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HARLEY MARINE SERVICES HEALTH CARE PLAN 401k Plan overview

Plan NameHARLEY MARINE SERVICES HEALTH CARE PLAN
Plan identification number 501

HARLEY MARINE SERVICES HEALTH CARE PLAN Benefits

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

401k Sponsoring company profile

HARLEY MARINE SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:HARLEY MARINE SERVICES, INC.
Employer identification number (EIN):911374179
NAIC Classification:488300
NAIC Description: Support Activities for Water Transportation

Additional information about HARLEY MARINE SERVICES, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1998-06-22
Company Identification Number: 601884188
Legal Registered Office Address: 701 5TH AVE STE 3600

SEATTLE
United States of America (USA)
981047010

More information about HARLEY MARINE SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARLEY MARINE SERVICES HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-04-01JOHN SALTSMAN
5012016-04-01
5012015-04-01JOHN SALTSMAN
5012014-04-01HARLEY FRANCO
5012013-04-01HARLEY FRANCO HARLEY FRANCO2014-10-29
5012012-04-01HARLEY FRANCO
5012011-04-01HARLEY FRANCO
5012010-04-01HARLEY FRANCO
5012009-04-01HARLEY FRANCO
5012008-04-01

Plan Statistics for HARLEY MARINE SERVICES HEALTH CARE PLAN

401k plan membership statisitcs for HARLEY MARINE SERVICES HEALTH CARE PLAN

Measure Date Value
2016: HARLEY MARINE SERVICES HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01612
Total number of active participants reported on line 7a of the Form 55002016-04-01607
Number of retired or separated participants receiving benefits2016-04-014
Total of all active and inactive participants2016-04-01611
Total participants2016-04-01611
2015: HARLEY MARINE SERVICES HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01510
Total number of active participants reported on line 7a of the Form 55002015-04-01608
Number of retired or separated participants receiving benefits2015-04-014
Total of all active and inactive participants2015-04-01612
Total participants2015-04-01612
2014: HARLEY MARINE SERVICES HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01438
Total number of active participants reported on line 7a of the Form 55002014-04-01503
Number of retired or separated participants receiving benefits2014-04-017
Total of all active and inactive participants2014-04-01510
Total participants2014-04-01510
2013: HARLEY MARINE SERVICES HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01338
Total number of active participants reported on line 7a of the Form 55002013-04-01437
Number of retired or separated participants receiving benefits2013-04-018
Total of all active and inactive participants2013-04-01445
Total participants2013-04-01445
2012: HARLEY MARINE SERVICES HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01355
Total number of active participants reported on line 7a of the Form 55002012-04-01386
Number of retired or separated participants receiving benefits2012-04-012
Total of all active and inactive participants2012-04-01388
Total participants2012-04-01388
2011: HARLEY MARINE SERVICES HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01325
Total number of active participants reported on line 7a of the Form 55002011-04-01339
Number of retired or separated participants receiving benefits2011-04-016
Total of all active and inactive participants2011-04-01345
Total participants2011-04-01345
2010: HARLEY MARINE SERVICES HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01322
Total number of active participants reported on line 7a of the Form 55002010-04-01321
Number of retired or separated participants receiving benefits2010-04-015
Total of all active and inactive participants2010-04-01326
Total participants2010-04-01326
2009: HARLEY MARINE SERVICES HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01330
Total number of active participants reported on line 7a of the Form 55002009-04-01317
Number of retired or separated participants receiving benefits2009-04-013
Number of other retired or separated participants entitled to future benefits2009-04-010
Total of all active and inactive participants2009-04-01320
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-04-010
Total participants2009-04-01320
Number of participants with account balances2009-04-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-04-010

Form 5500 Responses for HARLEY MARINE SERVICES HEALTH CARE PLAN

2016: HARLEY MARINE SERVICES HEALTH CARE PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedYes
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – General assets of the sponsorYes
2016-04-01Plan benefit arrangement – General assets of the sponsorYes
2015: HARLEY MARINE SERVICES HEALTH CARE PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – General assets of the sponsorYes
2015-04-01Plan benefit arrangement – General assets of the sponsorYes
2014: HARLEY MARINE SERVICES HEALTH CARE PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – General assets of the sponsorYes
2014-04-01Plan benefit arrangement – General assets of the sponsorYes
2013: HARLEY MARINE SERVICES HEALTH CARE PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – General assets of the sponsorYes
2013-04-01Plan benefit arrangement – General assets of the sponsorYes
2012: HARLEY MARINE SERVICES HEALTH CARE PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – General assets of the sponsorYes
2012-04-01Plan benefit arrangement – General assets of the sponsorYes
2011: HARLEY MARINE SERVICES HEALTH CARE PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – General assets of the sponsorYes
2011-04-01Plan benefit arrangement – General assets of the sponsorYes
2010: HARLEY MARINE SERVICES HEALTH CARE PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planNo
2010-04-01Plan funding arrangement – General assets of the sponsorYes
2010-04-01Plan benefit arrangement – General assets of the sponsorYes
2009: HARLEY MARINE SERVICES HEALTH CARE PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – General assets of the sponsorYes
2009-04-01Plan benefit arrangement – General assets of the sponsorYes
2008: HARLEY MARINE SERVICES HEALTH CARE PLAN 2008 form 5500 responses
2008-04-01Type of plan entitySingle employer plan
2008-04-01Submission has been amendedNo
2008-04-01This submission is the final filingNo
2008-04-01This return/report is a short plan year return/report (less than 12 months)No
2008-04-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number222524
Policy instance 1
Insurance contract or identification number222524
Number of Individuals Covered615
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $133,887
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 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 $1,259,022
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $133,887
Insurance broker organization code?3
Insurance broker nameCLG EMPLOYER RESOURCES
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number222524
Policy instance 1
Insurance contract or identification number222524
Number of Individuals Covered509
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $89,012
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 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 $908,652
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $89,012
Insurance broker organization code?3
Insurance broker nameCLG EMPLOYER RESOURCES LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number222524
Policy instance 1
Insurance contract or identification number222524
Number of Individuals Covered435
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $64,025
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 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 $701,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $64,025
Insurance broker organization code?3
Insurance broker nameCLG EMPLOYER RESOURCES
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number222524
Policy instance 1
Insurance contract or identification number222524
Number of Individuals Covered379
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $56,202
Total amount of fees paid to insurance companyUSD $5,254
Welfare Benefit Premiums Paid to CarrierUSD $562,024
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,733
Insurance broker organization code?3
Amount paid for insurance broker fees5254
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker nameFLEXIBLE BENEFITS CORPORATIOIN
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-009723-000
Policy instance 1
Insurance contract or identification number16-009723-000
Number of Individuals Covered329
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $57,497
Total amount of fees paid to insurance companyUSD $14,944
Welfare Benefit Premiums Paid to CarrierUSD $574,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-009723-000
Policy instance 1
Insurance contract or identification number16-009723-000
Number of Individuals Covered317
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $45,397
Total amount of fees paid to insurance companyUSD $15,328
Welfare Benefit Premiums Paid to CarrierUSD $453,973
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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