THE WILLIAMSPORT HOME LIFE AND AD&D PLAN has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan THE WILLIAMSPORT HOME VISION PLAN
| Measure | Date | Value |
|---|
| 2022: THE WILLIAMSPORT HOME VISION PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-05-01 | 122 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-05-01 | 121 |
| Number of retired or separated participants receiving benefits | 2022-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-05-01 | 0 |
| Total of all active and inactive participants | 2022-05-01 | 121 |
| Total participants | 2022-05-01 | 121 |
| 2021: THE WILLIAMSPORT HOME VISION PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-05-01 | 145 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-05-01 | 122 |
| Number of retired or separated participants receiving benefits | 2021-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-05-01 | 0 |
| Total of all active and inactive participants | 2021-05-01 | 122 |
| 2020: THE WILLIAMSPORT HOME VISION PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-05-01 | 151 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 145 |
| Number of retired or separated participants receiving benefits | 2020-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-05-01 | 0 |
| Total of all active and inactive participants | 2020-05-01 | 145 |
| 2019: THE WILLIAMSPORT HOME VISION PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-05-01 | 148 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-05-01 | 151 |
| Number of retired or separated participants receiving benefits | 2019-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-05-01 | 0 |
| Total of all active and inactive participants | 2019-05-01 | 151 |
| 2018: THE WILLIAMSPORT HOME VISION PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-05-01 | 144 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 148 |
| Number of retired or separated participants receiving benefits | 2018-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-05-01 | 0 |
| Total of all active and inactive participants | 2018-05-01 | 148 |
| 2017: THE WILLIAMSPORT HOME VISION PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-05-01 | 148 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 144 |
| Number of retired or separated participants receiving benefits | 2017-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-05-01 | 0 |
| Total of all active and inactive participants | 2017-05-01 | 144 |
| 2016: THE WILLIAMSPORT HOME VISION PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-05-01 | 144 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 148 |
| Number of retired or separated participants receiving benefits | 2016-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
| Total of all active and inactive participants | 2016-05-01 | 148 |
| 2015: THE WILLIAMSPORT HOME VISION PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-05-01 | 146 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 144 |
| Total of all active and inactive participants | 2015-05-01 | 144 |
| 2014: THE WILLIAMSPORT HOME VISION PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-05-01 | 126 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 146 |
| Total of all active and inactive participants | 2014-05-01 | 146 |
| 2013: THE WILLIAMSPORT HOME VISION PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-05-01 | 150 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 126 |
| Total of all active and inactive participants | 2013-05-01 | 126 |
| 2012: THE WILLIAMSPORT HOME VISION PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-05-01 | 134 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 150 |
| Total of all active and inactive participants | 2012-05-01 | 150 |
| 2011: THE WILLIAMSPORT HOME VISION PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-05-01 | 143 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 134 |
| Total of all active and inactive participants | 2011-05-01 | 134 |
| 2010: THE WILLIAMSPORT HOME VISION PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-05-01 | 148 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-05-01 | 143 |
| Total of all active and inactive participants | 2010-05-01 | 143 |
| 2009: THE WILLIAMSPORT HOME VISION PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-05-01 | 148 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-05-01 | 148 |
| Total of all active and inactive participants | 2009-05-01 | 148 |
| 2022: THE WILLIAMSPORT HOME VISION PLAN 2022 form 5500 responses |
|---|
| 2022-05-01 | Type of plan entity | Single employer plan |
| 2022-05-01 | Plan funding arrangement – Insurance | Yes |
| 2022-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: THE WILLIAMSPORT HOME VISION PLAN 2021 form 5500 responses |
|---|
| 2021-05-01 | Type of plan entity | Single employer plan |
| 2021-05-01 | Plan funding arrangement – Insurance | Yes |
| 2021-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: THE WILLIAMSPORT HOME VISION PLAN 2020 form 5500 responses |
|---|
| 2020-05-01 | Type of plan entity | Single employer plan |
| 2020-05-01 | Plan funding arrangement – Insurance | Yes |
| 2020-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: THE WILLIAMSPORT HOME VISION PLAN 2019 form 5500 responses |
|---|
| 2019-05-01 | Type of plan entity | Single employer plan |
| 2019-05-01 | Plan funding arrangement – Insurance | Yes |
| 2019-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: THE WILLIAMSPORT HOME VISION PLAN 2018 form 5500 responses |
|---|
| 2018-05-01 | Type of plan entity | Single employer plan |
| 2018-05-01 | Plan funding arrangement – Insurance | Yes |
| 2018-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: THE WILLIAMSPORT HOME VISION PLAN 2017 form 5500 responses |
|---|
| 2017-05-01 | Type of plan entity | Single employer plan |
| 2017-05-01 | Plan funding arrangement – Insurance | Yes |
| 2017-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: THE WILLIAMSPORT HOME VISION PLAN 2016 form 5500 responses |
|---|
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: THE WILLIAMSPORT HOME VISION PLAN 2015 form 5500 responses |
|---|
| 2015-05-01 | Type of plan entity | Single employer plan |
| 2015-05-01 | Plan funding arrangement – Insurance | Yes |
| 2015-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: THE WILLIAMSPORT HOME VISION PLAN 2014 form 5500 responses |
|---|
| 2014-05-01 | Type of plan entity | Single employer plan |
| 2014-05-01 | Plan funding arrangement – Insurance | Yes |
| 2014-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: THE WILLIAMSPORT HOME VISION PLAN 2013 form 5500 responses |
|---|
| 2013-05-01 | Type of plan entity | Single employer plan |
| 2013-05-01 | Plan funding arrangement – Insurance | Yes |
| 2013-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: THE WILLIAMSPORT HOME VISION PLAN 2012 form 5500 responses |
|---|
| 2012-05-01 | Type of plan entity | Single employer plan |
| 2012-05-01 | Plan funding arrangement – Insurance | Yes |
| 2012-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: THE WILLIAMSPORT HOME VISION PLAN 2011 form 5500 responses |
|---|
| 2011-05-01 | Type of plan entity | Single employer plan |
| 2011-05-01 | Plan funding arrangement – Insurance | Yes |
| 2011-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: THE WILLIAMSPORT HOME VISION PLAN 2010 form 5500 responses |
|---|
| 2010-05-01 | Type of plan entity | Single employer plan |
| 2010-05-01 | Plan funding arrangement – Insurance | Yes |
| 2010-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: THE WILLIAMSPORT HOME VISION PLAN 2009 form 5500 responses |
|---|
| 2009-05-01 | Type of plan entity | Single employer plan |
| 2009-05-01 | This submission is the final filing | No |
| 2009-05-01 | Plan funding arrangement – Insurance | Yes |
| 2009-05-01 | Plan benefit arrangement – Insurance | Yes |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 10212598 |
| Policy instance | 1 |
| Insurance contract or identification number | 10212598 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | 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 $8,777 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 10212598 |
| Policy instance | 1 |
| Insurance contract or identification number | 10212598 | | Number of Individuals Covered | 182 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | 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 $9,664 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 10212598 |
| Policy instance | 1 |
| Insurance contract or identification number | 10212598 | | Number of Individuals Covered | 218 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | 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 $11,350 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 10212598 |
| Policy instance | 1 |
| Insurance contract or identification number | 10212598 | | Number of Individuals Covered | 245 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | 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 $11,563 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 10212598 |
| Policy instance | 1 |
| Insurance contract or identification number | 10212598 | | Number of Individuals Covered | 242 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | 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 $11,886 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) |
| Policy contract number | 10212598 |
| Policy instance | 1 |
| Insurance contract or identification number | 10212598 | | Number of Individuals Covered | 245 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | 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 $12,441 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 31055 |
| Policy instance | 1 |
| Insurance contract or identification number | 31055 | | Number of Individuals Covered | 262 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | 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 $12,193 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 031055 |
| Policy instance | 1 |
| Insurance contract or identification number | 031055 | | Number of Individuals Covered | 252 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,433 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 031055 |
| Policy instance | 1 |
| Insurance contract or identification number | 031055 | | Number of Individuals Covered | 239 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,215 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHAMERICA OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 95060 ) |
| Policy contract number | 1806240000 |
| Policy instance | 1 |
| Insurance contract or identification number | 1806240000 | | Number of Individuals Covered | 186 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $30,085 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,002,833 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,085 | | Insurance broker organization code? | 3 | | Insurance broker name | WILKINSON DUNN COMPANY |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 031055 |
| Policy instance | 2 |
| Insurance contract or identification number | 031055 | | Number of Individuals Covered | 260 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,769 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 031055 |
| Policy instance | 2 |
| Insurance contract or identification number | 031055 | | Number of Individuals Covered | 252 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,655 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHAMERICA OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 95060 ) |
| Policy contract number | 1806240000 |
| Policy instance | 1 |
| Insurance contract or identification number | 1806240000 | | Number of Individuals Covered | 173 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $32,388 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,079,603 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | 065747 |
| Policy instance | 2 |
| Insurance contract or identification number | 065747 | | Number of Individuals Covered | 267 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,886 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS OF NE PENNSYLVANIA - HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 96601 ) |
| Policy contract number | 031055 |
| Policy instance | 1 |
| Insurance contract or identification number | 031055 | | Number of Individuals Covered | 196 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
