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BAY HUMAN SERVICES WELFARE PLAN 401k Plan overview

Plan NameBAY HUMAN SERVICES WELFARE PLAN
Plan identification number 501

BAY HUMAN SERVICES WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

BAY HUMAN SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:BAY HUMAN SERVICES, INC.
Employer identification number (EIN):382335441
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BAY HUMAN SERVICES WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-06-01AMY NASH2024-10-15 AMY NASH2024-10-15
5012022-06-01AMY NASH2023-11-07 AMY NASH2023-11-07
5012021-06-01JOHN CHAGNON2022-10-31 JOHN CHAGNON2022-10-31
5012020-06-01KORRIE SCHARICH2021-11-03 KORRIE SCHARICH2021-11-03
5012019-06-01KORRIE SCHARICH2020-09-16 KORRIE SCHARICH2020-09-16
5012018-06-01
5012017-06-01KORRIE SCHARICH KORRIE SCHARICH2018-09-27
5012016-06-01KORRIE SCHARICH KORRIE SCHARICH2017-09-21
5012015-06-01KORRIE SCHARICH KORRIE SCHARICH2016-10-05
5012014-06-01KORRIE SCHARICH KORRIE SCHARICH2015-09-26
5012013-06-01KORRIE SCHARICH KORRIE SCHARICH2014-09-26
5012012-06-01KORRIE SCHARICH KORRIE SCHARICH2013-09-06
5012011-06-01KORRIE SCHARICH KORRIE SCHARICH2012-09-28
5012009-04-01J JOSEPH PILOT

Plan Statistics for BAY HUMAN SERVICES WELFARE PLAN

401k plan membership statisitcs for BAY HUMAN SERVICES WELFARE PLAN

Measure Date Value
2023: BAY HUMAN SERVICES WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year2023-06-01298
Total number of active participants reported on line 7a of the Form 55002023-06-01315
Total of all active and inactive participants2023-06-01315
2022: BAY HUMAN SERVICES WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01289
Total number of active participants reported on line 7a of the Form 55002022-06-01298
Total of all active and inactive participants2022-06-01298
2021: BAY HUMAN SERVICES WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-01272
Total number of active participants reported on line 7a of the Form 55002021-06-01289
Total of all active and inactive participants2021-06-01289
2020: BAY HUMAN SERVICES WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01254
Total number of active participants reported on line 7a of the Form 55002020-06-01272
Total of all active and inactive participants2020-06-01272
2019: BAY HUMAN SERVICES WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-01214
Total number of active participants reported on line 7a of the Form 55002019-06-01254
Total of all active and inactive participants2019-06-01254
2018: BAY HUMAN SERVICES WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-06-01160
Total number of active participants reported on line 7a of the Form 55002018-06-01214
Total of all active and inactive participants2018-06-01214
2017: BAY HUMAN SERVICES WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-06-01146
Total number of active participants reported on line 7a of the Form 55002017-06-01160
Total of all active and inactive participants2017-06-01160
2016: BAY HUMAN SERVICES WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-01140
Total number of active participants reported on line 7a of the Form 55002016-06-01146
Total of all active and inactive participants2016-06-01146
2015: BAY HUMAN SERVICES WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01148
Total number of active participants reported on line 7a of the Form 55002015-06-01140
Total of all active and inactive participants2015-06-01140
2014: BAY HUMAN SERVICES WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01142
Total number of active participants reported on line 7a of the Form 55002014-06-01148
Total of all active and inactive participants2014-06-01148
2013: BAY HUMAN SERVICES WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01163
Total number of active participants reported on line 7a of the Form 55002013-06-01142
Total of all active and inactive participants2013-06-01142
2012: BAY HUMAN SERVICES WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-01175
Total number of active participants reported on line 7a of the Form 55002012-06-01163
Total of all active and inactive participants2012-06-01163
2011: BAY HUMAN SERVICES WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-0165
Total number of active participants reported on line 7a of the Form 55002011-06-01175
Total of all active and inactive participants2011-06-01175
2009: BAY HUMAN SERVICES WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01219
Total number of active participants reported on line 7a of the Form 55002009-04-01152
Total of all active and inactive participants2009-04-01152

Form 5500 Responses for BAY HUMAN SERVICES WELFARE PLAN

2023: BAY HUMAN SERVICES WELFARE PLAN 2023 form 5500 responses
2023-06-01Type of plan entitySingle employer plan
2023-06-01Plan funding arrangement – InsuranceYes
2023-06-01Plan benefit arrangement – InsuranceYes
2022: BAY HUMAN SERVICES WELFARE PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – InsuranceYes
2021: BAY HUMAN SERVICES WELFARE PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – InsuranceYes
2020: BAY HUMAN SERVICES WELFARE PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – InsuranceYes
2019: BAY HUMAN SERVICES WELFARE PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – InsuranceYes
2018: BAY HUMAN SERVICES WELFARE PLAN 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – InsuranceYes
2017: BAY HUMAN SERVICES WELFARE PLAN 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – InsuranceYes
2016: BAY HUMAN SERVICES WELFARE PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – InsuranceYes
2015: BAY HUMAN SERVICES WELFARE PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: BAY HUMAN SERVICES WELFARE PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes
2013: BAY HUMAN SERVICES WELFARE PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: BAY HUMAN SERVICES WELFARE PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2011: BAY HUMAN SERVICES WELFARE PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01First time form 5500 has been submittedYes
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – InsuranceYes
2009: BAY HUMAN SERVICES WELFARE PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number100751
Policy instance 3
Insurance contract or identification number100751
Number of Individuals Covered30
Insurance policy start date2023-06-01
Insurance policy end date2024-05-31
Total amount of commissions paid to insurance brokerUSD $9,209
Total amount of fees paid to insurance companyUSD $196
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $226,435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00048615
Policy instance 2
Insurance contract or identification number00048615
Number of Individuals Covered315
Insurance policy start date2023-06-01
Insurance policy end date2024-05-31
Total amount of commissions paid to insurance brokerUSD $11,625
Total amount of fees paid to insurance companyUSD $751
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $139,742
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00100751/0001
Policy instance 1
Insurance contract or identification number00100751/0001
Number of Individuals Covered75
Insurance policy start date2023-06-01
Insurance policy end date2024-05-31
Total amount of commissions paid to insurance brokerUSD $17,129
Total amount of fees paid to insurance companyUSD $892
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $415,671
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number100751
Policy instance 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00048615
Policy instance 2
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00100751/0001
Policy instance 1
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00100751/0001
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00048615
Policy instance 2
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number100751
Policy instance 3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number100751
Policy instance 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00048615
Policy instance 2
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00100751/0001
Policy instance 1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number100751
Policy instance 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00048615
Policy instance 2
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00100751/0001
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00048615
Policy instance 2
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00100751/0001
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00048615
Policy instance 2
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00100751/0001
Policy instance 1
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00100751/0001
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00048615
Policy instance 2
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00100751/0001
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number230850
Policy instance 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00467260
Policy instance 2
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00100751/0001
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00467260
Policy instance 3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number230850
Policy instance 4
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00467260
Policy instance 3
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00100751/0001
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00467260
Policy instance 3
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: )
Policy contract number00100751/0001
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 1298274
Policy instance 1

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