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HARBOR HOMES, INC. DENTAL PLAN 401k Plan overview

Plan NameHARBOR HOMES, INC. DENTAL PLAN
Plan identification number 502

HARBOR HOMES, INC. DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

HARBOR HOMES, INC. has sponsored the creation of one or more 401k plans.

Company Name:HARBOR HOMES, INC.
Employer identification number (EIN):020351932
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARBOR HOMES, INC. DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-01-01JESSICA KEARNS2020-09-11
5022018-08-01
5022017-08-01PATRICIA ROBITAILLE PATRICIA ROBITAILLE2019-02-25
5022016-08-01PATRICIA ROBITAILLE PATRICIA ROBITAILLE2018-02-08
5022015-08-01PETER KELLEHER PETER KELLEHER2017-02-27
5022014-08-01PETER KELLEHER PETER KELLEHER2016-02-24

Plan Statistics for HARBOR HOMES, INC. DENTAL PLAN

401k plan membership statisitcs for HARBOR HOMES, INC. DENTAL PLAN

Measure Date Value
2019: HARBOR HOMES, INC. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01222
Total number of active participants reported on line 7a of the Form 55002019-01-010
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 participants2019-01-010
Number of employers contributing to the scheme2019-01-010
2018: HARBOR HOMES, INC. DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01241
Total number of active participants reported on line 7a of the Form 55002018-08-01219
Number of retired or separated participants receiving benefits2018-08-013
Total of all active and inactive participants2018-08-01222
2017: HARBOR HOMES, INC. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01168
Total number of active participants reported on line 7a of the Form 55002017-08-01237
Number of retired or separated participants receiving benefits2017-08-014
Total of all active and inactive participants2017-08-01241
2016: HARBOR HOMES, INC. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01133
Total number of active participants reported on line 7a of the Form 55002016-08-01166
Number of retired or separated participants receiving benefits2016-08-012
Total of all active and inactive participants2016-08-01168
2015: HARBOR HOMES, INC. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01100
Total number of active participants reported on line 7a of the Form 55002015-08-01131
Number of retired or separated participants receiving benefits2015-08-012
Total of all active and inactive participants2015-08-01133
2014: HARBOR HOMES, INC. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01106
Total number of active participants reported on line 7a of the Form 55002014-08-0199
Number of retired or separated participants receiving benefits2014-08-011
Total of all active and inactive participants2014-08-01100

Form 5500 Responses for HARBOR HOMES, INC. DENTAL PLAN

2019: HARBOR HOMES, INC. DENTAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: HARBOR HOMES, INC. DENTAL PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Submission has been amendedNo
2018-08-01This submission is the final filingNo
2018-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-08-01Plan is a collectively bargained planNo
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: HARBOR HOMES, INC. DENTAL PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: HARBOR HOMES, INC. DENTAL PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: HARBOR HOMES, INC. DENTAL PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planNo
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: HARBOR HOMES, INC. DENTAL PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01First time form 5500 has been submittedYes
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planNo
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number5488876
Policy instance 1
Insurance contract or identification number5488876
Number of Individuals Covered221
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $27,747
Total amount of fees paid to insurance companyUSD $2,787
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $387,949
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,747
Amount paid for insurance broker fees2787
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00548876
Policy instance 1
Insurance contract or identification number00548876
Number of Individuals Covered241
Insurance policy start date2018-03-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $8,414
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,845
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number136007984
Policy instance 2
Insurance contract or identification number136007984
Number of Individuals Covered418
Insurance policy start date2017-08-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $3,734
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $123,126
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 number00501631
Policy instance 1
Insurance contract or identification number00501631
Number of Individuals Covered133
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $3,617
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $107,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,617
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameGRANITE GROUP BENEFITS, LLC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00501631
Policy instance 1
Insurance contract or identification number00501631
Number of Individuals Covered100
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $3,567
Total amount of fees paid to insurance companyUSD $1,995
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $89,353
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,994
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker nameBUSINESS INSURANCE AGENCY

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