401k Plan data: BCM ONE, INC. LIFE AND DISABILITY PLAN plan

BCM ONE, INC. LIFE AND DISABILITY PLAN 401k Plan overview

Plan Name	BCM ONE, INC. LIFE AND DISABILITY PLAN
Plan identification number	503

BCM ONE, INC. LIFE AND DISABILITY PLAN Benefits

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

401k Sponsoring company profile

BCM ONE, INC. has sponsored the creation of one or more 401k plans.

Company Name: BCM ONE, INC.

Employer identification number (EIN): 133896087

NAIC Classification: 517000

Additional information about BCM ONE, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1996-06-25

Company Identification Number: 2042126

Legal Registered Office Address: 80 STATE STREET
New York
ALBANY
United States of America (USA)
12207

More information about BCM ONE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BCM ONE, INC. LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2022-01-01 MADALYN BONDS 2023-10-16
503 2022-01-01 MADALYN BONDS 2024-02-05
503 2021-01-01 MADALYN BONDS 2024-02-07

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
503	2022-01-01	MADALYN BONDS	2023-10-16
503	2022-01-01	MADALYN BONDS	2024-02-05
503	2021-01-01	MADALYN BONDS	2024-02-07

Plan Statistics for BCM ONE, INC. LIFE AND DISABILITY PLAN

401k plan membership statisitcs for BCM ONE, INC. LIFE AND DISABILITY PLAN

Measure Date Value
2022: BCM ONE, INC. LIFE AND DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 211
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 259
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 259
Number of employers contributing to the scheme 2022-01-01 0
2021: BCM ONE, INC. LIFE AND DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 182
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 182
Number of employers contributing to the scheme 2021-01-01 0

Measure	Date	Value
2022: BCM ONE, INC. LIFE AND DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	211
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	259
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	259
Number of employers contributing to the scheme	2022-01-01	0
2021: BCM ONE, INC. LIFE AND DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	182
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	182
Number of employers contributing to the scheme	2021-01-01	0

Form 5500 Responses for BCM ONE, INC. LIFE AND DISABILITY PLAN

2022: BCM ONE, INC. LIFE AND DISABILITY PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	First time form 5500 has been submitted	Yes
2022-01-01	Submission has been amended	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: BCM ONE, INC. LIFE AND DISABILITY PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	First time form 5500 has been submitted	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )

Policy contract number

GLCL0BPHJ

Policy instance

Insurance contract or identification number	GLCL0BPHJ
Number of Individuals Covered	259
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $7,536
Total amount of fees paid to insurance company	USD $6,219
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Welfare Benefit Premiums Paid to Carrier	USD $50,242
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,988
Amount paid for insurance broker fees	2425
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )

Policy contract number

GMTD0BPHJ

Policy instance

Insurance contract or identification number	GMTD0BPHJ
Number of Individuals Covered	259
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $7,323
Total amount of fees paid to insurance company	USD $2,239
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $48,824
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,686
Amount paid for insurance broker fees	1964
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )

Policy contract number

GLCL0BPHJ

Policy instance

Insurance contract or identification number	GLCL0BPHJ
Number of Individuals Covered	182
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $5,679
Total amount of fees paid to insurance company	USD $6,514
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Welfare Benefit Premiums Paid to Carrier	USD $37,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,787
Amount paid for insurance broker fees	2514
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )

Policy contract number

MP0BPHJ

Policy instance

Insurance contract or identification number	MP0BPHJ
Number of Individuals Covered	182
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $4,479
Total amount of fees paid to insurance company	USD $2,204
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $29,858
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,635
Amount paid for insurance broker fees	1295
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

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Company Name:	BCM ONE, INC.
Employer identification number (EIN):	133896087
NAIC Classification:	517000

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1996-06-25
Company Identification Number:	2042126
Legal Registered Office Address:	80 STATE STREET New York ALBANY United States of America (USA) 12207