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STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 401k Plan overview

Plan NameSTAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN
Plan identification number 501

STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

STAR HEADLIGHT & LANTERN CO., INC. has sponsored the creation of one or more 401k plans.

Company Name:STAR HEADLIGHT & LANTERN CO., INC.
Employer identification number (EIN):160647680
NAIC Classification:332900

Additional information about STAR HEADLIGHT & LANTERN CO., INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1889-04-26
Company Identification Number: 11531
Legal Registered Office Address: C/O CHRISTOPHER D JACOBS
19 Junction Rd
Honeoye Falls
United States of America (USA)
14472

More information about STAR HEADLIGHT & LANTERN CO., INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-01-01CHRISTOPHER JACOBS
5012014-01-01CHRISTOPHER JACOBS
5012013-01-01CHRISTOPHER JACOBS
5012012-01-01CHRISTOPHER JACOBS
5012011-01-01CHRISTOPHER JACOBS
5012009-01-01CHRISTOPHER JACOBS

Plan Statistics for STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN

401k plan membership statisitcs for STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN

Measure Date Value
2015: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01105
Total number of active participants reported on line 7a of the Form 55002015-01-0199
Total of all active and inactive participants2015-01-0199
2014: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01115
Total number of active participants reported on line 7a of the Form 55002014-01-01105
Total of all active and inactive participants2014-01-01105
2013: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01257
Total number of active participants reported on line 7a of the Form 55002013-01-01115
Total of all active and inactive participants2013-01-01115
2012: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01142
Total number of active participants reported on line 7a of the Form 55002012-01-01257
Total of all active and inactive participants2012-01-01257
2011: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01287
Total number of active participants reported on line 7a of the Form 55002011-01-01142
Total of all active and inactive participants2011-01-01142
2009: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01327
Total number of active participants reported on line 7a of the Form 55002009-01-01287
Total of all active and inactive participants2009-01-01287

Form 5500 Responses for STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN

2015: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number1618
Policy instance 1
Insurance contract or identification number1618
Number of Individuals Covered99
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $44,793
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,793
Insurance broker organization code?3
Insurance broker nameAPFS ROCHESTER, INC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number1618
Policy instance 1
Insurance contract or identification number1618
Number of Individuals Covered105
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $45,379
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,379
Insurance broker organization code?3
Insurance broker nameAPFS ROCHESTER, INC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number1618
Policy instance 1
Insurance contract or identification number1618
Number of Individuals Covered115
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $43,584
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,612
Insurance broker organization code?3
Insurance broker nameAPFS ROCHESTER, INC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number1618
Policy instance 1
Insurance contract or identification number1618
Number of Individuals Covered257
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $48,258
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48,258
Insurance broker organization code?3
Insurance broker nameBOND FINANCIAL NETWORK, INC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number1618
Policy instance 1
Insurance contract or identification number1618
Number of Individuals Covered142
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $44,021
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract numberRLC_MXX_2872651
Policy instance 1
Insurance contract or identification numberRLC_MXX_2872651
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number1618
Policy instance 2
Insurance contract or identification number1618
Number of Individuals Covered287
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $44,184
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,184
Insurance broker organization code?3
Insurance broker nameBOND FINANCIAL NETWORK, INC.

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