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| Plan Name | HOSPITAL INDEMNITY CRITICAL ILLNESS AND ACCIDENT BENEFIT PLANS OF HILLSIDE FAMILY OF AGENCIES |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HILLSIDE FAMILY OF AGENCIES |
| Employer identification number (EIN): | 161493407 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
Additional information about HILLSIDE FAMILY OF AGENCIES
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1995-06-29 |
| Company Identification Number: | 1935346 |
| Legal Registered Office Address: |
HILLSIDE FAMILY OF AGENCIES 1183 MONROE AVENUE ROCHESTER United States of America (USA) 14620 |
More information about HILLSIDE FAMILY OF AGENCIES
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2019-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2019: HOSPITAL INDEMNITY CRITICAL ILLNESS AND ACCIDENT BENEFIT PLANS OF HILLSIDE FAMILY OF AGENCIES 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 255 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 379 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 379 |
| 2019: HOSPITAL INDEMNITY CRITICAL ILLNESS AND ACCIDENT BENEFIT PLANS OF HILLSIDE FAMILY OF AGENCIES 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | First time form 5500 has been submitted | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||
| Policy contract number | 681385G | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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