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COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN 401k Plan overview

Plan NameCOMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN
Plan identification number 503

COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

COMMUNITY OPTIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY OPTIONS, INC.
Employer identification number (EIN):061300693
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032014-08-01JAMES KELLY JAMES KELLY2015-11-03
5032013-08-01JAMES KELLY JAMES KELLY2014-10-21
5032012-08-01JAMES KELLY JAMES KELLY2014-10-21
5032010-08-01JAMES KELLY
5032009-08-01 JAMES KELLY2012-02-27
5032009-08-01 JAMES KELLY2012-02-27
5032009-08-01JAMES KELLY

Plan Statistics for COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN

401k plan membership statisitcs for COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN

Measure Date Value
2014: COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01186
Total number of active participants reported on line 7a of the Form 55002014-08-01184
Total of all active and inactive participants2014-08-01184
Total participants2014-08-01184
Number of employers contributing to the scheme2014-08-013
2013: COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01203
Total number of active participants reported on line 7a of the Form 55002013-08-01186
Total of all active and inactive participants2013-08-01186
Total participants2013-08-01186
Number of employers contributing to the scheme2013-08-013
2012: COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01201
Total number of active participants reported on line 7a of the Form 55002012-08-01203
Total of all active and inactive participants2012-08-01203
Total participants2012-08-01203
Number of employers contributing to the scheme2012-08-013
2010: COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-08-01196
Total number of active participants reported on line 7a of the Form 55002010-08-01192
Number of retired or separated participants receiving benefits2010-08-010
Number of other retired or separated participants entitled to future benefits2010-08-010
Total of all active and inactive participants2010-08-01192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-08-010
Total participants2010-08-01192
Number of participants with account balances2010-08-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-08-010
Number of employers contributing to the scheme2010-08-013
2009: COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01150
Total number of active participants reported on line 7a of the Form 55002009-08-01196
Number of retired or separated participants receiving benefits2009-08-010
Number of other retired or separated participants entitled to future benefits2009-08-010
Total of all active and inactive participants2009-08-01196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-08-010
Total participants2009-08-01196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-08-010
Number of employers contributing to the scheme2009-08-013

Form 5500 Responses for COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN

2014: COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN 2014 form 5500 responses
2014-08-01Type of plan entityMulti-employer plan
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 planYes
2014-08-01Plan funding arrangement – General assets of the sponsorYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN 2013 form 5500 responses
2013-08-01Type of plan entityMulitple employer plan
2013-08-01Submission has been amendedNo
2013-08-01This submission is the final filingNo
2013-08-01This return/report is a short plan year return/report (less than 12 months)No
2013-08-01Plan is a collectively bargained planYes
2013-08-01Plan funding arrangement – General assets of the sponsorYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN 2012 form 5500 responses
2012-08-01Type of plan entityMulitple employer plan
2012-08-01Submission has been amendedNo
2012-08-01This submission is the final filingNo
2012-08-01This return/report is a short plan year return/report (less than 12 months)No
2012-08-01Plan is a collectively bargained planYes
2012-08-01Plan funding arrangement – General assets of the sponsorYes
2012-08-01Plan benefit arrangement – InsuranceYes
2010: COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN 2010 form 5500 responses
2010-08-01Type of plan entityMulitple employer plan
2010-08-01Submission has been amendedYes
2010-08-01This submission is the final filingNo
2010-08-01This return/report is a short plan year return/report (less than 12 months)No
2010-08-01Plan is a collectively bargained planYes
2010-08-01Plan funding arrangement – General assets of the sponsorYes
2010-08-01Plan benefit arrangement – InsuranceYes
2009: COMMUNITY OPTIONS GROUP LIFE INSURANCE PLAN 2009 form 5500 responses
2009-08-01Type of plan entityMulitple employer plan
2009-08-01Submission has been amendedNo
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planYes
2009-08-01Plan funding arrangement – General assets of the sponsorYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number136168
Policy instance 1
Insurance contract or identification number136168
Number of Individuals Covered184
Insurance policy start date2014-08-01
Insurance policy end date2015-08-01
Total amount of commissions paid to insurance brokerUSD $6,899
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $87,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,899
Insurance broker organization code?3
Insurance broker nameTIMOTHY G. MALONEY
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number136168
Policy instance 1
Insurance contract or identification number136168
Number of Individuals Covered186
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $7,460
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $86,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,460
Insurance broker organization code?3
Insurance broker nameTIMOTHY MALONEY
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number136168
Policy instance 1
Insurance contract or identification number136168
Number of Individuals Covered203
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $5,445
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $59,750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,445
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTIMOTHY MALONEY
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number136168
Policy instance 1
Insurance contract or identification number136168
Number of Individuals Covered192
Insurance policy start date2010-08-01
Insurance policy end date2011-08-01
Total amount of commissions paid to insurance brokerUSD $5,463
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $56,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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