BOARD OF TRUSTEES, WAREHOUSEMEN'S HEALTH AND WELFARE has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan WAREHOUSEMEN'S HEALTH AND WELFARE FUND
| Measure | Date | Value |
|---|
| 2023 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2023 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-04-30 | $692,044 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-04-30 | $658,747 |
| Total income from all sources (including contributions) | 2023-04-30 | $8,286,554 |
| Total of all expenses incurred | 2023-04-30 | $8,189,369 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-04-30 | $7,728,053 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-04-30 | $8,293,244 |
| Value of total assets at end of year | 2023-04-30 | $3,190,066 |
| Value of total assets at beginning of year | 2023-04-30 | $3,059,584 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-04-30 | $461,316 |
| Total interest from all sources | 2023-04-30 | $628 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-04-30 | $7,701 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2023-04-30 | $7,701 |
| Administrative expenses professional fees incurred | 2023-04-30 | $126,584 |
| Was this plan covered by a fidelity bond | 2023-04-30 | Yes |
| Value of fidelity bond cover | 2023-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2023-04-30 | No |
| Contributions received from participants | 2023-04-30 | $19,949 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-04-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-04-30 | $388 |
| Administrative expenses (other) incurred | 2023-04-30 | $334,732 |
| Liabilities. Value of operating payables at end of year | 2023-04-30 | $12,132 |
| Liabilities. Value of operating payables at beginning of year | 2023-04-30 | $25,009 |
| Total non interest bearing cash at end of year | 2023-04-30 | $1,668,800 |
| Total non interest bearing cash at beginning of year | 2023-04-30 | $2,179,805 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-04-30 | No |
| Value of net income/loss | 2023-04-30 | $97,185 |
| Value of net assets at end of year (total assets less liabilities) | 2023-04-30 | $2,498,022 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-04-30 | $2,400,837 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2023-04-30 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-04-30 | $756,352 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-04-30 | $1,515,285 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-04-30 | $114,003 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-04-30 | $114,003 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-04-30 | $628 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-04-30 | $7,728,053 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2023-04-30 | $-15,019 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2023-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-04-30 | No |
| Contributions received in cash from employer | 2023-04-30 | $8,273,295 |
| Liabilities. Value of benefit claims payable at end of year | 2023-04-30 | $679,912 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-04-30 | $633,738 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2023-04-30 | $5,981 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2023-04-30 | $9,036 |
| Did the plan have assets held for investment | 2023-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-04-30 | Unqualified |
| Accountancy firm name | 2023-04-30 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2023-04-30 | 952036255 |
| 2022 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2022 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-04-30 | $658,747 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-04-30 | $527,384 |
| Total income from all sources (including contributions) | 2022-04-30 | $7,560,124 |
| Total of all expenses incurred | 2022-04-30 | $7,552,312 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-04-30 | $7,143,195 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-04-30 | $7,600,261 |
| Value of total assets at end of year | 2022-04-30 | $3,059,584 |
| Value of total assets at beginning of year | 2022-04-30 | $2,920,409 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-04-30 | $409,117 |
| Total interest from all sources | 2022-04-30 | $406 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-04-30 | $10,917 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-04-30 | $10,917 |
| Administrative expenses professional fees incurred | 2022-04-30 | $112,935 |
| Was this plan covered by a fidelity bond | 2022-04-30 | Yes |
| Value of fidelity bond cover | 2022-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-04-30 | No |
| Contributions received from participants | 2022-04-30 | $19,699 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-04-30 | $388 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-04-30 | $0 |
| Administrative expenses (other) incurred | 2022-04-30 | $296,182 |
| Liabilities. Value of operating payables at end of year | 2022-04-30 | $25,009 |
| Liabilities. Value of operating payables at beginning of year | 2022-04-30 | $18,576 |
| Total non interest bearing cash at end of year | 2022-04-30 | $2,179,805 |
| Total non interest bearing cash at beginning of year | 2022-04-30 | $1,994,701 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-04-30 | No |
| Value of net income/loss | 2022-04-30 | $7,812 |
| Value of net assets at end of year (total assets less liabilities) | 2022-04-30 | $2,400,837 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-04-30 | $2,393,025 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-04-30 | $756,352 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-04-30 | $796,895 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-04-30 | $114,003 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-04-30 | $114,002 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-04-30 | $114,002 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-04-30 | $406 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-04-30 | $-51,460 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-04-30 | No |
| Contributions received in cash from employer | 2022-04-30 | $7,580,562 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-04-30 | $7,143,195 |
| Liabilities. Value of benefit claims payable at end of year | 2022-04-30 | $633,738 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-04-30 | $508,808 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2022-04-30 | $9,036 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2022-04-30 | $14,811 |
| Did the plan have assets held for investment | 2022-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-04-30 | Unqualified |
| Accountancy firm name | 2022-04-30 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2022-04-30 | 952036255 |
| 2021 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-04-30 | $527,384 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-04-30 | $540,347 |
| Total income from all sources (including contributions) | 2021-04-30 | $6,532,123 |
| Total of all expenses incurred | 2021-04-30 | $6,569,329 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-04-30 | $6,206,395 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-04-30 | $6,521,229 |
| Value of total assets at end of year | 2021-04-30 | $2,920,409 |
| Value of total assets at beginning of year | 2021-04-30 | $2,970,578 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-04-30 | $362,934 |
| Total interest from all sources | 2021-04-30 | $973 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-04-30 | $12,181 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-04-30 | $12,181 |
| Administrative expenses professional fees incurred | 2021-04-30 | $82,929 |
| Was this plan covered by a fidelity bond | 2021-04-30 | Yes |
| Value of fidelity bond cover | 2021-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-04-30 | No |
| Contributions received from participants | 2021-04-30 | $19,358 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-04-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-04-30 | $142 |
| Administrative expenses (other) incurred | 2021-04-30 | $277,880 |
| Liabilities. Value of operating payables at end of year | 2021-04-30 | $18,576 |
| Liabilities. Value of operating payables at beginning of year | 2021-04-30 | $17,122 |
| Total non interest bearing cash at end of year | 2021-04-30 | $1,994,701 |
| Total non interest bearing cash at beginning of year | 2021-04-30 | $282,796 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-04-30 | No |
| Value of net income/loss | 2021-04-30 | $-37,206 |
| Value of net assets at end of year (total assets less liabilities) | 2021-04-30 | $2,393,025 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-04-30 | $2,430,231 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-04-30 | No |
| Investment advisory and management fees | 2021-04-30 | $2,125 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-04-30 | $796,895 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-04-30 | $786,974 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-04-30 | $114,002 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-04-30 | $1,889,491 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-04-30 | $1,889,491 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-04-30 | $973 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-04-30 | $-2,260 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-04-30 | No |
| Contributions received in cash from employer | 2021-04-30 | $6,501,871 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-04-30 | $6,206,395 |
| Liabilities. Value of benefit claims payable at end of year | 2021-04-30 | $508,808 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-04-30 | $523,225 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2021-04-30 | $14,811 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2021-04-30 | $11,175 |
| Did the plan have assets held for investment | 2021-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-04-30 | Unqualified |
| Accountancy firm name | 2021-04-30 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2021-04-30 | 952036255 |
| 2020 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-04-30 | $540,347 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-04-30 | $627,290 |
| Total income from all sources (including contributions) | 2020-04-30 | $7,423,574 |
| Total of all expenses incurred | 2020-04-30 | $7,373,260 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-04-30 | $7,011,409 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-04-30 | $7,375,453 |
| Value of total assets at end of year | 2020-04-30 | $2,970,578 |
| Value of total assets at beginning of year | 2020-04-30 | $3,007,207 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-04-30 | $361,851 |
| Total interest from all sources | 2020-04-30 | $2,583 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-04-30 | $16,760 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-04-30 | $16,760 |
| Administrative expenses professional fees incurred | 2020-04-30 | $93,195 |
| Was this plan covered by a fidelity bond | 2020-04-30 | Yes |
| Value of fidelity bond cover | 2020-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-04-30 | No |
| Contributions received from participants | 2020-04-30 | $14,714 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-04-30 | $142 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-04-30 | $477 |
| Administrative expenses (other) incurred | 2020-04-30 | $268,656 |
| Liabilities. Value of operating payables at end of year | 2020-04-30 | $17,122 |
| Liabilities. Value of operating payables at beginning of year | 2020-04-30 | $9,650 |
| Total non interest bearing cash at end of year | 2020-04-30 | $282,796 |
| Total non interest bearing cash at beginning of year | 2020-04-30 | $396,439 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-04-30 | No |
| Value of net income/loss | 2020-04-30 | $50,314 |
| Value of net assets at end of year (total assets less liabilities) | 2020-04-30 | $2,430,231 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-04-30 | $2,379,917 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-04-30 | $786,974 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-04-30 | $741,509 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-04-30 | $1,889,491 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-04-30 | $1,859,865 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-04-30 | $1,859,865 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-04-30 | $2,583 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-04-30 | $7,011,409 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-04-30 | $28,778 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-04-30 | No |
| Contributions received in cash from employer | 2020-04-30 | $7,360,739 |
| Liabilities. Value of benefit claims payable at end of year | 2020-04-30 | $523,225 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-04-30 | $617,640 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2020-04-30 | $11,175 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2020-04-30 | $8,917 |
| Did the plan have assets held for investment | 2020-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-04-30 | Unqualified |
| Accountancy firm name | 2020-04-30 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2020-04-30 | 952036255 |
| 2019 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-04-30 | $627,290 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-04-30 | $647,790 |
| Total income from all sources (including contributions) | 2019-04-30 | $8,046,997 |
| Total of all expenses incurred | 2019-04-30 | $7,921,755 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-04-30 | $7,568,754 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-04-30 | $8,016,308 |
| Value of total assets at end of year | 2019-04-30 | $3,007,207 |
| Value of total assets at beginning of year | 2019-04-30 | $2,902,465 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-04-30 | $353,001 |
| Total interest from all sources | 2019-04-30 | $1,650 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-04-30 | $15,614 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-04-30 | $15,614 |
| Administrative expenses professional fees incurred | 2019-04-30 | $99,297 |
| Was this plan covered by a fidelity bond | 2019-04-30 | Yes |
| Value of fidelity bond cover | 2019-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-04-30 | No |
| Contributions received from participants | 2019-04-30 | $12,318 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-04-30 | $477 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-04-30 | $221 |
| Administrative expenses (other) incurred | 2019-04-30 | $253,704 |
| Liabilities. Value of operating payables at end of year | 2019-04-30 | $9,650 |
| Liabilities. Value of operating payables at beginning of year | 2019-04-30 | $10,748 |
| Total non interest bearing cash at end of year | 2019-04-30 | $396,439 |
| Total non interest bearing cash at beginning of year | 2019-04-30 | $941,509 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-04-30 | No |
| Value of net income/loss | 2019-04-30 | $125,242 |
| Value of net assets at end of year (total assets less liabilities) | 2019-04-30 | $2,379,917 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-04-30 | $2,254,675 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-04-30 | $741,509 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-04-30 | $712,469 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-04-30 | $1,859,865 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-04-30 | $1,240,744 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-04-30 | $1,240,744 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-04-30 | $1,650 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-04-30 | $7,568,754 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-04-30 | $13,425 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-04-30 | No |
| Contributions received in cash from employer | 2019-04-30 | $8,003,990 |
| Liabilities. Value of benefit claims payable at end of year | 2019-04-30 | $617,640 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-04-30 | $637,042 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2019-04-30 | $8,917 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2019-04-30 | $7,522 |
| Did the plan have assets held for investment | 2019-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-04-30 | Unqualified |
| Accountancy firm name | 2019-04-30 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2019-04-30 | 952036255 |
| 2018 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-04-30 | $647,790 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-04-30 | $590,473 |
| Total income from all sources (including contributions) | 2018-04-30 | $7,840,750 |
| Total of all expenses incurred | 2018-04-30 | $7,737,306 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-04-30 | $7,378,499 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-04-30 | $7,842,693 |
| Value of total assets at end of year | 2018-04-30 | $2,902,465 |
| Value of total assets at beginning of year | 2018-04-30 | $2,741,704 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-04-30 | $358,807 |
| Total interest from all sources | 2018-04-30 | $2,304 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-04-30 | $12,175 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-04-30 | $12,175 |
| Administrative expenses professional fees incurred | 2018-04-30 | $90,608 |
| Was this plan covered by a fidelity bond | 2018-04-30 | Yes |
| Value of fidelity bond cover | 2018-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-04-30 | No |
| Contributions received from participants | 2018-04-30 | $11,951 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-04-30 | $221 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-04-30 | $0 |
| Administrative expenses (other) incurred | 2018-04-30 | $268,199 |
| Liabilities. Value of operating payables at end of year | 2018-04-30 | $10,748 |
| Liabilities. Value of operating payables at beginning of year | 2018-04-30 | $6,350 |
| Total non interest bearing cash at end of year | 2018-04-30 | $941,509 |
| Total non interest bearing cash at beginning of year | 2018-04-30 | $574,629 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-04-30 | No |
| Value of net income/loss | 2018-04-30 | $103,444 |
| Value of net assets at end of year (total assets less liabilities) | 2018-04-30 | $2,254,675 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-04-30 | $2,151,231 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-04-30 | $712,469 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-04-30 | $616,717 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-04-30 | $1,240,744 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-04-30 | $1,544,858 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-04-30 | $1,544,858 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-04-30 | $2,304 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-04-30 | $7,378,499 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-04-30 | $-16,422 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-04-30 | No |
| Contributions received in cash from employer | 2018-04-30 | $7,830,742 |
| Liabilities. Value of benefit claims payable at end of year | 2018-04-30 | $637,042 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-04-30 | $584,123 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2018-04-30 | $7,522 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2018-04-30 | $5,500 |
| Did the plan have assets held for investment | 2018-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-04-30 | Unqualified |
| Accountancy firm name | 2018-04-30 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2018-04-30 | 952036255 |
| 2017 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-04-30 | $590,473 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-04-30 | $622,413 |
| Total income from all sources (including contributions) | 2017-04-30 | $7,582,801 |
| Total of all expenses incurred | 2017-04-30 | $7,469,174 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-04-30 | $7,130,439 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-04-30 | $7,575,540 |
| Value of total assets at end of year | 2017-04-30 | $2,741,704 |
| Value of total assets at beginning of year | 2017-04-30 | $2,660,017 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-04-30 | $338,735 |
| Total interest from all sources | 2017-04-30 | $3,085 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-04-30 | $9,432 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-04-30 | $9,432 |
| Administrative expenses professional fees incurred | 2017-04-30 | $86,884 |
| Was this plan covered by a fidelity bond | 2017-04-30 | Yes |
| Value of fidelity bond cover | 2017-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-04-30 | No |
| Contributions received from participants | 2017-04-30 | $11,261 |
| Administrative expenses (other) incurred | 2017-04-30 | $251,851 |
| Liabilities. Value of operating payables at end of year | 2017-04-30 | $6,350 |
| Liabilities. Value of operating payables at beginning of year | 2017-04-30 | $13,761 |
| Total non interest bearing cash at end of year | 2017-04-30 | $574,629 |
| Total non interest bearing cash at beginning of year | 2017-04-30 | $449,625 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-04-30 | No |
| Value of net income/loss | 2017-04-30 | $113,627 |
| Value of net assets at end of year (total assets less liabilities) | 2017-04-30 | $2,151,231 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-04-30 | $2,037,604 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-04-30 | $616,717 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-04-30 | $612,541 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-04-30 | $1,544,858 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-04-30 | $1,590,663 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-04-30 | $1,590,663 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-04-30 | $3,085 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-04-30 | $7,130,439 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-04-30 | $-5,256 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-04-30 | No |
| Contributions received in cash from employer | 2017-04-30 | $7,564,279 |
| Liabilities. Value of benefit claims payable at end of year | 2017-04-30 | $584,123 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-04-30 | $608,652 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2017-04-30 | $5,500 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2017-04-30 | $7,188 |
| Did the plan have assets held for investment | 2017-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-04-30 | Unqualified |
| Accountancy firm name | 2017-04-30 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2017-04-30 | 952036255 |
| 2016 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-04-30 | $622,413 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-04-30 | $637,576 |
| Total income from all sources (including contributions) | 2016-04-30 | $7,687,880 |
| Total of all expenses incurred | 2016-04-30 | $7,704,136 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-04-30 | $7,337,235 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-04-30 | $7,674,831 |
| Value of total assets at end of year | 2016-04-30 | $2,660,017 |
| Value of total assets at beginning of year | 2016-04-30 | $2,691,436 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-04-30 | $366,901 |
| Total interest from all sources | 2016-04-30 | $3,271 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-04-30 | $8,595 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-04-30 | $8,595 |
| Administrative expenses professional fees incurred | 2016-04-30 | $102,809 |
| Was this plan covered by a fidelity bond | 2016-04-30 | Yes |
| Value of fidelity bond cover | 2016-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-04-30 | No |
| Contributions received from participants | 2016-04-30 | $11,408 |
| Administrative expenses (other) incurred | 2016-04-30 | $264,092 |
| Liabilities. Value of operating payables at end of year | 2016-04-30 | $13,761 |
| Liabilities. Value of operating payables at beginning of year | 2016-04-30 | $11,132 |
| Total non interest bearing cash at end of year | 2016-04-30 | $449,625 |
| Total non interest bearing cash at beginning of year | 2016-04-30 | $369,087 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-04-30 | No |
| Value of net income/loss | 2016-04-30 | $-16,256 |
| Value of net assets at end of year (total assets less liabilities) | 2016-04-30 | $2,037,604 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-04-30 | $2,053,860 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-04-30 | $612,541 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-04-30 | $602,763 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-04-30 | $1,590,663 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-04-30 | $1,712,398 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-04-30 | $1,712,398 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-04-30 | $3,271 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-04-30 | $7,337,235 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-04-30 | $1,183 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-04-30 | No |
| Contributions received in cash from employer | 2016-04-30 | $7,663,423 |
| Liabilities. Value of benefit claims payable at end of year | 2016-04-30 | $608,652 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-04-30 | $626,444 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2016-04-30 | $7,188 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2016-04-30 | $7,188 |
| Did the plan have assets held for investment | 2016-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-04-30 | Unqualified |
| Accountancy firm name | 2016-04-30 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2016-04-30 | 952036255 |
| 2015 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-04-30 | $637,576 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-04-30 | $693,646 |
| Total income from all sources (including contributions) | 2015-04-30 | $8,003,240 |
| Total of all expenses incurred | 2015-04-30 | $8,081,003 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-04-30 | $7,710,805 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-04-30 | $7,990,417 |
| Value of total assets at end of year | 2015-04-30 | $2,691,436 |
| Value of total assets at beginning of year | 2015-04-30 | $2,825,269 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-04-30 | $370,198 |
| Total interest from all sources | 2015-04-30 | $3,370 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-04-30 | $8,313 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-04-30 | $8,313 |
| Administrative expenses professional fees incurred | 2015-04-30 | $83,888 |
| Was this plan covered by a fidelity bond | 2015-04-30 | Yes |
| Value of fidelity bond cover | 2015-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-04-30 | No |
| Contributions received from participants | 2015-04-30 | $11,469 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-04-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-04-30 | $88 |
| Administrative expenses (other) incurred | 2015-04-30 | $286,310 |
| Liabilities. Value of operating payables at end of year | 2015-04-30 | $11,132 |
| Liabilities. Value of operating payables at beginning of year | 2015-04-30 | $16,607 |
| Total non interest bearing cash at end of year | 2015-04-30 | $369,087 |
| Total non interest bearing cash at beginning of year | 2015-04-30 | $357,916 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-04-30 | No |
| Value of net income/loss | 2015-04-30 | $-77,763 |
| Value of net assets at end of year (total assets less liabilities) | 2015-04-30 | $2,053,860 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-04-30 | $2,131,623 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-04-30 | $602,763 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-04-30 | $593,309 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-04-30 | $1,712,398 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-04-30 | $1,866,768 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-04-30 | $1,866,768 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-04-30 | $3,370 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-04-30 | $7,710,805 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-04-30 | $1,140 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-04-30 | No |
| Contributions received in cash from employer | 2015-04-30 | $7,978,948 |
| Liabilities. Value of benefit claims payable at end of year | 2015-04-30 | $626,444 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-04-30 | $677,039 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2015-04-30 | $7,188 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2015-04-30 | $7,188 |
| Did the plan have assets held for investment | 2015-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-04-30 | Unqualified |
| Accountancy firm name | 2015-04-30 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2015-04-30 | 952036255 |
| 2014 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-04-30 | $693,646 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-04-30 | $633,954 |
| Total income from all sources (including contributions) | 2014-04-30 | $8,270,237 |
| Total of all expenses incurred | 2014-04-30 | $8,278,023 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-04-30 | $7,903,369 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-04-30 | $8,263,813 |
| Value of total assets at end of year | 2014-04-30 | $2,825,269 |
| Value of total assets at beginning of year | 2014-04-30 | $2,773,363 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-04-30 | $374,654 |
| Total interest from all sources | 2014-04-30 | $4,333 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-04-30 | $8,208 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-04-30 | $8,208 |
| Administrative expenses professional fees incurred | 2014-04-30 | $113,275 |
| Was this plan covered by a fidelity bond | 2014-04-30 | Yes |
| Value of fidelity bond cover | 2014-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-04-30 | No |
| Contributions received from participants | 2014-04-30 | $11,187 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-04-30 | $88 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-04-30 | $0 |
| Administrative expenses (other) incurred | 2014-04-30 | $261,379 |
| Liabilities. Value of operating payables at end of year | 2014-04-30 | $16,607 |
| Liabilities. Value of operating payables at beginning of year | 2014-04-30 | $22,783 |
| Total non interest bearing cash at end of year | 2014-04-30 | $357,916 |
| Total non interest bearing cash at beginning of year | 2014-04-30 | $126,266 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-04-30 | No |
| Value of net income/loss | 2014-04-30 | $-7,786 |
| Value of net assets at end of year (total assets less liabilities) | 2014-04-30 | $2,131,623 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-04-30 | $2,139,409 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-04-30 | $593,309 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-04-30 | $591,218 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-04-30 | $1,866,768 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-04-30 | $2,048,979 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-04-30 | $2,048,979 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-04-30 | $4,333 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-04-30 | $7,903,369 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-04-30 | $-6,117 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-04-30 | No |
| Contributions received in cash from employer | 2014-04-30 | $8,252,626 |
| Liabilities. Value of benefit claims payable at end of year | 2014-04-30 | $677,039 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-04-30 | $611,171 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2014-04-30 | $7,188 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2014-04-30 | $6,900 |
| Did the plan have assets held for investment | 2014-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-04-30 | Unqualified |
| Accountancy firm name | 2014-04-30 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2014-04-30 | 952036255 |
| 2013 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-04-30 | $633,954 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-04-30 | $582,508 |
| Total income from all sources (including contributions) | 2013-04-30 | $7,222,346 |
| Total of all expenses incurred | 2013-04-30 | $7,437,591 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-04-30 | $7,062,968 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-04-30 | $7,208,807 |
| Value of total assets at end of year | 2013-04-30 | $2,773,363 |
| Value of total assets at beginning of year | 2013-04-30 | $2,937,162 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-04-30 | $374,623 |
| Total interest from all sources | 2013-04-30 | $3,814 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-04-30 | $10,280 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-04-30 | $10,280 |
| Administrative expenses professional fees incurred | 2013-04-30 | $117,195 |
| Was this plan covered by a fidelity bond | 2013-04-30 | Yes |
| Value of fidelity bond cover | 2013-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-04-30 | No |
| Contributions received from participants | 2013-04-30 | $10,382 |
| Administrative expenses (other) incurred | 2013-04-30 | $257,428 |
| Liabilities. Value of operating payables at end of year | 2013-04-30 | $22,783 |
| Liabilities. Value of operating payables at beginning of year | 2013-04-30 | $21,294 |
| Total non interest bearing cash at end of year | 2013-04-30 | $126,266 |
| Total non interest bearing cash at beginning of year | 2013-04-30 | $136,590 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-04-30 | No |
| Value of net income/loss | 2013-04-30 | $-215,245 |
| Value of net assets at end of year (total assets less liabilities) | 2013-04-30 | $2,139,409 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-04-30 | $2,354,654 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-04-30 | $591,218 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-04-30 | $581,493 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-04-30 | $2,048,979 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-04-30 | $2,219,079 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-04-30 | $2,219,079 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-04-30 | $3,814 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-04-30 | $7,062,968 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-04-30 | $-555 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-04-30 | No |
| Contributions received in cash from employer | 2013-04-30 | $7,198,425 |
| Liabilities. Value of benefit claims payable at end of year | 2013-04-30 | $611,171 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-04-30 | $561,214 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2013-04-30 | $6,900 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2013-04-30 | $0 |
| Did the plan have assets held for investment | 2013-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-04-30 | Unqualified |
| Accountancy firm name | 2013-04-30 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2013-04-30 | 952036255 |
| 2012 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-04-30 | $582,508 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-04-30 | $614,068 |
| Total income from all sources (including contributions) | 2012-04-30 | $7,777,472 |
| Total of all expenses incurred | 2012-04-30 | $7,850,459 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-04-30 | $7,445,332 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-04-30 | $7,756,690 |
| Value of total assets at end of year | 2012-04-30 | $2,937,162 |
| Value of total assets at beginning of year | 2012-04-30 | $3,041,709 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-04-30 | $405,127 |
| Total interest from all sources | 2012-04-30 | $4,411 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-04-30 | $13,160 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-04-30 | $13,160 |
| Administrative expenses professional fees incurred | 2012-04-30 | $145,171 |
| Was this plan covered by a fidelity bond | 2012-04-30 | Yes |
| Value of fidelity bond cover | 2012-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-04-30 | No |
| Contributions received from participants | 2012-04-30 | $11,710 |
| Administrative expenses (other) incurred | 2012-04-30 | $259,956 |
| Liabilities. Value of operating payables at end of year | 2012-04-30 | $21,294 |
| Liabilities. Value of operating payables at beginning of year | 2012-04-30 | $19,523 |
| Total non interest bearing cash at end of year | 2012-04-30 | $136,590 |
| Total non interest bearing cash at beginning of year | 2012-04-30 | $329,329 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-04-30 | No |
| Value of net income/loss | 2012-04-30 | $-72,987 |
| Value of net assets at end of year (total assets less liabilities) | 2012-04-30 | $2,354,654 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-04-30 | $2,427,641 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-04-30 | $581,493 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-04-30 | $565,122 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-04-30 | $2,219,079 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-04-30 | $2,147,258 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-04-30 | $2,147,258 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-04-30 | $4,411 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-04-30 | $7,445,332 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-04-30 | $3,211 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-04-30 | No |
| Contributions received in cash from employer | 2012-04-30 | $7,744,980 |
| Liabilities. Value of benefit claims payable at end of year | 2012-04-30 | $561,214 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-04-30 | $594,545 |
| Did the plan have assets held for investment | 2012-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-04-30 | Unqualified |
| Accountancy firm name | 2012-04-30 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2012-04-30 | 952036255 |
| 2010 : WAREHOUSEMEN'S HEALTH AND WELFARE FUND 2010 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-04-30 | $608,902 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-04-30 | $586,426 |
| Total income from all sources (including contributions) | 2010-04-30 | $7,498,656 |
| Total of all expenses incurred | 2010-04-30 | $7,411,511 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-04-30 | $7,084,715 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-04-30 | $7,457,064 |
| Value of total assets at end of year | 2010-04-30 | $2,961,388 |
| Value of total assets at beginning of year | 2010-04-30 | $2,851,767 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-04-30 | $326,796 |
| Total interest from all sources | 2010-04-30 | $15,261 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-04-30 | $14,590 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2010-04-30 | $14,590 |
| Administrative expenses professional fees incurred | 2010-04-30 | $85,180 |
| Was this plan covered by a fidelity bond | 2010-04-30 | Yes |
| Value of fidelity bond cover | 2010-04-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-04-30 | No |
| Contributions received from participants | 2010-04-30 | $12,341 |
| Administrative expenses (other) incurred | 2010-04-30 | $241,616 |
| Liabilities. Value of operating payables at end of year | 2010-04-30 | $10,942 |
| Liabilities. Value of operating payables at beginning of year | 2010-04-30 | $13,820 |
| Total non interest bearing cash at end of year | 2010-04-30 | $359,148 |
| Total non interest bearing cash at beginning of year | 2010-04-30 | $248,546 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-04-30 | No |
| Value of net income/loss | 2010-04-30 | $87,145 |
| Value of net assets at end of year (total assets less liabilities) | 2010-04-30 | $2,352,486 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-04-30 | $2,265,341 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-04-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-04-30 | $546,945 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-04-30 | $520,614 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-04-30 | $2,055,295 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-04-30 | $2,081,541 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-04-30 | $2,081,541 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-04-30 | $15,261 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-04-30 | $7,084,715 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2010-04-30 | $11,741 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-04-30 | No |
| Contributions received in cash from employer | 2010-04-30 | $7,444,723 |
| Liabilities. Value of benefit claims payable at end of year | 2010-04-30 | $597,960 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-04-30 | $572,606 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2010-04-30 | $0 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2010-04-30 | $1,066 |
| Did the plan have assets held for investment | 2010-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-04-30 | Unqualified |
| Accountancy firm name | 2010-04-30 | MILLER, KAPLAN, ARASE & CO., LLP |
| Accountancy firm EIN | 2010-04-30 | 952036255 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 805975G |
| Policy instance | 4 |
| Insurance contract or identification number | 805975G | | Number of Individuals Covered | 1130 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $23,066 | | 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 number | SEE FOOTNOTE |
| Policy instance | 3 |
| Insurance contract or identification number | SEE FOOTNOTE | | Number of Individuals Covered | 696 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $199,324 | | 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 number | SEE FOOTNOTE |
| Policy instance | 2 |
| Insurance contract or identification number | SEE FOOTNOTE | | Number of Individuals Covered | 153 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,043 | | 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: 00000 ) |
| Policy contract number | 100215 |
| Policy instance | 1 |
| Insurance contract or identification number | 100215 | | Number of Individuals Covered | 1043 | | Insurance policy start date | 2021-11-01 | | Insurance policy end date | 2022-10-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,084,096 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 805975G |
| Policy instance | 4 |
| Insurance contract or identification number | 805975G | | Number of Individuals Covered | 1191 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $22,621 | | 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 number | SEE FOOTNOTE |
| Policy instance | 3 |
| Insurance contract or identification number | SEE FOOTNOTE | | Number of Individuals Covered | 656 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $191,290 | | 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 number | SEE FOOTNOTE |
| Policy instance | 2 |
| Insurance contract or identification number | SEE FOOTNOTE | | Number of Individuals Covered | 155 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,587 | | 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: 00000 ) |
| Policy contract number | 100215 |
| Policy instance | 1 |
| Insurance contract or identification number | 100215 | | Number of Individuals Covered | 1034 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,338,643 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0876624-SHORT |
| Policy instance | 2 |
| Insurance contract or identification number | 0876624-SHORT | | Number of Individuals Covered | 585 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-07-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $13,492 | | 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: 00000 ) |
| Policy contract number | 100215 |
| Policy instance | 1 |
| Insurance contract or identification number | 100215 | | Number of Individuals Covered | 930 | | Insurance policy start date | 2019-11-01 | | Insurance policy end date | 2020-10-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,139,844 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| JOHNSON & SHIMIZU (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | WHSM |
| Policy instance | 3 |
| Insurance contract or identification number | WHSM | | Number of Individuals Covered | 92 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2020-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $63,002 | | 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 number | SEE FOOTNOTE |
| Policy instance | 4 |
| Insurance contract or identification number | SEE FOOTNOTE | | Number of Individuals Covered | 116 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,821 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 805975G |
| Policy instance | 6 |
| Insurance contract or identification number | 805975G | | Number of Individuals Covered | 1094 | | Insurance policy start date | 2020-08-01 | | Insurance policy end date | 2020-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $9,372 | | 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 number | SEE FOOTNOTE |
| Policy instance | 5 |
| Insurance contract or identification number | SEE FOOTNOTE | | Number of Individuals Covered | 620 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $125,679 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0876624 |
| Policy instance | 2 |
| Insurance contract or identification number | 0876624 | | Number of Individuals Covered | 682 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $17,589 | | 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 number | SEE FOOTNOTE |
| Policy instance | 4 |
| Insurance contract or identification number | SEE FOOTNOTE | | Number of Individuals Covered | 69 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,179 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| JOHNSON & SHIMIZU (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | WHSM |
| Policy instance | 3 |
| Insurance contract or identification number | WHSM | | Number of Individuals Covered | 92 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $104,129 | | 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 number | SEE FOOTNOTE |
| Policy instance | 5 |
| Insurance contract or identification number | SEE FOOTNOTE | | Number of Individuals Covered | 420 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $102,391 | | 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: 00000 ) |
| Policy contract number | 100215 |
| Policy instance | 1 |
| Insurance contract or identification number | 100215 | | Number of Individuals Covered | 1176 | | Insurance policy start date | 2018-11-01 | | Insurance policy end date | 2019-10-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,287,309 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78665 |
| Policy instance | 4 |
| Insurance contract or identification number | 78665 | | Number of Individuals Covered | 315 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2018-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $33,875 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 18123 |
| Policy instance | 5 |
| Insurance contract or identification number | 18123 | | Number of Individuals Covered | 480 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2018-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $93,989 | | 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 number | SEE FOOTNOTE |
| Policy instance | 6 |
| Insurance contract or identification number | SEE FOOTNOTE | | Number of Individuals Covered | 32 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,269 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| JOHNSON & SHIMIZU (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | WHSM |
| Policy instance | 3 |
| Insurance contract or identification number | WHSM | | Number of Individuals Covered | 99 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $101,009 | | 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: 00000 ) |
| Policy contract number | 100215 |
| Policy instance | 1 |
| Insurance contract or identification number | 100215 | | Number of Individuals Covered | 1294 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,290,460 | | 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 number | SEE FOOTNOTE |
| Policy instance | 7 |
| Insurance contract or identification number | SEE FOOTNOTE | | Number of Individuals Covered | 263 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,581 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0876624 |
| Policy instance | 2 |
| Insurance contract or identification number | 0876624 | | Number of Individuals Covered | 761 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $18,757 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 18123 |
| Policy instance | 5 |
| Insurance contract or identification number | 18123 | | Number of Individuals Covered | 504 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $142,593 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78665 |
| Policy instance | 4 |
| Insurance contract or identification number | 78665 | | Number of Individuals Covered | 341 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $48,206 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| JOHNSON & SHIMIZU (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | WHSM |
| Policy instance | 3 |
| Insurance contract or identification number | WHSM | | Number of Individuals Covered | 103 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $89,385 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 0876624 |
| Policy instance | 2 |
| Insurance contract or identification number | 0876624 | | Number of Individuals Covered | 778 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $17,840 | | 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: 00000 ) |
| Policy contract number | 100215 |
| Policy instance | 1 |
| Insurance contract or identification number | 100215 | | Number of Individuals Covered | 1364 | | Insurance policy start date | 2016-11-01 | | Insurance policy end date | 2017-10-01 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,734,223 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 ) |
| Policy contract number | 5231H |
| Policy instance | 1 |
| Insurance contract or identification number | 5231H | | Number of Individuals Covered | 12 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2015-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,558 | | 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: 00000 ) |
| Policy contract number | 80023A |
| Policy instance | 2 |
| Insurance contract or identification number | 80023A | | Number of Individuals Covered | 8 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2015-11-30 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $189,385 | | 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: 00000 ) |
| Policy contract number | 100215 |
| Policy instance | 3 |
| Insurance contract or identification number | 100215 | | Number of Individuals Covered | 1316 | | Insurance policy start date | 2014-11-01 | | Insurance policy end date | 2015-10-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,937,482 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 876624 |
| Policy instance | 5 |
| Insurance contract or identification number | 876624 | | Number of Individuals Covered | 786 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $17,635 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | 100139 |
| Policy instance | 6 |
| Insurance contract or identification number | 100139 | | Number of Individuals Covered | 868 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2015-12-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78665 |
| Policy instance | 7 |
| Insurance contract or identification number | 78665 | | Number of Individuals Covered | 203 | | Insurance policy start date | 2016-01-01 | | Insurance policy end date | 2016-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,532 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 18123 |
| Policy instance | 8 |
| Insurance contract or identification number | 18123 | | Number of Individuals Covered | 241 | | Insurance policy start date | 2016-01-01 | | Insurance policy end date | 2016-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,497 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARBOR DENTAL ASSOCIATES (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | WHSM |
| Policy instance | 4 |
| Insurance contract or identification number | WHSM | | Number of Individuals Covered | 103 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $92,399 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 876624 |
| Policy instance | 1 |
| Insurance contract or identification number | 876624 | | Number of Individuals Covered | 811 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $18,305 | | 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: 00000 ) |
| Policy contract number | 100215 |
| Policy instance | 2 |
| Insurance contract or identification number | 100215 | | Number of Individuals Covered | 1403 | | Insurance policy start date | 2013-11-01 | | Insurance policy end date | 2014-10-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,493,354 | | 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: 00000 ) |
| Policy contract number | 80023A |
| Policy instance | 3 |
| Insurance contract or identification number | 80023A | | Number of Individuals Covered | 9 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $355,948 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | 100139 |
| Policy instance | 4 |
| Insurance contract or identification number | 100139 | | Number of Individuals Covered | 892 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARBOR DENTAL ASSOCIATES (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | WHSM |
| Policy instance | 5 |
| Insurance contract or identification number | WHSM | | Number of Individuals Covered | 99 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $103,481 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 ) |
| Policy contract number | 5231H |
| Policy instance | 7 |
| Insurance contract or identification number | 5231H | | Number of Individuals Covered | 14 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,218 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS INC (National Association of Insurance Commissioners NAIC id number: 79014 ) |
| Policy contract number | 97137888 |
| Policy instance | 6 |
| Insurance contract or identification number | 97137888 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,502 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 876624 |
| Policy instance | 3 |
| Insurance contract or identification number | 876624 | | Number of Individuals Covered | 946 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $18,005 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTAL HEALTH SERVICES (National Association of Insurance Commissioners NAIC id number: 41067 ) |
| Policy contract number | 041067 |
| Policy instance | 7 |
| Insurance contract or identification number | 041067 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,796 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | 100139 |
| Policy instance | 6 |
| Insurance contract or identification number | 100139 | | Number of Individuals Covered | 1023 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-02-28 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARBOR DENTAL ASSOCIATES (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | WHSM |
| Policy instance | 5 |
| Insurance contract or identification number | WHSM | | Number of Individuals Covered | 135 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $110,402 | | 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: 00000 ) |
| Policy contract number | 80023A |
| Policy instance | 1 |
| Insurance contract or identification number | 80023A | | Number of Individuals Covered | 10 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $340,981 | | 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: 00000 ) |
| Policy contract number | 100215 |
| Policy instance | 2 |
| Insurance contract or identification number | 100215 | | Number of Individuals Covered | 1503 | | Insurance policy start date | 2012-11-01 | | Insurance policy end date | 2013-10-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,619,902 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS INC (National Association of Insurance Commissioners NAIC id number: 79014 ) |
| Policy contract number | 97137888 |
| Policy instance | 4 |
| Insurance contract or identification number | 97137888 | | Number of Individuals Covered | 46 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,820 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS INC (National Association of Insurance Commissioners NAIC id number: 79014 ) |
| Policy contract number | 97137888 |
| Policy instance | 1 |
| Insurance contract or identification number | 97137888 | | Number of Individuals Covered | 47 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $11,247 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | 100139 |
| Policy instance | 2 |
| Insurance contract or identification number | 100139 | | Number of Individuals Covered | 1020 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | 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: 00000 ) |
| Policy contract number | 80032A |
| Policy instance | 6 |
| Insurance contract or identification number | 80032A | | Number of Individuals Covered | 10 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $361,816 | | 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: 00000 ) |
| Policy contract number | 100215 |
| Policy instance | 5 |
| Insurance contract or identification number | 100215 | | Number of Individuals Covered | 1493 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,576,581 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARBOR DENTAL ASSOCIATES (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | WHSM |
| Policy instance | 4 |
| Insurance contract or identification number | WHSM | | Number of Individuals Covered | 128 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $91,757 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 876624 |
| Policy instance | 3 |
| Insurance contract or identification number | 876624 | | Number of Individuals Covered | 906 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $18,549 | | 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 number | 3327826 |
| Policy instance | 7 |
| Insurance contract or identification number | 3327826 | | Number of Individuals Covered | 179 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $35,177 | | 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: 00000 ) |
| Policy contract number | 100215 |
| Policy instance | 6 |
| Insurance contract or identification number | 100215 | | Number of Individuals Covered | 1595 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,775,324 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARBOR DENTAL ASSOCIATES (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | WHSM |
| Policy instance | 5 |
| Insurance contract or identification number | WHSM | | Number of Individuals Covered | 119 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $93,565 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 876624 |
| Policy instance | 4 |
| Insurance contract or identification number | 876624 | | Number of Individuals Covered | 996 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $22,153 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS INC (National Association of Insurance Commissioners NAIC id number: 79014 ) |
| Policy contract number | 97137888 |
| Policy instance | 3 |
| Insurance contract or identification number | 97137888 | | Number of Individuals Covered | 51 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,196 | | 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: 00000 ) |
| Policy contract number | 80032A |
| Policy instance | 2 |
| Insurance contract or identification number | 80032A | | Number of Individuals Covered | 12 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $351,877 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A ) |
| Policy contract number | 100139 |
| Policy instance | 1 |
| Insurance contract or identification number | 100139 | | Number of Individuals Covered | 1061 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Dental Insurance Welfare Benefit | Yes | | 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: 00000 ) |
| Policy contract number | 100215-0000 |
| Policy instance | 6 |
| Insurance contract or identification number | 100215-0000 | | Number of Individuals Covered | 101 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $118,287 | | 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: 00000 ) |
| Policy contract number | 100215-0005 |
| Policy instance | 3 |
| Insurance contract or identification number | 100215-0005 | | Number of Individuals Covered | 516 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,842,527 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARBOR DENTAL ASSOCIATES (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | WHSM |
| Policy instance | 11 |
| Insurance contract or identification number | WHSM | | Number of Individuals Covered | 142 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $78,238 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 30 |
| Policy instance | 12 |
| Insurance contract or identification number | 30 | | Number of Individuals Covered | 243 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | 150957 |
| Policy instance | 10 |
| Insurance contract or identification number | 150957 | | Number of Individuals Covered | 115 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $647,089 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 876624 |
| Policy instance | 9 |
| Insurance contract or identification number | 876624 | | Number of Individuals Covered | 996 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $22,536 | | 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: 00000 ) |
| Policy contract number | 100215-0006 |
| Policy instance | 8 |
| Insurance contract or identification number | 100215-0006 | | Number of Individuals Covered | 106 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $297,265 | | 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: 00000 ) |
| Policy contract number | 100215-0003 |
| Policy instance | 1 |
| Insurance contract or identification number | 100215-0003 | | Number of Individuals Covered | 869 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,161,093 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS INC (National Association of Insurance Commissioners NAIC id number: 79014 ) |
| Policy contract number | 97137888 |
| Policy instance | 2 |
| Insurance contract or identification number | 97137888 | | Number of Individuals Covered | 46 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,665 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CIGNA DENTAL HEALTH OF CALIFORNIA,INC (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 10000118 |
| Policy instance | 7 |
| Insurance contract or identification number | 10000118 | | Number of Individuals Covered | 223 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $161,112 | | 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: 00000 ) |
| Policy contract number | 65009S, 80023A |
| Policy instance | 5 |
| Insurance contract or identification number | 65009S, 80023A | | Number of Individuals Covered | 15 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $339,662 | | 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: 00000 ) |
| Policy contract number | 100215-0036 |
| Policy instance | 4 |
| Insurance contract or identification number | 100215-0036 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2009-05-01 | | Insurance policy end date | 2010-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,864 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
