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GUARDIAN 401k Plan overview

Plan NameGUARDIAN
Plan identification number 502

GUARDIAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HARBOR HEALTHCARE AND REHABILITATION has sponsored the creation of one or more 401k plans.

Company Name:HARBOR HEALTHCARE AND REHABILITATION
Employer identification number (EIN):842463793
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GUARDIAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-04-01JUSTIN WEINBERG2023-11-02
5022021-04-01JUSTIN WEINBERG2022-10-20

Plan Statistics for GUARDIAN

401k plan membership statisitcs for GUARDIAN

Measure Date Value
2022: GUARDIAN 2022 401k membership
Total participants, beginning-of-year2022-04-01180
Total number of active participants reported on line 7a of the Form 55002022-04-01179
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-01179
Number of employers contributing to the scheme2022-04-010
2021: GUARDIAN 2021 401k membership
Total participants, beginning-of-year2021-04-01166
Total number of active participants reported on line 7a of the Form 55002021-04-01180
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-01180
Number of employers contributing to the scheme2021-04-010

Form 5500 Responses for GUARDIAN

2022: GUARDIAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – InsuranceYes
2021: GUARDIAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01First time form 5500 has been submittedYes
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan 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 number571965
Policy instance 1
Insurance contract or identification number571965
Number of Individuals Covered179
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $5,491
Total amount of fees paid to insurance companyUSD $3,055
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $109,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,491
Amount paid for insurance broker fees3055
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 number571965
Policy instance 1
Insurance contract or identification number571965
Number of Individuals Covered180
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $4,532
Total amount of fees paid to insurance companyUSD $3,556
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $103,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,532
Amount paid for insurance broker fees3556
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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