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POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 401k Plan overview

Plan NamePOLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT
Plan identification number 503

POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT Benefits

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

401k Sponsoring company profile

POLY PLASTIC PRODUCTS OF PENNSYLVANIA, INC. has sponsored the creation of one or more 401k plans.

Company Name:POLY PLASTIC PRODUCTS OF PENNSYLVANIA, INC.
Employer identification number (EIN):222202824
NAIC Classification:326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-07-01
5032016-07-01JOHN REIER2019-01-15
5032015-07-01STEPHEN A. REDLICH STEPHEN A. REDLICH2017-02-28
5032014-07-01STEPHEN A. REDLICH STEPHEN A. REDLICH2015-11-02
5032013-07-01STEPHEN A. REDLICH STEPHEN A. REDLICH2014-08-22
5032012-07-01STEPHEN A. REDLICH STEPHEN A. REDLICH2013-08-30
5032011-07-01STEPHEN A. REDLICH
5032009-07-01STEPHEN A. REDLICH

Plan Statistics for POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT

401k plan membership statisitcs for POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT

Measure Date Value
2017: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2017 401k membership
Total participants, beginning-of-year2017-07-0193
Total number of active participants reported on line 7a of the Form 55002017-07-010
Total of all active and inactive participants2017-07-010
2016: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2016 401k membership
Total participants, beginning-of-year2016-07-01104
Total number of active participants reported on line 7a of the Form 55002016-07-0193
Total of all active and inactive participants2016-07-0193
2015: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2015 401k membership
Total participants, beginning-of-year2015-07-01101
Total number of active participants reported on line 7a of the Form 55002015-07-01153
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01153
2014: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2014 401k membership
Total participants, beginning-of-year2014-07-01152
Total number of active participants reported on line 7a of the Form 55002014-07-01101
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01101
2013: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2013 401k membership
Total participants, beginning-of-year2013-07-01119
Total number of active participants reported on line 7a of the Form 55002013-07-01152
Total of all active and inactive participants2013-07-01152
2012: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2012 401k membership
Total participants, beginning-of-year2012-07-01127
Total number of active participants reported on line 7a of the Form 55002012-07-01119
Total of all active and inactive participants2012-07-01119
2011: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2011 401k membership
Total participants, beginning-of-year2011-07-01133
Total number of active participants reported on line 7a of the Form 55002011-07-01127
Total of all active and inactive participants2011-07-01127
2009: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2009 401k membership
Total participants, beginning-of-year2009-07-01100
Total number of active participants reported on line 7a of the Form 55002009-07-01129
Total of all active and inactive participants2009-07-01129

Financial Data on POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT

Measure Date Value
2014 : POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2014 401k financial data
Total income from all sources2014-06-30$680,016
Expenses. Total of all expenses incurred2014-06-30$680,016
Benefits paid (including direct rollovers)2014-06-30$680,016
Total plan assets at end of year2014-06-30$0
Total plan assets at beginning of year2014-06-30$0
Value of fidelity bond covering the plan2014-06-30$250,000
Total contributions received or receivable from participants2014-06-30$180,565
Net plan assets at end of year (total assets less liabilities)2014-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$0
Total contributions received or receivable from employer(s)2014-06-30$499,451
2013 : POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2013 401k financial data
Total income from all sources2013-06-30$651,435
Expenses. Total of all expenses incurred2013-06-30$651,435
Benefits paid (including direct rollovers)2013-06-30$651,435
Total plan assets at end of year2013-06-30$0
Total plan assets at beginning of year2013-06-30$0
Value of fidelity bond covering the plan2013-06-30$250,000
Total contributions received or receivable from participants2013-06-30$164,596
Net plan assets at end of year (total assets less liabilities)2013-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$0
Total contributions received or receivable from employer(s)2013-06-30$486,839
2012 : POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2012 401k financial data
Total income from all sources2012-06-30$653,075
Expenses. Total of all expenses incurred2012-06-30$653,075
Benefits paid (including direct rollovers)2012-06-30$653,075
Total contributions received or receivable from participants2012-06-30$166,464
Net income (gross income less expenses)2012-06-30$0
Total contributions received or receivable from employer(s)2012-06-30$486,611
2011 : POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2011 401k financial data
Total income from all sources2011-06-30$669,301
Expenses. Total of all expenses incurred2011-06-30$669,301
Benefits paid (including direct rollovers)2011-06-30$669,301
Total contributions received or receivable from participants2011-06-30$158,008
Net income (gross income less expenses)2011-06-30$0
Total contributions received or receivable from employer(s)2011-06-30$511,293

Form 5500 Responses for POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT

2017: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01This submission is the final filingYes
2017-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: POLY PLASTIC PRODUCTS OF PENNSYLVANIA INC EMPLOYEE HEALTH SAVINGS ACCOUNT 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )
Policy contract number00525793
Policy instance 1
Insurance contract or identification number00525793
Number of Individuals Covered0
Insurance policy start date2017-07-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $26,280
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $761,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,280
Insurance broker organization code?3
Insurance broker namePAUL WALSH
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number079336
Policy instance 2
Insurance contract or identification number079336
Number of Individuals Covered96
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $21,054
Total amount of fees paid to insurance companyUSD $1,000
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $551,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,054
Amount paid for insurance broker fees1000
Additional information about fees paid to insurance brokerADMIN
Insurance broker organization code?3
Insurance broker namePAUL WALSH
CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )
Policy contract number00525793
Policy instance 1
Insurance contract or identification number00525793
Number of Individuals Covered86
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $25,672
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $632,699
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,728
Additional information about fees paid to insurance brokerADMIN
Insurance broker organization code?3
Insurance broker namePAUL WALSH
GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 )
Policy contract number104015
Policy instance 1
Insurance contract or identification number104015
Number of Individuals Covered222
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $21,432
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $469,697
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMIN
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $21,432
Insurance broker nameSELTZER INSURANCE AGENCY INC
GEISINGER QUALITY OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 12743 )
Policy contract number1040150017
Policy instance 2
Insurance contract or identification number1040150017
Number of Individuals Covered5
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $5,358
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,705
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMIN
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $5,358
Insurance broker nameSELTZER INSRUANCE AGENCY INC
GEISINGER QUALITY OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 12743 )
Policy contract number1040150017
Policy instance 2
Insurance contract or identification number1040150017
Number of Individuals Covered5
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $404
Total amount of fees paid to insurance companyUSD $3
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,153
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $404
Amount paid for insurance broker fees3
Additional information about fees paid to insurance brokerADMIN
Insurance broker organization code?3
Insurance broker nameEMERSON REID AND CO INC
GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 )
Policy contract number104015
Policy instance 1
Insurance contract or identification number104015
Number of Individuals Covered290
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $16,597
Total amount of fees paid to insurance companyUSD $3
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $663,863
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,597
Amount paid for insurance broker fees3
Additional information about fees paid to insurance brokerADMIN
Insurance broker organization code?3
Insurance broker nameEMERSON REID AND CO INC
GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 )
Policy contract number104015
Policy instance 1
Insurance contract or identification number104015
Number of Individuals Covered72
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $18,380
Total amount of fees paid to insurance companyUSD $3
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $651,435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,380
Amount paid for insurance broker fees3
Additional information about fees paid to insurance brokerADMIN
Insurance broker organization code?3
Insurance broker nameEMERSON REID AND CO INC
GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 )
Policy contract number104015
Policy instance 1
Insurance contract or identification number104015
Number of Individuals Covered161
Insurance policy start date2011-07-01
Insurance policy end date2012-02-28
Total amount of commissions paid to insurance brokerUSD $13,155
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $438,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 )
Policy contract number104015
Policy instance 2
Insurance contract or identification number104015
Number of Individuals Covered173
Insurance policy start date2012-03-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $6,437
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $214,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 )
Policy contract number104015
Policy instance 1
Insurance contract or identification number104015
Number of Individuals Covered188
Insurance policy start date2010-07-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $21,842
Total amount of fees paid to insurance companyUSD $5
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $436,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 )
Policy contract number104015
Policy instance 2
Insurance contract or identification number104015
Number of Individuals Covered188
Insurance policy start date2011-03-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $6,974
Total amount of fees paid to insurance companyUSD $3
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $232,458
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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