?>
| Plan Name | HEALTH INSURANCE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | SID HARVEY INDUSTRIES, INC. |
| Employer identification number (EIN): | 112233773 |
| NAIC Classification: | 423700 |
Additional information about SID HARVEY INDUSTRIES, INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1971-02-10 |
| Company Identification Number: | 302749 |
| Legal Registered Office Address: |
28 LIBERTY ST. Nassau NEW YORK United States of America (USA) 10005 |
More information about SID HARVEY INDUSTRIES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2020-06-01 | ||||
| 501 | 2019-06-01 | ||||
| 501 | 2018-06-01 | ||||
| 501 | 2017-06-01 | MICHAEL KLING | |||
| 501 | 2016-06-01 | MICHAEL KLING | MICHAEL KLING | 2017-12-27 | |
| 501 | 2015-06-01 | MICHAEL KLING | |||
| 501 | 2014-06-01 | MICHAEL KLING | MICHAEL KLING | 2016-03-09 | |
| 501 | 2013-06-01 | MICHAEL KLING | |||
| 501 | 2012-06-01 | MICHAEL KLING | MICHAEL KLING | 2013-08-27 | |
| 501 | 2011-06-01 | MICHAEL KLING | |||
| 501 | 2010-06-01 | MICHAEL KLING | |||
| 501 | 2009-06-01 | MICHAEL KLING |
| Measure | Date | Value |
|---|---|---|
| 2020: HEALTH INSURANCE PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-06-01 | 352 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-06-01 | 346 |
| Number of retired or separated participants receiving benefits | 2020-06-01 | 6 |
| Total of all active and inactive participants | 2020-06-01 | 352 |
| Total participants | 2020-06-01 | 352 |
| 2019: HEALTH INSURANCE PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-06-01 | 315 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-06-01 | 348 |
| Number of retired or separated participants receiving benefits | 2019-06-01 | 4 |
| Total of all active and inactive participants | 2019-06-01 | 352 |
| Total participants | 2019-06-01 | 352 |
| 2018: HEALTH INSURANCE PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-06-01 | 299 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-06-01 | 311 |
| Number of retired or separated participants receiving benefits | 2018-06-01 | 4 |
| Total of all active and inactive participants | 2018-06-01 | 315 |
| Total participants | 2018-06-01 | 315 |
| 2017: HEALTH INSURANCE PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-06-01 | 293 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-06-01 | 296 |
| Number of retired or separated participants receiving benefits | 2017-06-01 | 3 |
| Total of all active and inactive participants | 2017-06-01 | 299 |
| Total participants | 2017-06-01 | 299 |
| 2016: HEALTH INSURANCE PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-06-01 | 292 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-06-01 | 288 |
| Number of retired or separated participants receiving benefits | 2016-06-01 | 5 |
| Total of all active and inactive participants | 2016-06-01 | 293 |
| Total participants | 2016-06-01 | 293 |
| 2015: HEALTH INSURANCE PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-06-01 | 291 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-06-01 | 288 |
| Number of retired or separated participants receiving benefits | 2015-06-01 | 4 |
| Total of all active and inactive participants | 2015-06-01 | 292 |
| Total participants | 2015-06-01 | 292 |
| 2014: HEALTH INSURANCE PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-06-01 | 281 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-06-01 | 286 |
| Number of retired or separated participants receiving benefits | 2014-06-01 | 5 |
| Total of all active and inactive participants | 2014-06-01 | 291 |
| Total participants | 2014-06-01 | 291 |
| 2013: HEALTH INSURANCE PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-06-01 | 295 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-06-01 | 276 |
| Number of retired or separated participants receiving benefits | 2013-06-01 | 5 |
| Total of all active and inactive participants | 2013-06-01 | 281 |
| Total participants | 2013-06-01 | 281 |
| 2012: HEALTH INSURANCE PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-06-01 | 287 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-06-01 | 289 |
| Number of retired or separated participants receiving benefits | 2012-06-01 | 6 |
| Total of all active and inactive participants | 2012-06-01 | 295 |
| Total participants | 2012-06-01 | 295 |
| 2011: HEALTH INSURANCE PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-06-01 | 281 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-06-01 | 280 |
| Number of retired or separated participants receiving benefits | 2011-06-01 | 7 |
| Number of other retired or separated participants entitled to future benefits | 2011-06-01 | 0 |
| Total of all active and inactive participants | 2011-06-01 | 287 |
| Total participants | 2011-06-01 | 287 |
| 2010: HEALTH INSURANCE PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-06-01 | 268 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-06-01 | 274 |
| Number of retired or separated participants receiving benefits | 2010-06-01 | 7 |
| Number of other retired or separated participants entitled to future benefits | 2010-06-01 | 0 |
| Total of all active and inactive participants | 2010-06-01 | 281 |
| Total participants | 2010-06-01 | 281 |
| 2009: HEALTH INSURANCE PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-06-01 | 265 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-06-01 | 259 |
| Number of retired or separated participants receiving benefits | 2009-06-01 | 9 |
| Number of other retired or separated participants entitled to future benefits | 2009-06-01 | 0 |
| Total of all active and inactive participants | 2009-06-01 | 268 |
| Total participants | 2009-06-01 | 268 |
| 2020: HEALTH INSURANCE PLAN 2020 form 5500 responses | ||
|---|---|---|
| 2020-06-01 | Type of plan entity | Single employer plan |
| 2020-06-01 | Submission has been amended | No |
| 2020-06-01 | This submission is the final filing | No |
| 2020-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-06-01 | Plan is a collectively bargained plan | No |
| 2020-06-01 | Plan funding arrangement – Insurance | Yes |
| 2020-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: HEALTH INSURANCE PLAN 2019 form 5500 responses | ||
| 2019-06-01 | Type of plan entity | Single employer plan |
| 2019-06-01 | Submission has been amended | No |
| 2019-06-01 | This submission is the final filing | No |
| 2019-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-06-01 | Plan is a collectively bargained plan | No |
| 2019-06-01 | Plan funding arrangement – Insurance | Yes |
| 2019-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: HEALTH INSURANCE PLAN 2018 form 5500 responses | ||
| 2018-06-01 | Type of plan entity | Single employer plan |
| 2018-06-01 | Submission has been amended | No |
| 2018-06-01 | This submission is the final filing | No |
| 2018-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-06-01 | Plan is a collectively bargained plan | No |
| 2018-06-01 | Plan funding arrangement – Insurance | Yes |
| 2018-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: HEALTH INSURANCE PLAN 2017 form 5500 responses | ||
| 2017-06-01 | Type of plan entity | Single employer plan |
| 2017-06-01 | Submission has been amended | No |
| 2017-06-01 | This submission is the final filing | No |
| 2017-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-06-01 | Plan is a collectively bargained plan | No |
| 2017-06-01 | Plan funding arrangement – Insurance | Yes |
| 2017-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: HEALTH INSURANCE PLAN 2016 form 5500 responses | ||
| 2016-06-01 | Type of plan entity | Single employer plan |
| 2016-06-01 | Submission has been amended | No |
| 2016-06-01 | This submission is the final filing | No |
| 2016-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-06-01 | Plan is a collectively bargained plan | No |
| 2016-06-01 | Plan funding arrangement – Insurance | Yes |
| 2016-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: HEALTH INSURANCE PLAN 2015 form 5500 responses | ||
| 2015-06-01 | Type of plan entity | Single employer plan |
| 2015-06-01 | Submission has been amended | No |
| 2015-06-01 | This submission is the final filing | No |
| 2015-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-06-01 | Plan is a collectively bargained plan | No |
| 2015-06-01 | Plan funding arrangement – Insurance | Yes |
| 2015-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: HEALTH INSURANCE PLAN 2014 form 5500 responses | ||
| 2014-06-01 | Type of plan entity | Single employer plan |
| 2014-06-01 | Submission has been amended | No |
| 2014-06-01 | This submission is the final filing | No |
| 2014-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-06-01 | Plan is a collectively bargained plan | No |
| 2014-06-01 | Plan funding arrangement – Insurance | Yes |
| 2014-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: HEALTH INSURANCE PLAN 2013 form 5500 responses | ||
| 2013-06-01 | Type of plan entity | Single employer plan |
| 2013-06-01 | Submission has been amended | No |
| 2013-06-01 | This submission is the final filing | No |
| 2013-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-06-01 | Plan is a collectively bargained plan | No |
| 2013-06-01 | Plan funding arrangement – Insurance | Yes |
| 2013-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: HEALTH INSURANCE PLAN 2012 form 5500 responses | ||
| 2012-06-01 | Type of plan entity | Single employer plan |
| 2012-06-01 | Submission has been amended | No |
| 2012-06-01 | This submission is the final filing | No |
| 2012-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-06-01 | Plan is a collectively bargained plan | No |
| 2012-06-01 | Plan funding arrangement – Insurance | Yes |
| 2012-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: HEALTH INSURANCE PLAN 2011 form 5500 responses | ||
| 2011-06-01 | Type of plan entity | Single employer plan |
| 2011-06-01 | Submission has been amended | No |
| 2011-06-01 | This submission is the final filing | No |
| 2011-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-06-01 | Plan is a collectively bargained plan | No |
| 2011-06-01 | Plan funding arrangement – Insurance | Yes |
| 2011-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: HEALTH INSURANCE PLAN 2010 form 5500 responses | ||
| 2010-06-01 | Type of plan entity | Single employer plan |
| 2010-06-01 | Submission has been amended | No |
| 2010-06-01 | This submission is the final filing | No |
| 2010-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-06-01 | Plan is a collectively bargained plan | No |
| 2010-06-01 | Plan funding arrangement – Insurance | Yes |
| 2010-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: HEALTH INSURANCE PLAN 2009 form 5500 responses | ||
| 2009-06-01 | Type of plan entity | Single employer plan |
| 2009-06-01 | Submission has been amended | No |
| 2009-06-01 | This submission is the final filing | No |
| 2009-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-06-01 | Plan is a collectively bargained plan | No |
| 2009-06-01 | Plan funding arrangement – Insurance | Yes |
| 2009-06-01 | Plan benefit arrangement – Insurance | Yes |
| GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 ) | |
| Policy contract number | 10106225 |
| Policy instance | 3 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) | |
| Policy contract number | 300457 |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 05-56497-00 |
| Policy instance | 1 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 3214388 |
| Policy instance | 4 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 05-56497-00 |
| Policy instance | 1 |
| GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 ) | |
| Policy contract number | 10106225 |
| Policy instance | 2 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 3214388 |
| Policy instance | 3 |
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) | |
| Policy contract number | HCL34172 |
| Policy instance | 4 |
| CORESOURCE (National Association of Insurance Commissioners NAIC id number: ) | |
| Policy contract number | SHM834 |
| Policy instance | 6 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 71-31799 |
| Policy instance | 5 |
| GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 ) | |
| Policy contract number | 106225 |
| Policy instance | 2 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 3214388 |
| Policy instance | 5 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 05-56497-00 |
| Policy instance | 1 |
| FIRST SYMETRA NATIONAL LIFE INS CO OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 78417 ) | |
| Policy contract number | 16-013142-000 |
| Policy instance | 4 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 71-31799 |
| Policy instance | 3 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 3214388 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 05-56497-00 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 71-31799 |
| Policy instance | 4 |
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) | |
| Policy contract number | HCL31145 |
| Policy instance | 5 |
| GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 ) | |
| Policy contract number | 106225 |
| Policy instance | 2 |
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) | |
| Policy contract number | HCL31145 |
| Policy instance | 5 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 05-56497-00 |
| Policy instance | 4 |
| GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 ) | |
| Policy contract number | 106225 |
| Policy instance | 2 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 3214388 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 71-31799 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 70-31799-00 |
| Policy instance | 1 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 3214388 |
| Policy instance | 3 |
| GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 ) | |
| Policy contract number | 106225 |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 05-56497-00 |
| Policy instance | 4 |
| GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 ) | |
| Policy contract number | 106225 |
| Policy instance | 2 |
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) | |
| Policy contract number | 3214388 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 05-56497-00 |
| Policy instance | 4 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 70-31799-00 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 05-56497 |
| Policy instance | 4 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 70-31799-00 |
| Policy instance | 1 |
| GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 ) | |
| Policy contract number | 106225 |
| Policy instance | 2 |
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) | |
| Policy contract number | 3214388 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 70-31799-00 |
| Policy instance | 1 |
| GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 ) | |
| Policy contract number | 106225 |
| Policy instance | 2 |
| BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |
| Policy contract number | 05-56497 |
| Policy instance | 4 |
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) | |
| Policy contract number | 3214388 |
| Policy instance | 3 |