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GUARDIAN LIFE INSURANCE 401k Plan overview

Plan NameGUARDIAN LIFE INSURANCE
Plan identification number 504

GUARDIAN LIFE INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

HEARTSHARE HUMAN SERVICES OF NEW YORK has sponsored the creation of one or more 401k plans.

Company Name:HEARTSHARE HUMAN SERVICES OF NEW YORK
Employer identification number (EIN):111633549
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about HEARTSHARE HUMAN SERVICES OF NEW YORK

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1914-07-02
Company Identification Number: 12728
Legal Registered Office Address: 12 METROTECH CENTER, 29TH FL.
Kings
BROOKLYN
United States of America (USA)
11201

More information about HEARTSHARE HUMAN SERVICES OF NEW YORK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GUARDIAN LIFE INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042012-03-01MARY JEAN PATELLA
5042012-03-01
5042011-03-01MARY JEAN PATELLA
5042009-03-01MARY JEAN PATELLA

Plan Statistics for GUARDIAN LIFE INSURANCE

401k plan membership statisitcs for GUARDIAN LIFE INSURANCE

Measure Date Value
2012: GUARDIAN LIFE INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-03-01990
Total number of active participants reported on line 7a of the Form 55002012-03-011,043
Number of retired or separated participants receiving benefits2012-03-011
Number of other retired or separated participants entitled to future benefits2012-03-010
Total of all active and inactive participants2012-03-011,044
2011: GUARDIAN LIFE INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-03-01968
Total number of active participants reported on line 7a of the Form 55002011-03-01990
Number of retired or separated participants receiving benefits2011-03-010
Number of other retired or separated participants entitled to future benefits2011-03-010
Total of all active and inactive participants2011-03-01990
2009: GUARDIAN LIFE INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-03-01795
Total number of active participants reported on line 7a of the Form 55002009-03-01895
Number of retired or separated participants receiving benefits2009-03-019
Number of other retired or separated participants entitled to future benefits2009-03-010
Total of all active and inactive participants2009-03-01904
Total participants2009-03-010

Form 5500 Responses for GUARDIAN LIFE INSURANCE

2012: GUARDIAN LIFE INSURANCE 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Submission has been amendedNo
2012-03-01This submission is the final filingNo
2012-03-01This return/report is a short plan year return/report (less than 12 months)No
2012-03-01Plan is a collectively bargained planNo
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – InsuranceYes
2011: GUARDIAN LIFE INSURANCE 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Submission has been amendedNo
2011-03-01This submission is the final filingNo
2011-03-01This return/report is a short plan year return/report (less than 12 months)No
2011-03-01Plan is a collectively bargained planNo
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – InsuranceYes
2009: GUARDIAN LIFE INSURANCE 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Submission has been amendedNo
2009-03-01This submission is the final filingNo
2009-03-01This return/report is a short plan year return/report (less than 12 months)No
2009-03-01Plan is a collectively bargained planNo
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00328890
Policy instance 1
Insurance contract or identification number00328890
Number of Individuals Covered1043
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $26,809
Total amount of fees paid to insurance companyUSD $11,202
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & 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 CarrierUSD $405,140
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,809
Amount paid for insurance broker fees11202
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3

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