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BLUE SHIELD MEDICAL 401k Plan overview

Plan NameBLUE SHIELD MEDICAL
Plan identification number 501

BLUE SHIELD MEDICAL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

HYDE & HYDE, INC. has sponsored the creation of one or more 401k plans.

Company Name:HYDE & HYDE, INC.
Employer identification number (EIN):330061330
NAIC Classification:311900
NAIC Description: Other Food Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE SHIELD MEDICAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-02-01TIMOTHY LALONDE TIMOTHY LALONDE2018-08-29
5012016-02-01TIMOTHY LALONDE TIMOTHY LALONDE2017-08-31
5012015-02-01TIMOTHY LALONDE TIMOTHY LALONDE2016-07-29
5012014-01-01RAUN SINGLETON
5012013-01-01TIMOTHY HYDE TIMOTHY HYDE2014-10-23
5012012-02-01TIM HYDE
5012011-02-01TIM HYDE
5012010-02-01TIM HYDE
5012009-02-01TIM HYDE
5012008-02-01TIM HYDE
5012007-02-01TIM HYDE

Plan Statistics for BLUE SHIELD MEDICAL

401k plan membership statisitcs for BLUE SHIELD MEDICAL

Measure Date Value
2017: BLUE SHIELD MEDICAL 2017 401k membership
Total participants, beginning-of-year2017-02-01143
Total number of active participants reported on line 7a of the Form 55002017-02-01137
Total of all active and inactive participants2017-02-01137
Total participants2017-02-01137
2016: BLUE SHIELD MEDICAL 2016 401k membership
Total participants, beginning-of-year2016-02-01256
Total number of active participants reported on line 7a of the Form 55002016-02-01143
Total of all active and inactive participants2016-02-01143
Total participants2016-02-01143
2015: BLUE SHIELD MEDICAL 2015 401k membership
Total participants, beginning-of-year2015-02-01243
Total number of active participants reported on line 7a of the Form 55002015-02-01256
Total of all active and inactive participants2015-02-01256
Total participants2015-02-01256
2014: BLUE SHIELD MEDICAL 2014 401k membership
Total participants, beginning-of-year2014-01-01222
Total number of active participants reported on line 7a of the Form 55002014-01-01243
Total of all active and inactive participants2014-01-01243
Total participants2014-01-01243
2013: BLUE SHIELD MEDICAL 2013 401k membership
Total participants, beginning-of-year2013-01-01149
Total number of active participants reported on line 7a of the Form 55002013-01-01222
Total of all active and inactive participants2013-01-01222
Total participants2013-01-01222
2012: BLUE SHIELD MEDICAL 2012 401k membership
Total participants, beginning-of-year2012-02-01129
Total number of active participants reported on line 7a of the Form 55002012-02-01149
Total of all active and inactive participants2012-02-01149
Total participants2012-02-01149
2011: BLUE SHIELD MEDICAL 2011 401k membership
Total participants, beginning-of-year2011-02-0199
Total number of active participants reported on line 7a of the Form 55002011-02-01129
Total of all active and inactive participants2011-02-01129
Total participants2011-02-01129
2010: BLUE SHIELD MEDICAL 2010 401k membership
Total participants, beginning-of-year2010-02-01109
Total number of active participants reported on line 7a of the Form 55002010-02-0199
Total of all active and inactive participants2010-02-0199
Total participants2010-02-0199
2009: BLUE SHIELD MEDICAL 2009 401k membership
Total participants, beginning-of-year2009-02-01132
Total number of active participants reported on line 7a of the Form 55002009-02-01109
Total of all active and inactive participants2009-02-01109
Total participants2009-02-01109
2008: BLUE SHIELD MEDICAL 2008 401k membership
Total participants, beginning-of-year2008-02-01122
Total number of active participants reported on line 7a of the Form 55002008-02-01132
Total of all active and inactive participants2008-02-01132
Total participants2008-02-01132
2007: BLUE SHIELD MEDICAL 2007 401k membership
Total participants, beginning-of-year2007-02-0163
Total number of active participants reported on line 7a of the Form 55002007-02-01122
Total of all active and inactive participants2007-02-01122
Total participants2007-02-01122

Form 5500 Responses for BLUE SHIELD MEDICAL

2017: BLUE SHIELD MEDICAL 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Submission has been amendedNo
2017-02-01This submission is the final filingNo
2017-02-01This return/report is a short plan year return/report (less than 12 months)No
2017-02-01Plan is a collectively bargained planNo
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: BLUE SHIELD MEDICAL 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Submission has been amendedNo
2016-02-01This submission is the final filingNo
2016-02-01This return/report is a short plan year return/report (less than 12 months)No
2016-02-01Plan is a collectively bargained planNo
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: BLUE SHIELD MEDICAL 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Submission has been amendedNo
2015-02-01This submission is the final filingNo
2015-02-01This return/report is a short plan year return/report (less than 12 months)No
2015-02-01Plan is a collectively bargained planNo
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: BLUE SHIELD MEDICAL 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 – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: BLUE SHIELD MEDICAL 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 – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: BLUE SHIELD MEDICAL 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Submission has been amendedNo
2012-02-01This submission is the final filingNo
2012-02-01This return/report is a short plan year return/report (less than 12 months)No
2012-02-01Plan is a collectively bargained planNo
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: BLUE SHIELD MEDICAL 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Submission has been amendedNo
2011-02-01This submission is the final filingNo
2011-02-01This return/report is a short plan year return/report (less than 12 months)No
2011-02-01Plan is a collectively bargained planNo
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: BLUE SHIELD MEDICAL 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Submission has been amendedYes
2010-02-01This submission is the final filingNo
2010-02-01This return/report is a short plan year return/report (less than 12 months)No
2010-02-01Plan is a collectively bargained planNo
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: BLUE SHIELD MEDICAL 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Submission has been amendedNo
2009-02-01This submission is the final filingNo
2009-02-01This return/report is a short plan year return/report (less than 12 months)No
2009-02-01Plan is a collectively bargained planNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes
2008: BLUE SHIELD MEDICAL 2008 form 5500 responses
2008-02-01Type of plan entitySingle employer plan
2008-02-01Submission has been amendedNo
2008-02-01This submission is the final filingNo
2008-02-01This return/report is a short plan year return/report (less than 12 months)No
2008-02-01Plan is a collectively bargained planNo
2008-02-01Plan funding arrangement – InsuranceYes
2008-02-01Plan benefit arrangement – InsuranceYes
2007: BLUE SHIELD MEDICAL 2007 form 5500 responses
2007-02-01Type of plan entitySingle employer plan
2007-02-01First time form 5500 has been submittedYes
2007-02-01Submission has been amendedNo
2007-02-01This submission is the final filingNo
2007-02-01This return/report is a short plan year return/report (less than 12 months)No
2007-02-01Plan is a collectively bargained planNo
2007-02-01Plan funding arrangement – InsuranceYes
2007-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0001848
Policy instance 1
Insurance contract or identification numberW0001848
Number of Individuals Covered137
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $29,882
Total amount of fees paid to insurance companyUSD $786
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $984,085
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees786
Additional information about fees paid to insurance brokerGENERAL AGENT SERVICES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $29,882
Insurance broker nameGARY NEDEAU
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0001848
Policy instance 1
Insurance contract or identification numberW0001848
Number of Individuals Covered256
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $40,889
Total amount of fees paid to insurance companyUSD $18,386
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $919,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,889
Amount paid for insurance broker fees18386
Additional information about fees paid to insurance brokerGENERAL AGENT SERVICES
Insurance broker organization code?3
Insurance broker nameGARY NEDEAU
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberVH1035 V00191
Policy instance 1
Insurance contract or identification numberVH1035 V00191
Number of Individuals Covered243
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $39,936
Total amount of fees paid to insurance companyUSD $17,612
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $39,936
Amount paid for insurance broker fees17612
Additional information about fees paid to insurance brokerGENERAL AGENT SERVICES
Insurance broker organization code?3
Insurance broker nameGARY NEDEAU
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberVH1035 V00191
Policy instance 1
Insurance contract or identification numberVH1035 V00191
Number of Individuals Covered222
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $38,730
Total amount of fees paid to insurance companyUSD $17,753
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $38,730
Amount paid for insurance broker fees17753
Additional information about fees paid to insurance brokerGENERAL AGENT SERVICES
Insurance broker organization code?3
Insurance broker nameGARY NEDEAU
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberVH1035 V00191
Policy instance 1
Insurance contract or identification numberVH1035 V00191
Number of Individuals Covered149
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $35,195
Total amount of fees paid to insurance companyUSD $15,217
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,195
Amount paid for insurance broker fees15217
Additional information about fees paid to insurance brokerGENERAL AGENT SERVICES
Insurance broker organization code?3
Insurance broker nameGARY NEDEAU
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberVH1035 V00191
Policy instance 1
Insurance contract or identification numberVH1035 V00191
Number of Individuals Covered129
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $29,184
Total amount of fees paid to insurance companyUSD $12,451
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberVH1035, VH00191
Policy instance 1
Insurance contract or identification numberVH1035, VH00191
Number of Individuals Covered99
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $33,565
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP MEDICAL
Commission paid to Insurance BrokerUSD $33,565
Amount paid for insurance broker fees14495
Additional information about fees paid to insurance brokerGENERAL AGENT SERVICES
Insurance broker organization code?3
Insurance broker nameGARY NEDEAU

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