401k Plan data: THE GRANITE YMCA BASIC LIFE/AD&D PLAN plan

THE GRANITE YMCA BASIC LIFE/AD&D PLAN 401k Plan overview

Plan Name	THE GRANITE YMCA BASIC LIFE/AD&D PLAN
Plan identification number	501

THE GRANITE YMCA BASIC LIFE/AD&D PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

YMCA OF GREATER MANCHESTER has sponsored the creation of one or more 401k plans.

Company Name: YMCA OF GREATER MANCHESTER

Employer identification number (EIN): 020222248

NAIC Classification: 713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE GRANITE YMCA BASIC LIFE/AD&D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-07-01 ELIZABETH PINARD 2023-03-13
501 2020-07-01 ELIZABETH PINARD 2023-03-13
501 2019-07-01 ELIZABETH PINARD 2023-03-13
501 2018-07-01 ELIZABETH PINARD 2023-03-13
501 2017-07-01 ELIZABETH PINARD 2023-03-13
501 2016-07-01 ELIZABETH PINARD 2023-03-13
501 2015-07-01 ELIZABETH PINARD 2023-03-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2021-07-01	ELIZABETH PINARD	2023-03-13
501	2020-07-01	ELIZABETH PINARD	2023-03-13
501	2019-07-01	ELIZABETH PINARD	2023-03-13
501	2018-07-01	ELIZABETH PINARD	2023-03-13
501	2017-07-01	ELIZABETH PINARD	2023-03-13
501	2016-07-01	ELIZABETH PINARD	2023-03-13
501	2015-07-01	ELIZABETH PINARD	2023-03-13

Plan Statistics for THE GRANITE YMCA BASIC LIFE/AD&D PLAN

401k plan membership statisitcs for THE GRANITE YMCA BASIC LIFE/AD&D PLAN

Measure Date Value
2021: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 187
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 0
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 0
Total of all active and inactive participants 2021-07-01 0
Number of employers contributing to the scheme 2021-07-01 0
2020: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 136
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 154
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 0
Total of all active and inactive participants 2020-07-01 154
Number of employers contributing to the scheme 2020-07-01 0
2019: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 121
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 132
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 0
Total of all active and inactive participants 2019-07-01 132
Number of employers contributing to the scheme 2019-07-01 0
2018: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 131
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 121
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 0
Total of all active and inactive participants 2018-07-01 121
Number of employers contributing to the scheme 2018-07-01 0
2017: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 127
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 131
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 131
Number of employers contributing to the scheme 2017-07-01 0
2016: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 118
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 127
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 127
Number of employers contributing to the scheme 2016-07-01 0
2015: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 106
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 118
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 118
Number of employers contributing to the scheme 2015-07-01 0

Measure	Date	Value
2021: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	187
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	0
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	0
Total of all active and inactive participants	2021-07-01	0
Number of employers contributing to the scheme	2021-07-01	0
2020: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	136
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	154
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	0
Total of all active and inactive participants	2020-07-01	154
Number of employers contributing to the scheme	2020-07-01	0
2019: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	121
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	132
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	0
Total of all active and inactive participants	2019-07-01	132
Number of employers contributing to the scheme	2019-07-01	0
2018: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	131
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	121
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	0
Total of all active and inactive participants	2018-07-01	121
Number of employers contributing to the scheme	2018-07-01	0
2017: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	127
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	131
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	131
Number of employers contributing to the scheme	2017-07-01	0
2016: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	118
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	127
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	127
Number of employers contributing to the scheme	2016-07-01	0
2015: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	106
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	118
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	118
Number of employers contributing to the scheme	2015-07-01	0

Form 5500 Responses for THE GRANITE YMCA BASIC LIFE/AD&D PLAN

2021: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	This submission is the final filing	Yes
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2020: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2018: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: THE GRANITE YMCA BASIC LIFE/AD&D PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	First time form 5500 has been submitted	Yes
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

575243

Policy instance

Insurance contract or identification number	575243
Number of Individuals Covered	181
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $12,183
Total amount of fees paid to insurance company	USD $3,075
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $78,869
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,451
Amount paid for insurance broker fees	3075
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )

Policy contract number

AL00004300

Policy instance

Insurance contract or identification number	AL00004300
Number of Individuals Covered	132
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $1,120
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $11,587
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,120
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )

Policy contract number

AL00004300

Policy instance

Insurance contract or identification number	AL00004300
Number of Individuals Covered	121
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $1,207
Total amount of fees paid to insurance company	USD $101
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $10,562
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $931
Amount paid for insurance broker fees	101
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )

Policy contract number

AL00004300

Policy instance

Insurance contract or identification number	AL00004300
Number of Individuals Covered	131
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $1,275
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $10,363
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,275
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )

Policy contract number

AL00004300

Policy instance

Insurance contract or identification number	AL00004300
Number of Individuals Covered	127
Insurance policy start date	2016-07-01
Insurance policy end date	2017-06-30
Total amount of commissions paid to insurance broker	USD $1,099
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $9,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $629
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )

Policy contract number

AL00004300

Policy instance

Insurance contract or identification number	AL00004300
Number of Individuals Covered	118
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $1,077
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $7,655
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,077
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	YMCA OF GREATER MANCHESTER
Employer identification number (EIN):	020222248
NAIC Classification:	713900