401k Plan data: HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN plan

HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN 401k Plan overview

Plan Name	HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN
Plan identification number	001

HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HERITAGE INSURANCE HOLDINGS, INC has sponsored the creation of one or more 401k plans.

Company Name: HERITAGE INSURANCE HOLDINGS, INC

Employer identification number (EIN): 460694063

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 SUSAN MEISTER SUSAN MEISTER 2018-10-11
001 2017-01-01
001 2016-01-01 SUSAN C. MEISTER
001 2015-01-01 JANET YIENGER 2016-07-25 JANET YIENGER 2016-07-25
001 2014-01-01 REBECCA SOSA 2015-07-10 REBECCA SOSA 2015-07-10
001 2013-01-01 REBECCA SOSA 2014-05-09 REBECCA SOSA 2014-05-09

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	SUSAN MEISTER		SUSAN MEISTER	2018-10-11
001	2017-01-01
001	2016-01-01	SUSAN C. MEISTER
001	2015-01-01	JANET YIENGER	2016-07-25	JANET YIENGER	2016-07-25
001	2014-01-01	REBECCA SOSA	2015-07-10	REBECCA SOSA	2015-07-10
001	2013-01-01	REBECCA SOSA	2014-05-09	REBECCA SOSA	2014-05-09

Plan Statistics for HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN

401k plan membership statisitcs for HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN

Measure Date Value
2017: HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 285
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 257
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 71
Total of all active and inactive participants 2017-01-01 328
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 328
Number of participants with account balances 2017-01-01 328
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 242
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 35
Total of all active and inactive participants 2016-01-01 277
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 277
Number of participants with account balances 2016-01-01 273
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2017: HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	285
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	257
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	71
Total of all active and inactive participants	2017-01-01	328
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	328
Number of participants with account balances	2017-01-01	328
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	242
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	35
Total of all active and inactive participants	2016-01-01	277
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	277
Number of participants with account balances	2016-01-01	273
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN

Measure	Date	Value
2017 : HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$2,449,715
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$632,225
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$619,472
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,762,531
Value of total assets at end of year	2017-12-31	$5,026,073
Value of total assets at beginning of year	2017-12-31	$3,208,583
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$12,753
Total interest from all sources	2017-12-31	$921
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$883,825
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$259,468
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,817,490
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$5,026,073
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$3,208,583
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in pooled separate accounts at end of year	2017-12-31	$4,969,752
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$3,098,073
Interest earned on other investments	2017-12-31	$921
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$56,321
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$110,510
Net investment gain/loss from pooled separate accounts	2017-12-31	$686,263
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$619,238
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$619,472
Contract administrator fees	2017-12-31	$12,753
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	ASSURANCE DIMENSIONS
Accountancy firm EIN	2017-12-31	263429295
2016 : HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,721,968
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$80,578
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$72,683
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,458,295
Value of total assets at end of year	2016-12-31	$3,208,583
Value of total assets at beginning of year	2016-12-31	$1,567,193
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$7,895
Total interest from all sources	2016-12-31	$1,410
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$691,230
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$213,989
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$1,641,390
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$3,208,583
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,567,193
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$3,098,073
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,520,376
Interest earned on other investments	2016-12-31	$1,410
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$110,510
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$46,817
Net investment gain/loss from pooled separate accounts	2016-12-31	$262,263
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$553,076
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$72,683
Contract administrator fees	2016-12-31	$7,895
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BARLEY, MCNAMARA & WILD
Accountancy firm EIN	2016-12-31	273236857

Form 5500 Responses for HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN

2017: HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY 401(K) SALARY SAVINGS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

068107

Policy instance

Insurance contract or identification number	068107
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Number of Individuals Covered	328
Insurance broker name	RAYMOND JAMES FINANCIAL SERVICES

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Company Name:	HERITAGE INSURANCE HOLDINGS, INC
Employer identification number (EIN):	460694063
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages