Plan Name | HARBORCREEK YOUTH SERVICES HEALTH AND WELFARE PLAN |
Plan identification number | 507 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | HARBORCREEK YOUTH SERVICES |
Employer identification number (EIN): | 250993380 |
NAIC Classification: | 624100 |
NAIC Description: | Individual and Family Services |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
507 | 2023-01-01 | ||||
507 | 2023-01-01 | ||||
507 | 2022-01-01 | ||||
507 | 2021-03-01 |
Measure | Date | Value |
---|---|---|
2023: HARBORCREEK YOUTH SERVICES HEALTH AND WELFARE PLAN 2023 401k membership | ||
Total participants, beginning-of-year | 2023-01-01 | 119 |
Total participants, beginning-of-year | 2023-01-01 | 119 |
Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 128 |
Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 128 |
Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
Total of all active and inactive participants | 2023-01-01 | 128 |
Total of all active and inactive participants | 2023-01-01 | 128 |
2022: HARBORCREEK YOUTH SERVICES HEALTH AND WELFARE PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-01-01 | 109 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 115 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
Total of all active and inactive participants | 2022-01-01 | 115 |
2021: HARBORCREEK YOUTH SERVICES HEALTH AND WELFARE PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-03-01 | 115 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-03-01 | 109 |
Number of retired or separated participants receiving benefits | 2021-03-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-03-01 | 0 |
Total of all active and inactive participants | 2021-03-01 | 109 |
2023: HARBORCREEK YOUTH SERVICES HEALTH AND WELFARE PLAN 2023 form 5500 responses | ||
---|---|---|
2023-01-01 | Type of plan entity | Single employer plan |
2023-01-01 | Type of plan entity | Single employer plan |
2023-01-01 | Submission has been amended | No |
2023-01-01 | Submission has been amended | No |
2023-01-01 | This submission is the final filing | No |
2023-01-01 | This submission is the final filing | No |
2023-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2023-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2023-01-01 | Plan is a collectively bargained plan | No |
2023-01-01 | Plan is a collectively bargained plan | No |
2023-01-01 | Plan funding arrangement – Insurance | Yes |
2023-01-01 | Plan funding arrangement – Insurance | Yes |
2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2023-01-01 | Plan benefit arrangement – Insurance | Yes |
2023-01-01 | Plan benefit arrangement – Insurance | Yes |
2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2022: HARBORCREEK YOUTH SERVICES HEALTH AND WELFARE PLAN 2022 form 5500 responses | ||
2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Submission has been amended | No |
2022-01-01 | This submission is the final filing | No |
2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2022-01-01 | Plan is a collectively bargained plan | No |
2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2021: HARBORCREEK YOUTH SERVICES HEALTH AND WELFARE PLAN 2021 form 5500 responses | ||
2021-03-01 | Type of plan entity | Single employer plan |
2021-03-01 | First time form 5500 has been submitted | Yes |
2021-03-01 | Submission has been amended | No |
2021-03-01 | This submission is the final filing | No |
2021-03-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2021-03-01 | Plan is a collectively bargained plan | No |
2021-03-01 | Plan funding arrangement – Insurance | Yes |
2021-03-01 | Plan benefit arrangement – Insurance | Yes |
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 024580 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | GL 159775 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | LTD 130296 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 406530 0010 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 4 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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