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THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 401k Plan overview

Plan NameTHE WILLIAMSPORT HOME LIFE AND AD&D PLAN
Plan identification number 502

THE WILLIAMSPORT HOME LIFE AND AD&D PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

THE WILLIAMSPORT HOME LIFE AND AD&D PLAN has sponsored the creation of one or more 401k plans.

Company Name:THE WILLIAMSPORT HOME LIFE AND AD&D PLAN
Employer identification number (EIN):240795507
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE WILLIAMSPORT HOME LIFE AND AD&D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-09-01DONALD S. POTE2024-01-12
5022021-09-01DONALD S. POTE2023-01-23
5022020-09-01DONALD S. POTE2021-12-16
5022019-09-01DONALD S. POTE2020-11-20
5022018-09-01DONALD S. POTE2020-04-19
5022017-09-01
5022016-09-01
5022015-09-01
5022014-09-01
5022013-09-01
5022012-09-01DONALD S. POTE
5022011-09-01DONALD S. POTE
5022009-09-01DONALD S. POTE
5022008-09-01DONALD S. POTE
5022007-09-01DONALD S. POTE
5022006-09-01DONALD S. POTE
5022006-09-01DONALD S. POTE
5022005-09-01DONALD S. POTE
5022004-09-01DONALD S. POTE

Plan Statistics for THE WILLIAMSPORT HOME LIFE AND AD&D PLAN

401k plan membership statisitcs for THE WILLIAMSPORT HOME LIFE AND AD&D PLAN

Measure Date Value
2022: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2022 401k membership
Total participants, beginning-of-year2022-09-01116
Total number of active participants reported on line 7a of the Form 55002022-09-01118
Total of all active and inactive participants2022-09-01118
Total participants2022-09-01118
2021: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01159
Total number of active participants reported on line 7a of the Form 55002021-09-01116
Total of all active and inactive participants2021-09-01116
Total participants2021-09-01116
2020: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01177
Total number of active participants reported on line 7a of the Form 55002020-09-01159
Total of all active and inactive participants2020-09-01159
2019: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01172
Total number of active participants reported on line 7a of the Form 55002019-09-01177
Total of all active and inactive participants2019-09-01177
2018: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01170
Total number of active participants reported on line 7a of the Form 55002018-09-01172
Total of all active and inactive participants2018-09-01172
2017: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01175
Total number of active participants reported on line 7a of the Form 55002017-09-01170
Total of all active and inactive participants2017-09-01170
2016: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01167
Total number of active participants reported on line 7a of the Form 55002016-09-01175
Total of all active and inactive participants2016-09-01175
2015: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01166
Total number of active participants reported on line 7a of the Form 55002015-09-01167
Total of all active and inactive participants2015-09-01167
2014: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01171
Total number of active participants reported on line 7a of the Form 55002014-09-01166
Total of all active and inactive participants2014-09-01166
2013: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01173
Total number of active participants reported on line 7a of the Form 55002013-09-01171
Total of all active and inactive participants2013-09-01171
2012: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01172
Total number of active participants reported on line 7a of the Form 55002012-09-01173
Total of all active and inactive participants2012-09-01173
2011: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01180
Total number of active participants reported on line 7a of the Form 55002011-09-01172
Total of all active and inactive participants2011-09-01172
2009: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01187
Total number of active participants reported on line 7a of the Form 55002009-09-01179
Total of all active and inactive participants2009-09-01179
2008: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2008 401k membership
Total participants, beginning-of-year2008-09-01167
Total number of active participants reported on line 7a of the Form 55002008-09-01187
Total of all active and inactive participants2008-09-01187
2007: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2007 401k membership
Total participants, beginning-of-year2007-09-01167
Total number of active participants reported on line 7a of the Form 55002007-09-01158
Total of all active and inactive participants2007-09-01158
2006: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2006 401k membership
Total participants, beginning-of-year2006-09-01152
Total number of active participants reported on line 7a of the Form 55002006-09-01167
Total of all active and inactive participants2006-09-01167
2005: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2005 401k membership
Total participants, beginning-of-year2005-09-01156
Total number of active participants reported on line 7a of the Form 55002005-09-01152
Total of all active and inactive participants2005-09-01152
2004: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2004 401k membership
Total participants, beginning-of-year2004-09-01156
Total number of active participants reported on line 7a of the Form 55002004-09-01156
Total of all active and inactive participants2004-09-01156

Form 5500 Responses for THE WILLIAMSPORT HOME LIFE AND AD&D PLAN

2022: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2022 form 5500 responses
2022-09-01Type of plan entitySingle employer plan
2022-09-01Plan funding arrangement – InsuranceYes
2022-09-01Plan benefit arrangement – InsuranceYes
2021: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – InsuranceYes
2020: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – InsuranceYes
2019: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2017: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes
2015: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2014: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – InsuranceYes
2013: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – InsuranceYes
2012: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – InsuranceYes
2011: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – InsuranceYes
2009: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01This submission is the final filingNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – InsuranceYes
2008: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2008 form 5500 responses
2008-09-01Type of plan entitySingle employer plan
2008-09-01This submission is the final filingNo
2008-09-01Plan funding arrangement – InsuranceYes
2008-09-01Plan benefit arrangement – InsuranceYes
2007: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2007 form 5500 responses
2007-09-01Type of plan entitySingle employer plan
2007-09-01This submission is the final filingNo
2007-09-01Plan funding arrangement – InsuranceYes
2007-09-01Plan benefit arrangement – InsuranceYes
2006: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2006 form 5500 responses
2006-09-01Type of plan entitySingle employer plan
2006-09-01This submission is the final filingNo
2006-09-01Plan funding arrangement – InsuranceYes
2006-09-01Plan benefit arrangement – InsuranceYes
2005: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2005 form 5500 responses
2005-09-01Type of plan entitySingle employer plan
2005-09-01This submission is the final filingNo
2005-09-01Plan funding arrangement – InsuranceYes
2005-09-01Plan benefit arrangement – InsuranceYes
2004: THE WILLIAMSPORT HOME LIFE AND AD&D PLAN 2004 form 5500 responses
2004-09-01Type of plan entitySingle employer plan
2004-09-01First time form 5500 has been submittedYes
2004-09-01This submission is the final filingNo
2004-09-01Plan funding arrangement – InsuranceYes
2004-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00616374
Policy instance 1
Insurance contract or identification numberG00616374
Number of Individuals Covered321
Insurance policy start date2022-09-01
Insurance policy end date2023-08-31
Total amount of commissions paid to insurance brokerUSD $186
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $1,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $186
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00616374
Policy instance 1
Insurance contract or identification numberG00616374
Number of Individuals Covered116
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $236
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,358
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $236
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00616374
Policy instance 1
Insurance contract or identification numberG00616374
Number of Individuals Covered159
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $290
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,897
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $290
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00616374
Policy instance 1
Insurance contract or identification numberG00616374
Number of Individuals Covered177
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $308
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $3,084
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $308
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00616374
Policy instance 1
Insurance contract or identification numberG00616374
Number of Individuals Covered172
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $259
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $259
Insurance broker organization code?3
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberG247968
Policy instance 1
Insurance contract or identification numberG247968
Number of Individuals Covered175
Insurance policy start date2017-09-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $34
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00616374
Policy instance 2
Insurance contract or identification numberG00616374
Number of Individuals Covered170
Insurance policy start date2017-10-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $248
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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