at end of year (total assets less liabilities)2018-06-30$-5,391,787
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$-15,562,507
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$204,930
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$35,581,037
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$42,841,862
Income. Interest from US Government securities2018-06-30$186,771
Income. Interest from corporate debt instruments2018-06-30$447,164
Value of interest in common/collective trusts at end of year2018-06-30$24,425,592
Value of interest in common/collective trusts at beginning of year2018-06-30$2,551,716
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$14,332,133
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$17,572,942
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$17,572,942
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$52,840
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$79,245,812
Asset value of US Government securities at end of year2018-06-30$20,707,064
Asset value of US Government securities at beginning of year2018-06-30$8,720,140
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$-882,722
Net investment gain or loss from common/collective trusts2018-06-30$305,718
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30Yes
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$230,902,381
Employer contributions (assets) at end of year2018-06-30$22,812,047
Employer contributions (assets) at beginning of year2018-06-30$22,452,725
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$150,232,874
Asset. Corporate debt instrument debt (other) at end of year2018-06-30$9,437,471
Asset. Corporate debt instrument debt (other) at beginning of year2018-06-30$11,452,616
Liabilities. Value of benefit claims payable at end of year2018-06-30$141,114,000
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$132,130,000
Assets. Value of buildings and other operty used in plan operation at end of year2018-06-30$115,000
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-06-30$0
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Aggregate proceeds on sale of assets2018-06-30$114,770,878
Aggregate carrying amount (costs) on sale of assets2018-06-30$115,057,315
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30MILLER KAPLAN ARASE LLP
Accountancy firm EIN2018-06-30952036255
2017 : OPERATING ENGINEERS HEALTH AND WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-06-30$1,160,266
Total unrealized appreciation/depreciation of assets2017-06-30$1,160,266
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$134,110,196
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$131,017,198
Total income from all sources (including contributions)2017-06-30$249,427,480
Total loss/gain on sale of assets2017-06-30$-452,414
Total of all expenses incurred2017-06-30$234,671,772
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$219,439,289
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$238,178,686
Value of total assets at end of year2017-06-30$118,547,689
Value of total assets at beginning of year2017-06-30$100,698,983
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$15,232,483
Total interest from all sources2017-06-30$770,769
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$3,502,615
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$5,000,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$22,323,532
Assets. Other investments not covered elsewhere at end of year2017-06-30$2,075,495
Assets. Other investments not covered elsewhere at beginning of year2017-06-30$1,276,518
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$9,332,117
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$16,054,088
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-06-30$1,490,743
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-06-30$1,101,752
Other income not declared elsewhere2017-06-30$9,770,173
Administrative expenses (other) incurred2017-06-30$1,608,420
Liabilities. Value of operating payables at end of year2017-06-30$489,453
Liabilities. Value of operating payables at beginning of year2017-06-30$863,446
Total non interest bearing cash at end of year2017-06-30$1,548,076
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$14,755,708
Value of net assets at end of year (total assets less liabilities)2017-06-30$-15,562,507
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$-30,318,215
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Investment advisory and management fees2017-06-30$180,058
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$42,841,862
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$23,737,137
Value of interest in common/collective trusts at end of year2017-06-30$2,551,716
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$17,572,942
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$16,818,472
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$16,818,472
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$770,769
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$88,205,918
Asset value of US Government securities at end of year2017-06-30$8,720,140
Asset value of US Government securities at beginning of year2017-06-30$12,144,865
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30Yes
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$215,855,154
Employer contributions (assets) at end of year2017-06-30$22,452,725
Employer contributions (assets) at beginning of year2017-06-30$20,105,347
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$131,233,371
Asset. Corporate debt instrument debt (other) at end of year2017-06-30$11,452,616
Asset. Corporate debt instrument debt (other) at beginning of year2017-06-30$10,562,556
Contract administrator fees2017-06-30$9,941,390
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Liabilities. Value of benefit claims payable at end of year2017-06-30$132,130,000
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$129,052,000
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Aggregate proceeds on sale of assets2017-06-30$110,208,741
Aggregate carrying amount (costs) on sale of assets2017-06-30$110,661,155
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30BERNARD KOTKIN & CO., LLP
Accountancy firm EIN2017-06-30952556670
2016 : OPERATING ENGINEERS HEALTH AND WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-06-30$-733,780
Total unrealized appreciation/depreciation of assets2016-06-30$-733,780
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$131,017,198
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$120,525,768
Total income from all sources (including contributions)2016-06-30$236,020,923
Total loss/gain on sale of assets2016-06-30$-2,800,686
Total of all expenses incurred2016-06-30$234,561,666
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$219,390,944
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$223,329,041
Value of total assets at end of year2016-06-30$100,698,983
Value of total assets at beginning of year2016-06-30$88,748,296
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$15,170,722
Total interest from all sources2016-06-30$1,992,959
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$3,396,341
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$5,000,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$21,323,025
Assets. Other investments not covered elsewhere at end of year2016-06-30$1,276,518
Assets. Other investments not covered elsewhere at beginning of year2016-06-30$520,082
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$16,054,088
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$17,079,715
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-06-30$1,101,752
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-06-30$1,628,048
Other income not declared elsewhere2016-06-30$14,233,389
Administrative expenses (other) incurred2016-06-30$1,823,091
Liabilities. Value of operating payables at end of year2016-06-30$863,446
Liabilities. Value of operating payables at beginning of year2016-06-30$1,216,720
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$1,459,257
Value of net assets at end of year (total assets less liabilities)2016-06-30$-30,318,215
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$-31,777,472
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$153,080
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$23,737,137
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$17,815,346
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$16,818,472
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$17,411,570
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$17,411,570
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$1,992,959
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$83,023,437
Asset value of US Government securities at end of year2016-06-30$12,144,865
Asset value of US Government securities at beginning of year2016-06-30$5,749,361
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$202,006,016
Employer contributions (assets) at end of year2016-06-30$20,105,347
Employer contributions (assets) at beginning of year2016-06-30$17,880,964
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$136,367,507
Asset. Corporate debt instrument preferred debt at end of year2016-06-30$10,562,556
Asset. Corporate debt instrument preferred debt at beginning of year2016-06-30$12,291,258
Contract administrator fees2016-06-30$9,798,210
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Liabilities. Value of benefit claims payable at end of year2016-06-30$129,052,000
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$117,681,000
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Aggregate proceeds on sale of assets2016-06-30$82,943,757
Aggregate carrying amount (costs) on sale of assets2016-06-30$85,744,443
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30BERNARD KOTKIN & CO., LLP
Accountancy firm EIN2016-06-30952556670
2015 : OPERATING ENGINEERS HEALTH AND WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-06-30$-1,752,800
Total unrealized appreciation/depreciation of assets2015-06-30$-1,752,800
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$120,525,768
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$118,286,775
Total income from all sources (including contributions)2015-06-30$226,287,756
Total loss/gain on sale of assets2015-06-30$-260,505
Total of all expenses incurred2015-06-30$225,599,315
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$208,376,087
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$216,116,618
Value of total assets at end of year2015-06-30$88,748,296
Value of total assets at beginning of year2015-06-30$85,820,862
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$17,223,228
Total interest from all sources2015-06-30$1,128,062
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$3,647,518
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$5,000,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$23,991,821
Assets. Other investments not covered elsewhere at end of year2015-06-30$520,082
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$17,079,715
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$15,005,901
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-06-30$1,628,048
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$2,077,221
Other income not declared elsewhere2015-06-30$11,056,381
Administrative expenses (other) incurred2015-06-30$3,769,851
Liabilities. Value of operating payables at end of year2015-06-30$1,216,720
Liabilities. Value of operating payables at beginning of year2015-06-30$750,554
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$688,441
Value of net assets at end of year (total assets less liabilities)2015-06-30$-31,777,472
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$-32,465,913
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Investment advisory and management fees2015-06-30$147,888
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$17,815,346
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$16,093,130
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$17,411,570
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$22,816,403
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$22,816,403
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$1,128,062
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$75,288,895
Asset value of US Government securities at end of year2015-06-30$5,749,361
Asset value of US Government securities at beginning of year2015-06-30$5,656,476
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$192,124,797
Employer contributions (assets) at end of year2015-06-30$17,880,964
Employer contributions (assets) at beginning of year2015-06-30$16,735,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$133,087,192
Asset. Corporate debt instrument preferred debt at end of year2015-06-30$12,291,258
Asset. Corporate debt instrument preferred debt at beginning of year2015-06-30$9,513,952
Contract administrator fees2015-06-30$9,657,971
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Liabilities. Value of benefit claims payable at end of year2015-06-30$117,681,000
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$115,459,000
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Aggregate proceeds on sale of assets2015-06-30$71,707,804
Aggregate carrying amount (costs) on sale of assets2015-06-30$71,968,309
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30BERNARD KOTKIN & CO., LLP
Accountancy firm EIN2015-06-30952556670
2014 : OPERATING ENGINEERS HEALTH AND WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-06-30$1,131,772
Total unrealized appreciation/depreciation of assets2014-06-30$1,131,772
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$118,286,775
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$107,177,131
Expenses. Interest paid2014-06-30$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022014-06-30$0
Total income from all sources (including contributions)2014-06-30$218,203,500
Total loss/gain on sale of assets2014-06-30$-9,036
Total of all expenses incurred2014-06-30$208,695,370
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$193,717,874
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$209,026,767
Value of total assets at end of year2014-06-30$85,820,862
Value of total assets at beginning of year2014-06-30$65,203,088
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$14,977,496
Total interest from all sources2014-06-30$913,406
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$3,209,892
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$5,000,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$24,863,638
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$15,005,901
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$15,106,219
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$2,077,221
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$4,168,987
Other income not declared elsewhere2014-06-30$7,140,591
Administrative expenses (other) incurred2014-06-30$2,473,034
Liabilities. Value of operating payables at end of year2014-06-30$750,554
Liabilities. Value of operating payables at beginning of year2014-06-30$546,144
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$9,508,130
Value of net assets at end of year (total assets less liabilities)2014-06-30$-32,465,913
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$-41,974,043
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Investment advisory and management fees2014-06-30$126,142
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$16,093,130
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$11,534,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$22,816,403
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$13,563,365
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$13,563,365
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$913,406
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$63,740,833
Asset value of US Government securities at end of year2014-06-30$5,656,476
Asset value of US Government securities at beginning of year2014-06-30$5,737,021
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$184,163,129
Employer contributions (assets) at end of year2014-06-30$16,735,000
Employer contributions (assets) at beginning of year2014-06-30$15,187,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$129,977,041
Asset. Corporate debt instrument preferred debt at end of year2014-06-30$9,513,952
Asset. Corporate debt instrument preferred debt at beginning of year2014-06-30$4,074,879
Contract administrator fees2014-06-30$9,168,428
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Liabilities. Value of benefit claims payable at end of year2014-06-30$115,459,000
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$102,462,000
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Aggregate proceeds on sale of assets2014-06-30$43,334,741
Aggregate carrying amount (costs) on sale of assets2014-06-30$43,343,777
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30BERNARD KOTKIN & CO., LLP
Accountancy firm EIN2014-06-30952556670
2013 : OPERATING ENGINEERS HEALTH AND WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$-933,162
Total unrealized appreciation/depreciation of assets2013-06-30$-933,162
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$107,177,131
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$125,414,882
Expenses. Interest paid2013-06-30$53,486
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-06-30$53,486
Total income from all sources (including contributions)2013-06-30$213,654,461
Total loss/gain on sale of assets2013-06-30$-152,157
Total of all expenses incurred2013-06-30$192,520,371
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$178,094,866
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$205,629,836
Value of total assets at end of year2013-06-30$65,203,088
Value of total assets at beginning of year2013-06-30$62,306,749
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$14,372,019
Total interest from all sources2013-06-30$592,850
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$2,772,695
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$2,000,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$25,609,034
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$15,106,219
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$9,147,392
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-06-30$4,168,987
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$13,928,549
Other income not declared elsewhere2013-06-30$8,517,094
Administrative expenses (other) incurred2013-06-30$3,545,376
Liabilities. Value of operating payables at end of year2013-06-30$546,144
Liabilities. Value of operating payables at beginning of year2013-06-30$1,502,333
Total non interest bearing cash at end of year2013-06-30$0
Total non interest bearing cash at beginning of year2013-06-30$5,000,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$21,134,090
Value of net assets at end of year (total assets less liabilities)2013-06-30$-41,974,043
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$-63,108,133
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Investment advisory and management fees2013-06-30$63,765
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$11,534,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$13,563,365
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$31,096,654
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$31,096,654
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$592,850
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$65,185,120
Asset value of US Government securities at end of year2013-06-30$5,737,021
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30Yes
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$180,020,802
Employer contributions (assets) at end of year2013-06-30$15,187,000
Employer contributions (assets) at beginning of year2013-06-30$17,062,703
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$112,909,746
Asset. Corporate debt instrument preferred debt at end of year2013-06-30$4,074,879
Contract administrator fees2013-06-30$7,990,183
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Liabilities. Value of benefit claims payable at end of year2013-06-30$102,462,000
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$109,984,000
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Aggregate proceeds on sale of assets2013-06-30$42,362,548
Aggregate carrying amount (costs) on sale of assets2013-06-30$42,514,705
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30BERNARD KOTKIN & CO LLP
Accountancy firm EIN2013-06-30952556670
2012 : OPERATING ENGINEERS HEALTH AND WELFARE FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$125,414,882
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$105,348,272
Expenses. Interest paid2012-06-30$56,828
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022012-06-30$56,828
Total income from all sources (including contributions)2012-06-30$211,631,592
Total loss/gain on sale of assets2012-06-30$22
Total of all expenses incurred2012-06-30$226,237,444
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$212,610,790
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$203,104,461
Value of total assets at end of year2012-06-30$62,306,749
Value of total assets at beginning of year2012-06-30$56,845,991
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$13,569,826
Total interest from all sources2012-06-30$12,121
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$2,333,202
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$2,000,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$27,278,072
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$9,147,392
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$13,253,941
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$13,928,549
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$4,425,003
Other income not declared elsewhere2012-06-30$8,514,988
Administrative expenses (other) incurred2012-06-30$3,059,595
Liabilities. Value of operating payables at end of year2012-06-30$1,502,333
Liabilities. Value of operating payables at beginning of year2012-06-30$390,269
Total non interest bearing cash at end of year2012-06-30$5,000,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-14,605,852
Value of net assets at end of year (total assets less liabilities)2012-06-30$-63,108,133
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$-48,502,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Investment advisory and management fees2012-06-30$61,266
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$31,096,654
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$28,333,907
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$28,333,907
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$12,121
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$60,246,678
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$175,826,389
Employer contributions (assets) at end of year2012-06-30$17,062,703
Employer contributions (assets) at beginning of year2012-06-30$15,258,143
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$152,364,112
Contract administrator fees2012-06-30$8,115,763
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Liabilities. Value of benefit claims payable at end of year2012-06-30$109,984,000
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$100,533,000
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Aggregate proceeds on sale of assets2012-06-30$7,614,903
Aggregate carrying amount (costs) on sale of assets2012-06-30$7,614,881
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30BERNARD KOTKIN & CO LLP
Accountancy firm EIN2012-06-30952556670
2011 : OPERATING ENGINEERS HEALTH AND WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$0
Total unrealized appreciation/depreciation of assets2011-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$105,348,272
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$108,321,834
Total income from all sources (including contributions)2011-06-30$188,369,034
Total loss/gain on sale of assets2011-06-30$41,240
Total of all expenses incurred2011-06-30$164,360,197
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$153,193,509
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$175,201,670
Value of total assets at end of year2011-06-30$56,845,991
Value of total assets at beginning of year2011-06-30$35,810,716
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$11,166,688
Total interest from all sources2011-06-30$10,893
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$1,326,404
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$2,000,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$27,726,510
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$13,253,941
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$4,052,281
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$4,425,003
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$4,224,376
Other income not declared elsewhere2011-06-30$13,115,231
Administrative expenses (other) incurred2011-06-30$2,270,792
Liabilities. Value of operating payables at end of year2011-06-30$390,269
Liabilities. Value of operating payables at beginning of year2011-06-30$594,458
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$24,008,837
Value of net assets at end of year (total assets less liabilities)2011-06-30$-48,502,281
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$-72,511,118
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$48,166
Interest earned on other investments2011-06-30$0
Income. Interest from US Government securities2011-06-30$274
Income. Interest from corporate debt instruments2011-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$28,333,907
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$20,750,464
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$20,750,464
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$10,619
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$54,778,552
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$147,475,160
Employer contributions (assets) at end of year2011-06-30$15,258,143
Employer contributions (assets) at beginning of year2011-06-30$11,007,971
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$98,414,957
Contract administrator fees2011-06-30$7,521,326
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Liabilities. Value of benefit claims payable at end of year2011-06-30$100,533,000
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$103,503,000
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Aggregate proceeds on sale of assets2011-06-30$28,510,696
Aggregate carrying amount (costs) on sale of assets2011-06-30$28,469,456
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30BERNARD KOTKIN & CO, LLP
Accountancy firm EIN2011-06-30952556670

Form 5500 Responses for OPERATING ENGINEERS HEALTH AND WELFARE FUND

2021: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2013 form 5500 responses
2013-07-01Type of plan entityMulti-employer plan
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2012 form 5500 responses
2012-07-01Type of plan entityMulti-employer plan
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: OPERATING ENGINEERS HEALTH AND WELFARE FUND 2009 form 5500 responses
2009-07-01Type of plan entityMulti-employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract numberH2001
Policy instance 4
Insurance contract or identification numberH2001
Number of Individuals Covered2150
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,497,664
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 number278671
Policy instance 1
Insurance contract or identification number278671
Number of Individuals Covered3159
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,674,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number10000201
Policy instance 2
Insurance contract or identification number10000201
Number of Individuals Covered451
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,854,598
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 number102902
Policy instance 3
Insurance contract or identification number102902
Number of Individuals Covered9990
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,625,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31125
Policy instance 9
Insurance contract or identification numberHCL31125
Number of Individuals Covered9134
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $121,153
Welfare Benefit Premiums Paid to CarrierUSD $2,121,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $121,153
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number71754
Policy instance 5
Insurance contract or identification number71754
Number of Individuals Covered1128
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $207,802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number5753599
Policy instance 6
Insurance contract or identification number5753599
Number of Individuals Covered46
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract numberSEE FOOTNOTE
Policy instance 7
Insurance contract or identification numberSEE FOOTNOTE
Number of Individuals Covered4089
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract numberSEE FOOTNOTE
Policy instance 8
Insurance contract or identification numberSEE FOOTNOTE
Number of Individuals Covered651
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Dental Insurance Welfare BenefitYes
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 number278671
Policy instance 1
Insurance contract or identification number278671
Number of Individuals Covered3346
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,019,596
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number10000201
Policy instance 2
Insurance contract or identification number10000201
Number of Individuals Covered508
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,666,094
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 number102902
Policy instance 3
Insurance contract or identification number102902
Number of Individuals Covered9860
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,912,113
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract numberH2001
Policy instance 4
Insurance contract or identification numberH2001
Number of Individuals Covered2252
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,029,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31125
Policy instance 5
Insurance contract or identification numberHCL31125
Number of Individuals Covered8743
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $117,745
Welfare Benefit Premiums Paid to CarrierUSD $2,060,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,523
Insurance broker organization code?3
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number71754
Policy instance 6
Insurance contract or identification number71754
Number of Individuals Covered1061
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $193,602
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number5753599
Policy instance 7
Insurance contract or identification number5753599
Number of Individuals Covered50
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,869
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract numberSEE FOOTNOTE
Policy instance 9
Insurance contract or identification numberSEE FOOTNOTE
Number of Individuals Covered709
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract numberSEE FOOTNOTE
Policy instance 8
Insurance contract or identification numberSEE FOOTNOTE
Number of Individuals Covered4026
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract numberSEE FOOTNOTE
Policy instance 9
Insurance contract or identification numberSEE FOOTNOTE
Number of Individuals Covered740
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Dental Insurance Welfare BenefitYes
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 number278671
Policy instance 1
Insurance contract or identification number278671
Number of Individuals Covered3503
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,031,661
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number10000201
Policy instance 2
Insurance contract or identification number10000201
Number of Individuals Covered588
Insurance policy start date2019-07-01
Insurance policy end date2020-03-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,859,478
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 number102902
Policy instance 3
Insurance contract or identification number102902
Number of Individuals Covered9775
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,551,047
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract numberH2001
Policy instance 4
Insurance contract or identification numberH2001
Number of Individuals Covered2346
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,386,689
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31125
Policy instance 5
Insurance contract or identification numberHCL31125
Number of Individuals Covered8729
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $147,683
Welfare Benefit Premiums Paid to CarrierUSD $1,881,315
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $102,195
Insurance broker organization code?3
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number71754
Policy instance 6
Insurance contract or identification number71754
Number of Individuals Covered1040
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $197,096
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number5753599
Policy instance 7
Insurance contract or identification number5753599
Number of Individuals Covered61
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract numberSEE FOOTNOTE
Policy instance 8
Insurance contract or identification numberSEE FOOTNOTE
Number of Individuals Covered4031
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Dental Insurance Welfare BenefitYes
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 number278671
Policy instance 1
Insurance contract or identification number278671
Number of Individuals Covered3515
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,884,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number10000201
Policy instance 2
Insurance contract or identification number10000201
Number of Individuals Covered575
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,682,320
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 number102902
Policy instance 3
Insurance contract or identification number102902
Number of Individuals Covered9303
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,082,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract numberH2001
Policy instance 4
Insurance contract or identification numberH2001
Number of Individuals Covered2440
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,508,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31125
Policy instance 5
Insurance contract or identification numberHCL31125
Number of Individuals Covered8554
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $163,515
Welfare Benefit Premiums Paid to CarrierUSD $1,744,693
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $163,515
Insurance broker organization code?3
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number71754
Policy instance 6
Insurance contract or identification number71754
Number of Individuals Covered1023
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $193,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5753599
Policy instance 7
Insurance contract or identification number5753599
Number of Individuals Covered69
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,809
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract numberSEE FOOTNOTE
Policy instance 8
Insurance contract or identification numberSEE FOOTNOTE
Number of Individuals Covered3908
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract numberSEE FOOTNOTE
Policy instance 9
Insurance contract or identification numberSEE FOOTNOTE
Number of Individuals Covered689
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Dental Insurance Welfare BenefitYes
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 number278671
Policy instance 1
Insurance contract or identification number278671
Number of Individuals Covered3459
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,635,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number10000201
Policy instance 2
Insurance contract or identification number10000201
Number of Individuals Covered498
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,346,076
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 number102902
Policy instance 3
Insurance contract or identification number102902
Number of Individuals Covered8815
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,694,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract numberH2001
Policy instance 4
Insurance contract or identification numberH2001
Number of Individuals Covered2474
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,212,229
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 number71754
Policy instance 6
Insurance contract or identification number71754
Number of Individuals Covered1049
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $185,514
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31125
Policy instance 5
Insurance contract or identification numberHCL31125
Number of Individuals Covered8404
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $156,982
Welfare Benefit Premiums Paid to CarrierUSD $1,862,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberMK05753599
Policy instance 7
Insurance contract or identification numberMK05753599
Number of Individuals Covered84
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,394
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract numberSEE FOOTNOTE
Policy instance 8
Insurance contract or identification numberSEE FOOTNOTE
Number of Individuals Covered3685
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract numberSEE FOOTNOTE
Policy instance 9
Insurance contract or identification numberSEE FOOTNOTE
Number of Individuals Covered656
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $159,962
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 number102902-1
Policy instance 12
Insurance contract or identification number102902-1
Number of Individuals Covered729
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,892,349
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 number71754-00002
Policy instance 4
Insurance contract or identification number71754-00002
Number of Individuals Covered80
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,089
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 number102902-0
Policy instance 1
Insurance contract or identification number102902-0
Number of Individuals Covered7081
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,103,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number10000201
Policy instance 2
Insurance contract or identification number10000201
Number of Individuals Covered456
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,962,208
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 number102902-36
Policy instance 13
Insurance contract or identification number102902-36
Number of Individuals Covered21
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $107,582
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00101119
Policy instance 3
Insurance contract or identification number00101119
Number of Individuals Covered13935
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,411,959
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 numberH2001
Policy instance 11
Insurance contract or identification numberH2001
Number of Individuals Covered6032
Insurance policy start date2016-02-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,828,791
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 number278671
Policy instance 10
Insurance contract or identification number278671
Number of Individuals Covered3444
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,244,263
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberA7143
Policy instance 9
Insurance contract or identification numberA7143
Number of Individuals Covered23373
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $45,862,134
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberKM05753599
Policy instance 8
Insurance contract or identification numberKM05753599
Number of Individuals Covered114
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,735
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 number71754-00001
Policy instance 7
Insurance contract or identification number71754-00001
Number of Individuals Covered856
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $151,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number846936-003,004,
Policy instance 6
Insurance contract or identification number846936-003,004,
Number of Individuals Covered650
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $165,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number846936-001,002,
Policy instance 5
Insurance contract or identification number846936-001,002,
Number of Individuals Covered3210
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number846936-003,004,
Policy instance 7
Insurance contract or identification number846936-003,004,
Number of Individuals Covered679
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberKM05753599
Policy instance 9
Insurance contract or identification numberKM05753599
Number of Individuals Covered82
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberA7143
Policy instance 10
Insurance contract or identification numberA7143
Number of Individuals Covered28000
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $46,929,938
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 number278671
Policy instance 11
Insurance contract or identification number278671
Number of Individuals Covered3462
Insurance policy start date2014-09-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,618,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number846936-001,002,
Policy instance 6
Insurance contract or identification number846936-001,002,
Number of Individuals Covered2957
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
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 number71754-00002
Policy instance 5
Insurance contract or identification number71754-00002
Number of Individuals Covered77
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,633
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 number71754-00001
Policy instance 8
Insurance contract or identification number71754-00001
Number of Individuals Covered726
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $138,087
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 number102902
Policy instance 1
Insurance contract or identification number102902
Number of Individuals Covered7312
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,193,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number52360A,B,D,E,G,
Policy instance 2
Insurance contract or identification number52360A,B,D,E,G,
Number of Individuals Covered0
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $4,615
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,920,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,615
Insurance broker organization code?4
Insurance broker nameTHE SEGAL COMPANY
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number10000201
Policy instance 3
Insurance contract or identification number10000201
Number of Individuals Covered469
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,755,931
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00101119
Policy instance 4
Insurance contract or identification number00101119
Number of Individuals Covered15170
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,461,562
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number10000201
Policy instance 3
Insurance contract or identification number10000201
Number of Individuals Covered430
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,680,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00101119
Policy instance 4
Insurance contract or identification number00101119
Number of Individuals Covered15009
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,462,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?4
Insurance broker name
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number71754-00002
Policy instance 5
Insurance contract or identification number71754-00002
Number of Individuals Covered32
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number846936-001,002,
Policy instance 6
Insurance contract or identification number846936-001,002,
Number of Individuals Covered2735
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number52360A,B,D,E,G,
Policy instance 2
Insurance contract or identification number52360A,B,D,E,G,
Number of Individuals Covered1141
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $38,157
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,849,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,157
Insurance broker organization code?4
Insurance broker nameTHE SEGAL COMPANY
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number71754-00001
Policy instance 8
Insurance contract or identification number71754-00001
Number of Individuals Covered319
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $143,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number846936-003,004,
Policy instance 7
Insurance contract or identification number846936-003,004,
Number of Individuals Covered681
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberKM05753599
Policy instance 9
Insurance contract or identification numberKM05753599
Number of Individuals Covered129
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,913
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number2004934
Policy instance 10
Insurance contract or identification number2004934
Number of Individuals Covered28400
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $5,205,659
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract numberA7143
Policy instance 11
Insurance contract or identification numberA7143
Number of Individuals Covered28400
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $35,630,036
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 number102902
Policy instance 1
Insurance contract or identification number102902
Number of Individuals Covered6852
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,353,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberKM05753599
Policy instance 9
Insurance contract or identification numberKM05753599
Number of Individuals Covered169
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number52360A,B,D,E,G,
Policy instance 2
Insurance contract or identification number52360A,B,D,E,G,
Number of Individuals Covered1125
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $29,202
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,358,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,202
Insurance broker organization code?4
Insurance broker nameTHE SEGAL COMPANY
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number10000201
Policy instance 3
Insurance contract or identification number10000201
Number of Individuals Covered464
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,663,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00101119
Policy instance 4
Insurance contract or identification number00101119
Number of Individuals Covered15290
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,499,075
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 number102902
Policy instance 1
Insurance contract or identification number102902
Number of Individuals Covered6485
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,352,038
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 number71754-00002
Policy instance 5
Insurance contract or identification number71754-00002
Number of Individuals Covered38
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number846936-001,002,
Policy instance 6
Insurance contract or identification number846936-001,002,
Number of Individuals Covered2734
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number846936-003,004,
Policy instance 7
Insurance contract or identification number846936-003,004,
Number of Individuals Covered710
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
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 number71754-00001
Policy instance 8
Insurance contract or identification number71754-00001
Number of Individuals Covered310
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $156,301
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CVS PHARMACY, INC. (National Association of Insurance Commissioners NAIC id number: 44611 )
Policy contract number2004934
Policy instance 10
Insurance contract or identification number2004934
Number of Individuals Covered28788
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $38,382,274
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 number102902-0000
Policy instance 1
Insurance contract or identification number102902-0000
Number of Individuals Covered1734
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,101,569
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 number102902-0001
Policy instance 2
Insurance contract or identification number102902-0001
Number of Individuals Covered159
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,262,080
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 number102902-0036
Policy instance 3
Insurance contract or identification number102902-0036
Number of Individuals Covered6
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberKM05753599
Policy instance 12
Insurance contract or identification numberKM05753599
Number of Individuals Covered182
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,535
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 number01754-0001
Policy instance 11
Insurance contract or identification number01754-0001
Number of Individuals Covered343
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $143,435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number846936-003,004,
Policy instance 10
Insurance contract or identification number846936-003,004,
Number of Individuals Covered720
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number846936-001,002,
Policy instance 9
Insurance contract or identification number846936-001,002,
Number of Individuals Covered2670
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
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 number170133
Policy instance 8
Insurance contract or identification number170133
Number of Individuals Covered14461
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,459,504
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 number01754-0002
Policy instance 7
Insurance contract or identification number01754-0002
Number of Individuals Covered40
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,456
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00101119
Policy instance 6
Insurance contract or identification number00101119
Number of Individuals Covered15312
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,392,908
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number52360A,B,D,E,G,
Policy instance 4
Insurance contract or identification number52360A,B,D,E,G,
Number of Individuals Covered1077
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $28,801
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,694,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number10000201
Policy instance 5
Insurance contract or identification number10000201
Number of Individuals Covered451
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,435,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number846936-003,004,
Policy instance 10
Insurance contract or identification number846936-003,004,
Number of Individuals Covered709
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
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 number102902-0036
Policy instance 3
Insurance contract or identification number102902-0036
Number of Individuals Covered61
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $539,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number52360A,B,D,E,G,
Policy instance 4
Insurance contract or identification number52360A,B,D,E,G,
Number of Individuals Covered1081
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $23,813
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,898,860
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 number102902-0001
Policy instance 2
Insurance contract or identification number102902-0001
Number of Individuals Covered519
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,194,048
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 number102902-0000
Policy instance 1
Insurance contract or identification number102902-0000
Number of Individuals Covered4774
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,725,547
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberKM05753599
Policy instance 12
Insurance contract or identification numberKM05753599
Number of Individuals Covered219
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,517
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 number01754-0001
Policy instance 11
Insurance contract or identification number01754-0001
Number of Individuals Covered350
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $150,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number846936-001,002,
Policy instance 9
Insurance contract or identification number846936-001,002,
Number of Individuals Covered2639
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
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 number170133
Policy instance 8
Insurance contract or identification number170133
Number of Individuals Covered8338
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,115,261
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 number01754-0002
Policy instance 7
Insurance contract or identification number01754-0002
Number of Individuals Covered36
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00101119
Policy instance 6
Insurance contract or identification number00101119
Number of Individuals Covered15210
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,485,764
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number10000201
Policy instance 5
Insurance contract or identification number10000201
Number of Individuals Covered387
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,175,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3333032
Policy instance 13
Insurance contract or identification number3333032
Number of Individuals Covered66
Insurance policy start date2010-07-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $164,692
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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