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HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 401k Plan overview

Plan NameHARRISBURG DAIRIES INC GROUP MEDICAL PLAN
Plan identification number 502

HARRISBURG DAIRIES INC GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

HARRISBURG DAIRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:HARRISBURG DAIRIES, INC.
Employer identification number (EIN):231279629
NAIC Classification:424990
NAIC Description:Other Miscellaneous Nondurable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARRISBURG DAIRIES INC GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-04-01
5022022-04-01
5022022-04-01
5022021-04-01
5022020-04-01
5022019-06-01

Plan Statistics for HARRISBURG DAIRIES INC GROUP MEDICAL PLAN

401k plan membership statisitcs for HARRISBURG DAIRIES INC GROUP MEDICAL PLAN

Measure Date Value
2023: HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-04-0170
Total number of active participants reported on line 7a of the Form 55002023-04-0169
Number of retired or separated participants receiving benefits2023-04-010
Number of other retired or separated participants entitled to future benefits2023-04-010
Total of all active and inactive participants2023-04-0169
2022: HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-0160
Total number of active participants reported on line 7a of the Form 55002022-04-0169
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-0169
2021: HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-0165
Total number of active participants reported on line 7a of the Form 55002021-04-0160
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-0160
2020: HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-0173
Total number of active participants reported on line 7a of the Form 55002020-04-0165
Number of retired or separated participants receiving benefits2020-04-010
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-0165
2019: HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-0169
Total number of active participants reported on line 7a of the Form 55002019-06-0173
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-0173

Financial Data on HARRISBURG DAIRIES INC GROUP MEDICAL PLAN

Measure Date Value
2024 : HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2024 401k financial data
Total plan liabilities at end of year2024-03-31$46,265
Total plan liabilities at beginning of year2024-03-31$39,595
Total income from all sources2024-03-31$875,787
Expenses. Total of all expenses incurred2024-03-31$829,623
Benefits paid (including direct rollovers)2024-03-31$470,146
Total plan assets at end of year2024-03-31$293,743
Total plan assets at beginning of year2024-03-31$240,909
Value of fidelity bond covering the plan2024-03-31$500,000
Total contributions received or receivable from participants2024-03-31$254,877
Expenses. Other expenses not covered elsewhere2024-03-31$164,804
Contributions received from other sources (not participants or employers)2024-03-31$39,794
Other income received2024-03-31$11,616
Net income (gross income less expenses)2024-03-31$46,164
Net plan assets at end of year (total assets less liabilities)2024-03-31$247,478
Net plan assets at beginning of year (total assets less liabilities)2024-03-31$201,314
Total contributions received or receivable from employer(s)2024-03-31$569,500
Value of corrective distributions2024-03-31$160,021
Expenses. Administrative service providers (salaries,fees and commissions)2024-03-31$34,652
2023 : HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2023 401k financial data
Total plan liabilities at end of year2023-03-31$39,595
Total plan liabilities at beginning of year2023-03-31$90,972
Total income from all sources2023-03-31$691,728
Expenses. Total of all expenses incurred2023-03-31$404,017
Benefits paid (including direct rollovers)2023-03-31$248,015
Total plan assets at end of year2023-03-31$240,909
Total plan assets at beginning of year2023-03-31$4,575
Value of fidelity bond covering the plan2023-03-31$1,000,000
Total contributions received or receivable from participants2023-03-31$189,269
Expenses. Other expenses not covered elsewhere2023-03-31$124,439
Contributions received from other sources (not participants or employers)2023-03-31$5,886
Other income received2023-03-31$4,156
Net income (gross income less expenses)2023-03-31$287,711
Net plan assets at end of year (total assets less liabilities)2023-03-31$201,314
Net plan assets at beginning of year (total assets less liabilities)2023-03-31$-86,397
Total contributions received or receivable from employer(s)2023-03-31$492,417
Value of corrective distributions2023-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-03-31$31,563
2022 : HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2022 401k financial data
Total plan liabilities at end of year2022-03-31$90,972
Total plan liabilities at beginning of year2022-03-31$42,484
Total income from all sources2022-03-31$582,314
Expenses. Total of all expenses incurred2022-03-31$645,262
Benefits paid (including direct rollovers)2022-03-31$468,489
Total plan assets at end of year2022-03-31$4,575
Total plan assets at beginning of year2022-03-31$19,035
Value of fidelity bond covering the plan2022-03-31$300,000
Expenses. Other expenses not covered elsewhere2022-03-31$134,390
Other income received2022-03-31$3
Net income (gross income less expenses)2022-03-31$-62,948
Net plan assets at end of year (total assets less liabilities)2022-03-31$-86,397
Net plan assets at beginning of year (total assets less liabilities)2022-03-31$-23,449
Total contributions received or receivable from employer(s)2022-03-31$582,311
Expenses. Administrative service providers (salaries,fees and commissions)2022-03-31$42,383
2021 : HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2021 401k financial data
Total plan liabilities at end of year2021-03-31$42,484
Total plan liabilities at beginning of year2021-03-31$37,287
Total income from all sources2021-03-31$546,003
Expenses. Total of all expenses incurred2021-03-31$540,468
Benefits paid (including direct rollovers)2021-03-31$367,513
Total plan assets at end of year2021-03-31$19,035
Total plan assets at beginning of year2021-03-31$8,303
Value of fidelity bond covering the plan2021-03-31$300,000
Total contributions received or receivable from participants2021-03-31$0
Expenses. Other expenses not covered elsewhere2021-03-31$129,289
Contributions received from other sources (not participants or employers)2021-03-31$0
Other income received2021-03-31$6
Net income (gross income less expenses)2021-03-31$5,535
Net plan assets at end of year (total assets less liabilities)2021-03-31$-23,449
Net plan assets at beginning of year (total assets less liabilities)2021-03-31$-28,984
Total contributions received or receivable from employer(s)2021-03-31$545,997
Value of corrective distributions2021-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-03-31$43,666
2020 : HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2020 401k financial data
Total plan liabilities at end of year2020-03-31$37,287
Total plan liabilities at beginning of year2020-03-31$0
Total income from all sources2020-03-31$446,983
Expenses. Total of all expenses incurred2020-03-31$475,962
Benefits paid (including direct rollovers)2020-03-31$326,009
Total plan assets at end of year2020-03-31$8,308
Total plan assets at beginning of year2020-03-31$0
Value of fidelity bond covering the plan2020-03-31$300,000
Expenses. Other expenses not covered elsewhere2020-03-31$104,193
Other income received2020-03-31$270
Net income (gross income less expenses)2020-03-31$-28,979
Net plan assets at end of year (total assets less liabilities)2020-03-31$-28,979
Net plan assets at beginning of year (total assets less liabilities)2020-03-31$0
Total contributions received or receivable from employer(s)2020-03-31$446,713
Expenses. Administrative service providers (salaries,fees and commissions)2020-03-31$45,760

Form 5500 Responses for HARRISBURG DAIRIES INC GROUP MEDICAL PLAN

2023: HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2023 form 5500 responses
2023-04-01Type of plan entitySingle employer plan
2023-04-01Submission has been amendedNo
2023-04-01This submission is the final filingNo
2023-04-01This return/report is a short plan year return/report (less than 12 months)No
2023-04-01Plan is a collectively bargained planNo
2023-04-01Plan funding arrangement – InsuranceYes
2023-04-01Plan funding arrangement – General assets of the sponsorYes
2023-04-01Plan benefit arrangement – InsuranceYes
2023-04-01Plan benefit arrangement – General assets of the sponsorYes
2022: HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Submission has been amendedNo
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – General assets of the sponsorYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – General assets of the sponsorYes
2021: HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planNo
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan funding arrangement – General assets of the sponsorYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes
2021-04-01Plan benefit arrangement – General assets of the sponsorYes
2020: HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan funding arrangement – General assets of the sponsorYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement - TrustYes
2020-04-01Plan benefit arrangement – General assets of the sponsorYes
2019: HARRISBURG DAIRIES INC GROUP MEDICAL PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01First time form 5500 has been submittedYes
2019-06-01Submission has been amendedNo
2019-06-01This submission is the final filingNo
2019-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-06-01Plan is a collectively bargained planNo
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan funding arrangement – TrustYes
2019-06-01Plan funding arrangement – General assets of the sponsorYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement - TrustYes
2019-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number304000065
Policy instance 1
Insurance contract or identification number304000065
Number of Individuals Covered69
Insurance policy start date2023-06-01
Insurance policy end date2024-03-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $163,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number304000065
Policy instance 1
Insurance contract or identification number304000065
Number of Individuals Covered69
Insurance policy start date2022-06-01
Insurance policy end date2023-03-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $123,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number304000065
Policy instance 1
Insurance contract or identification number304000065
Number of Individuals Covered60
Insurance policy start date2021-06-01
Insurance policy end date2022-03-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $133,491
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number304000065
Policy instance 1
Insurance contract or identification number304000065
Number of Individuals Covered65
Insurance policy start date2020-06-01
Insurance policy end date2021-03-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $128,389
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number304000065
Policy instance 1
Insurance contract or identification number304000065
Number of Individuals Covered73
Insurance policy start date2019-06-01
Insurance policy end date2020-03-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $103,457
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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