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EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 401k Plan overview

Plan NameEMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC.
Plan identification number 501

EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Apprenticeship and training
  • Other welfare benefit cover

401k Sponsoring company profile

TRI-CITY HIGHWAY PRODUCTS, INC. has sponsored the creation of one or more 401k plans.

Company Name:TRI-CITY HIGHWAY PRODUCTS, INC.
Employer identification number (EIN):161634151
NAIC Classification:237310
NAIC Description:Highway, Street, and Bridge Construction

Additional information about TRI-CITY HIGHWAY PRODUCTS, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2002-10-10
Company Identification Number: 2821388
Legal Registered Office Address: 145 PODPADIC ROAD
Albany
Richmondville
United States of America (USA)
12149

More information about TRI-CITY HIGHWAY PRODUCTS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012020-01-01
5012019-01-01
5012018-01-01TIMOTHY GAFFNEY TIMOTHY GAFFNEY2019-07-01
5012017-01-01TIMOTHY GAFFNEY TIMOTHY GAFFNEY2018-06-29
5012016-01-01COLLEEN SEYMOUR
5012015-01-01TIMOTHY GAFFNEY TIMOTHY GAFFNEY2016-06-27
5012014-01-01TIMOTHY GAFFNEY TIMOTHY GAFFNEY2015-07-24
5012013-01-01TIMOTHY GAFFNEY TIMOTHY GAFFNEY2014-07-14
5012012-01-01TIMOTHY GAFFNEY TIMOTHY GAFFNEY2013-07-12
5012011-01-01TIMOTHY GAFFNEY TIMOTHY GAFFNEY2012-08-08
5012010-01-01TIMOTHY GAFFNEY TIMOTHY GAFFNEY2011-07-07
5012009-01-01TIMOTHY GAFFNEY TIMOTHY GAFFNEY2010-08-24
5012009-01-01

Plan Statistics for EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC.

401k plan membership statisitcs for EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC.

Measure Date Value
2022: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2022 401k membership
Total participants, beginning-of-year2022-01-0164
Total number of active participants reported on line 7a of the Form 55002022-01-0176
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0176
2020: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2020 401k membership
Total participants, beginning-of-year2020-01-0153
Total number of active participants reported on line 7a of the Form 55002020-01-0155
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0155
2019: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2019 401k membership
Total participants, beginning-of-year2019-01-0172
Total number of active participants reported on line 7a of the Form 55002019-01-0153
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0153
2018: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2018 401k membership
Total participants, beginning-of-year2018-01-0183
Total number of active participants reported on line 7a of the Form 55002018-01-0172
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
2017: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2017 401k membership
Total participants, beginning-of-year2017-01-0190
Total number of active participants reported on line 7a of the Form 55002017-01-0183
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
2016: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2016 401k membership
Total participants, beginning-of-year2016-01-0177
Total number of active participants reported on line 7a of the Form 55002016-01-0190
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
2015: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2015 401k membership
Total participants, beginning-of-year2015-01-0180
Total number of active participants reported on line 7a of the Form 55002015-01-0177
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
2014: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2014 401k membership
Total participants, beginning-of-year2014-01-01110
Total number of active participants reported on line 7a of the Form 55002014-01-0180
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
2013: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2013 401k membership
Total participants, beginning-of-year2013-01-01119
Total number of active participants reported on line 7a of the Form 55002013-01-01110
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01110
2012: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2012 401k membership
Total participants, beginning-of-year2012-01-0139
Total number of active participants reported on line 7a of the Form 55002012-01-01119
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01119
2011: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2011 401k membership
Total participants, beginning-of-year2011-01-0141
Total number of active participants reported on line 7a of the Form 55002011-01-0139
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0139
Number of participants with account balances2011-01-0139
2010: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2010 401k membership
Total participants, beginning-of-year2010-01-0148
Total number of active participants reported on line 7a of the Form 55002010-01-0141
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-0141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
2009: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2009 401k membership
Total participants, beginning-of-year2009-01-0136
Total number of active participants reported on line 7a of the Form 55002009-01-0148
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010

Financial Data on EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC.

Measure Date Value
2022 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2022 401k financial data
Transfers to/from the plan2022-12-31$9,990
Total income from all sources2022-12-31$278,683
Expenses. Total of all expenses incurred2022-12-31$796,601
Benefits paid (including direct rollovers)2022-12-31$739,211
Total plan assets at end of year2022-12-31$812
Total plan assets at beginning of year2022-12-31$508,740
Value of fidelity bond covering the plan2022-12-31$40,000
Total contributions received or receivable from participants2022-12-31$61,094
Expenses. Other expenses not covered elsewhere2022-12-31$57,390
Other income received2022-12-31$1,535
Net income (gross income less expenses)2022-12-31$-517,918
Net plan assets at end of year (total assets less liabilities)2022-12-31$812
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$508,740
Total contributions received or receivable from employer(s)2022-12-31$216,054
2021 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2021 401k financial data
Transfers to/from the plan2021-12-31$-19,947
Total income from all sources2021-12-31$740,056
Expenses. Total of all expenses incurred2021-12-31$658,968
Benefits paid (including direct rollovers)2021-12-31$613,487
Total plan assets at end of year2021-12-31$508,740
Total plan assets at beginning of year2021-12-31$447,599
Value of fidelity bond covering the plan2021-12-31$40,000
Total contributions received or receivable from participants2021-12-31$60,577
Expenses. Other expenses not covered elsewhere2021-12-31$45,481
Other income received2021-12-31$77
Net income (gross income less expenses)2021-12-31$81,088
Net plan assets at end of year (total assets less liabilities)2021-12-31$508,740
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$447,599
Total contributions received or receivable from employer(s)2021-12-31$679,402
2020 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2020 401k financial data
Transfers to/from the plan2020-12-31$-637
Total income from all sources2020-12-31$706,269
Expenses. Total of all expenses incurred2020-12-31$620,002
Benefits paid (including direct rollovers)2020-12-31$578,039
Total plan assets at end of year2020-12-31$447,599
Total plan assets at beginning of year2020-12-31$361,969
Value of fidelity bond covering the plan2020-12-31$40,000
Total contributions received or receivable from participants2020-12-31$60,355
Expenses. Other expenses not covered elsewhere2020-12-31$41,963
Other income received2020-12-31$1,318
Net income (gross income less expenses)2020-12-31$86,267
Net plan assets at end of year (total assets less liabilities)2020-12-31$447,599
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$361,969
Total contributions received or receivable from employer(s)2020-12-31$644,596
2019 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2019 401k financial data
Transfers to/from the plan2019-12-31$7,899
Total income from all sources2019-12-31$779,799
Expenses. Total of all expenses incurred2019-12-31$636,958
Benefits paid (including direct rollovers)2019-12-31$575,911
Total plan assets at end of year2019-12-31$361,969
Total plan assets at beginning of year2019-12-31$211,229
Value of fidelity bond covering the plan2019-12-31$15,000
Total contributions received or receivable from participants2019-12-31$73,016
Expenses. Other expenses not covered elsewhere2019-12-31$61,047
Other income received2019-12-31$4,210
Net income (gross income less expenses)2019-12-31$142,841
Net plan assets at end of year (total assets less liabilities)2019-12-31$361,969
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$211,229
Total contributions received or receivable from employer(s)2019-12-31$702,573
2018 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2018 401k financial data
Transfers to/from the plan2018-12-31$-18,780
Total income from all sources2018-12-31$927,423
Expenses. Total of all expenses incurred2018-12-31$788,160
Benefits paid (including direct rollovers)2018-12-31$700,858
Total plan assets at end of year2018-12-31$211,229
Total plan assets at beginning of year2018-12-31$90,746
Value of fidelity bond covering the plan2018-12-31$15,000
Total contributions received or receivable from participants2018-12-31$74,108
Expenses. Other expenses not covered elsewhere2018-12-31$87,302
Other income received2018-12-31$1,676
Net income (gross income less expenses)2018-12-31$139,263
Net plan assets at end of year (total assets less liabilities)2018-12-31$211,229
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$90,746
Total contributions received or receivable from employer(s)2018-12-31$851,639
2017 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2017 401k financial data
Transfers to/from the plan2017-12-31$55,262
Total income from all sources2017-12-31$436,905
Expenses. Total of all expenses incurred2017-12-31$727,571
Benefits paid (including direct rollovers)2017-12-31$651,585
Total plan assets at end of year2017-12-31$90,746
Total plan assets at beginning of year2017-12-31$326,150
Value of fidelity bond covering the plan2017-12-31$15,000
Total contributions received or receivable from participants2017-12-31$51,057
Expenses. Other expenses not covered elsewhere2017-12-31$75,986
Other income received2017-12-31$1,005
Net income (gross income less expenses)2017-12-31$-290,666
Net plan assets at end of year (total assets less liabilities)2017-12-31$90,746
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$326,150
Total contributions received or receivable from employer(s)2017-12-31$384,843
2016 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2016 401k financial data
Transfers to/from the plan2016-12-31$32,542
Total income from all sources2016-12-31$783,760
Expenses. Total of all expenses incurred2016-12-31$661,696
Benefits paid (including direct rollovers)2016-12-31$615,189
Total plan assets at end of year2016-12-31$326,150
Total plan assets at beginning of year2016-12-31$171,544
Value of fidelity bond covering the plan2016-12-31$15,000
Total contributions received or receivable from participants2016-12-31$56,444
Expenses. Other expenses not covered elsewhere2016-12-31$46,507
Other income received2016-12-31$397
Net income (gross income less expenses)2016-12-31$122,064
Net plan assets at end of year (total assets less liabilities)2016-12-31$326,150
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$171,544
Total contributions received or receivable from employer(s)2016-12-31$726,919
2015 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2015 401k financial data
Total income from all sources2015-12-31$614,664
Expenses. Total of all expenses incurred2015-12-31$492,704
Benefits paid (including direct rollovers)2015-12-31$460,939
Total plan assets at end of year2015-12-31$171,544
Total plan assets at beginning of year2015-12-31$49,584
Value of fidelity bond covering the plan2015-12-31$15,000
Total contributions received or receivable from participants2015-12-31$45,520
Expenses. Other expenses not covered elsewhere2015-12-31$31,765
Contributions received from other sources (not participants or employers)2015-12-31$27,828
Other income received2015-12-31$19
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$121,960
Net plan assets at end of year (total assets less liabilities)2015-12-31$171,544
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$49,584
Total contributions received or receivable from employer(s)2015-12-31$541,297
2014 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2014 401k financial data
Total income from all sources2014-12-31$663,814
Expenses. Total of all expenses incurred2014-12-31$685,797
Benefits paid (including direct rollovers)2014-12-31$650,934
Total plan assets at end of year2014-12-31$49,584
Total plan assets at beginning of year2014-12-31$71,567
Value of fidelity bond covering the plan2014-12-31$15,000
Total contributions received or receivable from participants2014-12-31$36,961
Expenses. Other expenses not covered elsewhere2014-12-31$34,863
Other income received2014-12-31$6
Net income (gross income less expenses)2014-12-31$-21,983
Net plan assets at end of year (total assets less liabilities)2014-12-31$49,584
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$71,567
Total contributions received or receivable from employer(s)2014-12-31$626,847
2013 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2013 401k financial data
Total income from all sources2013-12-31$785,271
Expenses. Total of all expenses incurred2013-12-31$859,790
Benefits paid (including direct rollovers)2013-12-31$831,066
Total plan assets at end of year2013-12-31$71,567
Total plan assets at beginning of year2013-12-31$146,086
Value of fidelity bond covering the plan2013-12-31$15,000
Total contributions received or receivable from participants2013-12-31$61,130
Expenses. Other expenses not covered elsewhere2013-12-31$28,724
Contributions received from other sources (not participants or employers)2013-12-31$41,800
Other income received2013-12-31$9
Net income (gross income less expenses)2013-12-31$-74,519
Net plan assets at end of year (total assets less liabilities)2013-12-31$71,567
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$146,086
Total contributions received or receivable from employer(s)2013-12-31$682,332
2012 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2012 401k financial data
Transfers to/from the plan2012-12-31$-32,436
Total income from all sources2012-12-31$979,582
Expenses. Total of all expenses incurred2012-12-31$898,013
Benefits paid (including direct rollovers)2012-12-31$875,460
Total plan assets at end of year2012-12-31$146,086
Total plan assets at beginning of year2012-12-31$96,953
Total contributions received or receivable from participants2012-12-31$55,375
Expenses. Other expenses not covered elsewhere2012-12-31$22,553
Other income received2012-12-31$24
Net income (gross income less expenses)2012-12-31$81,569
Net plan assets at end of year (total assets less liabilities)2012-12-31$146,086
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$96,953
Total contributions received or receivable from employer(s)2012-12-31$924,183
2011 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2011 401k financial data
Transfers to/from the plan2011-12-31$-39,219
Total income from all sources2011-12-31$399,889
Expenses. Total of all expenses incurred2011-12-31$297,412
Benefits paid (including direct rollovers)2011-12-31$286,113
Total plan assets at end of year2011-12-31$96,953
Total plan assets at beginning of year2011-12-31$33,695
Value of fidelity bond covering the plan2011-12-31$15,000
Total contributions received or receivable from participants2011-12-31$26,580
Expenses. Other expenses not covered elsewhere2011-12-31$11,299
Other income received2011-12-31$400
Net income (gross income less expenses)2011-12-31$102,477
Net plan assets at end of year (total assets less liabilities)2011-12-31$96,953
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$33,695
Total contributions received or receivable from employer(s)2011-12-31$372,909
2010 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2010 401k financial data
Total income from all sources2010-12-31$256,697
Expenses. Total of all expenses incurred2010-12-31$226,094
Benefits paid (including direct rollovers)2010-12-31$215,994
Total plan assets at end of year2010-12-31$33,695
Total plan assets at beginning of year2010-12-31$3,092
Value of fidelity bond covering the plan2010-12-31$15,000
Total contributions received or receivable from participants2010-12-31$19,570
Expenses. Other expenses not covered elsewhere2010-12-31$10,100
Other income received2010-12-31$16
Net income (gross income less expenses)2010-12-31$30,603
Net plan assets at end of year (total assets less liabilities)2010-12-31$33,695
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$3,092
Total contributions received or receivable from employer(s)2010-12-31$237,111

Form 5500 Responses for EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC.

2022: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2020: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H & W PLAN FOR THE EMPLOYEES OF TRI-CITY HIGHWAY PRODUCTS, INC. 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered77
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered55
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered53
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $8,599
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered53
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $8,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered78
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $9,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered83
Insurance policy start date2016-10-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $13,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered77
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $12,004
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered80
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $15,784
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered110
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $19,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered119
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $17,660
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered39
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered41
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,897

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