401k Plan data: MCSI WELFARE BENEFIT PLANS plan

MCSI WELFARE BENEFIT PLANS 401k Plan overview

Plan Name	MCSI WELFARE BENEFIT PLANS
Plan identification number	501

MCSI WELFARE BENEFIT PLANS Benefits

401k Plan Type

Welfare Benefit

Plan Features/Benefits

Health (other than dental or vision)
Life insurance
Dental
Vision
Temporary disability (accident and sickness)
Long-term disability cover
Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

MICHIGAN COMMUNITY SERVICES INC. has sponsored the creation of one or more 401k plans.

Company Name: MICHIGAN COMMUNITY SERVICES INC.

Employer identification number (EIN): 382443447

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MCSI WELFARE BENEFIT PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2020-12-01 LINDA CUNNINGHAM 2022-05-19
501 2019-12-01 LINDA CUNNINGHAM 2021-04-19
501 2018-12-01 DAWN BROWN 2020-05-21
501 2017-12-01 DAWN BROWN 2019-07-17
501 2016-12-01
501 2015-12-01 GREG KIRKLAND GREG KIRKLAND 2017-06-20
501 2014-12-01 GREG KIRKLAND GREG KIRKLAND 2017-06-16
501 2013-12-01 GREG KIRKLAND GREG KIRKLAND 2017-06-16
501 2012-12-01 GREG KIRKLAND GREG KIRKLAND 2017-06-16
501 2011-12-01 GREG KIRKLAND GREG KIRKLAND 2017-06-16
501 2010-12-01 GREG KIRKLAND GREG KIRKLAND 2017-06-16
501 2009-12-01 GREG KIRKLAND GREG KIRKLAND 2017-06-16

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2020-12-01	LINDA CUNNINGHAM	2022-05-19
501	2019-12-01	LINDA CUNNINGHAM	2021-04-19
501	2018-12-01	DAWN BROWN	2020-05-21
501	2017-12-01	DAWN BROWN	2019-07-17
501	2016-12-01
501	2015-12-01	GREG KIRKLAND		GREG KIRKLAND	2017-06-20
501	2014-12-01	GREG KIRKLAND		GREG KIRKLAND	2017-06-16
501	2013-12-01	GREG KIRKLAND		GREG KIRKLAND	2017-06-16
501	2012-12-01	GREG KIRKLAND		GREG KIRKLAND	2017-06-16
501	2011-12-01	GREG KIRKLAND		GREG KIRKLAND	2017-06-16
501	2010-12-01	GREG KIRKLAND		GREG KIRKLAND	2017-06-16
501	2009-12-01	GREG KIRKLAND		GREG KIRKLAND	2017-06-16

Plan Statistics for MCSI WELFARE BENEFIT PLANS

401k plan membership statisitcs for MCSI WELFARE BENEFIT PLANS

Measure Date Value
2020: MCSI WELFARE BENEFIT PLANS 2020 401k membership
Total participants, beginning-of-year 2020-12-01 100
Total number of active participants reported on line 7a of the Form 5500 2020-12-01 63
Number of retired or separated participants receiving benefits 2020-12-01 0
Number of other retired or separated participants entitled to future benefits 2020-12-01 0
Total of all active and inactive participants 2020-12-01 63
Number of employers contributing to the scheme 2020-12-01 0
2019: MCSI WELFARE BENEFIT PLANS 2019 401k membership
Total participants, beginning-of-year 2019-12-01 100
Total number of active participants reported on line 7a of the Form 5500 2019-12-01 72
Number of retired or separated participants receiving benefits 2019-12-01 0
Number of other retired or separated participants entitled to future benefits 2019-12-01 0
Total of all active and inactive participants 2019-12-01 72
Number of employers contributing to the scheme 2019-12-01 0
2018: MCSI WELFARE BENEFIT PLANS 2018 401k membership
Total participants, beginning-of-year 2018-12-01 140
Total number of active participants reported on line 7a of the Form 5500 2018-12-01 91
Number of retired or separated participants receiving benefits 2018-12-01 0
Number of other retired or separated participants entitled to future benefits 2018-12-01 0
Total of all active and inactive participants 2018-12-01 91
Number of employers contributing to the scheme 2018-12-01 0
2017: MCSI WELFARE BENEFIT PLANS 2017 401k membership
Total participants, beginning-of-year 2017-12-01 153
Total number of active participants reported on line 7a of the Form 5500 2017-12-01 140
Number of retired or separated participants receiving benefits 2017-12-01 0
Number of other retired or separated participants entitled to future benefits 2017-12-01 0
Total of all active and inactive participants 2017-12-01 140
Number of employers contributing to the scheme 2017-12-01 0
2016: MCSI WELFARE BENEFIT PLANS 2016 401k membership
Total participants, beginning-of-year 2016-12-01 129
Total number of active participants reported on line 7a of the Form 5500 2016-12-01 151
Number of retired or separated participants receiving benefits 2016-12-01 2
Number of other retired or separated participants entitled to future benefits 2016-12-01 0
Total of all active and inactive participants 2016-12-01 153
2015: MCSI WELFARE BENEFIT PLANS 2015 401k membership
Total participants, beginning-of-year 2015-12-01 134
Total number of active participants reported on line 7a of the Form 5500 2015-12-01 143
Number of retired or separated participants receiving benefits 2015-12-01 1
Total of all active and inactive participants 2015-12-01 144
Total participants 2015-12-01 144
2014: MCSI WELFARE BENEFIT PLANS 2014 401k membership
Total participants, beginning-of-year 2014-12-01 131
Total number of active participants reported on line 7a of the Form 5500 2014-12-01 130
Total of all active and inactive participants 2014-12-01 130
Total participants 2014-12-01 130
2013: MCSI WELFARE BENEFIT PLANS 2013 401k membership
Total participants, beginning-of-year 2013-12-01 137
Total number of active participants reported on line 7a of the Form 5500 2013-12-01 132
Total of all active and inactive participants 2013-12-01 132
Total participants 2013-12-01 132
2012: MCSI WELFARE BENEFIT PLANS 2012 401k membership
Total participants, beginning-of-year 2012-12-01 155
Total number of active participants reported on line 7a of the Form 5500 2012-12-01 144
Total of all active and inactive participants 2012-12-01 144
Total participants 2012-12-01 144
2011: MCSI WELFARE BENEFIT PLANS 2011 401k membership
Total participants, beginning-of-year 2011-12-01 157
Total number of active participants reported on line 7a of the Form 5500 2011-12-01 156
Number of retired or separated participants receiving benefits 2011-12-01 0
Number of other retired or separated participants entitled to future benefits 2011-12-01 0
Total of all active and inactive participants 2011-12-01 156
Total participants 2011-12-01 156
2010: MCSI WELFARE BENEFIT PLANS 2010 401k membership
Total participants, beginning-of-year 2010-12-01 144
Total number of active participants reported on line 7a of the Form 5500 2010-12-01 158
Number of retired or separated participants receiving benefits 2010-12-01 0
Number of other retired or separated participants entitled to future benefits 2010-12-01 0
Total of all active and inactive participants 2010-12-01 158
Total participants 2010-12-01 158
2009: MCSI WELFARE BENEFIT PLANS 2009 401k membership
Total participants, beginning-of-year 2009-12-01 145
Total number of active participants reported on line 7a of the Form 5500 2009-12-01 145
Total of all active and inactive participants 2009-12-01 145
Total participants 2009-12-01 145

Measure	Date	Value
2020: MCSI WELFARE BENEFIT PLANS 2020 401k membership
Total participants, beginning-of-year	2020-12-01	100
Total number of active participants reported on line 7a of the Form 5500	2020-12-01	63
Number of retired or separated participants receiving benefits	2020-12-01	0
Number of other retired or separated participants entitled to future benefits	2020-12-01	0
Total of all active and inactive participants	2020-12-01	63
Number of employers contributing to the scheme	2020-12-01	0
2019: MCSI WELFARE BENEFIT PLANS 2019 401k membership
Total participants, beginning-of-year	2019-12-01	100
Total number of active participants reported on line 7a of the Form 5500	2019-12-01	72
Number of retired or separated participants receiving benefits	2019-12-01	0
Number of other retired or separated participants entitled to future benefits	2019-12-01	0
Total of all active and inactive participants	2019-12-01	72
Number of employers contributing to the scheme	2019-12-01	0
2018: MCSI WELFARE BENEFIT PLANS 2018 401k membership
Total participants, beginning-of-year	2018-12-01	140
Total number of active participants reported on line 7a of the Form 5500	2018-12-01	91
Number of retired or separated participants receiving benefits	2018-12-01	0
Number of other retired or separated participants entitled to future benefits	2018-12-01	0
Total of all active and inactive participants	2018-12-01	91
Number of employers contributing to the scheme	2018-12-01	0
2017: MCSI WELFARE BENEFIT PLANS 2017 401k membership
Total participants, beginning-of-year	2017-12-01	153
Total number of active participants reported on line 7a of the Form 5500	2017-12-01	140
Number of retired or separated participants receiving benefits	2017-12-01	0
Number of other retired or separated participants entitled to future benefits	2017-12-01	0
Total of all active and inactive participants	2017-12-01	140
Number of employers contributing to the scheme	2017-12-01	0
2016: MCSI WELFARE BENEFIT PLANS 2016 401k membership
Total participants, beginning-of-year	2016-12-01	129
Total number of active participants reported on line 7a of the Form 5500	2016-12-01	151
Number of retired or separated participants receiving benefits	2016-12-01	2
Number of other retired or separated participants entitled to future benefits	2016-12-01	0
Total of all active and inactive participants	2016-12-01	153
2015: MCSI WELFARE BENEFIT PLANS 2015 401k membership
Total participants, beginning-of-year	2015-12-01	134
Total number of active participants reported on line 7a of the Form 5500	2015-12-01	143
Number of retired or separated participants receiving benefits	2015-12-01	1
Total of all active and inactive participants	2015-12-01	144
Total participants	2015-12-01	144
2014: MCSI WELFARE BENEFIT PLANS 2014 401k membership
Total participants, beginning-of-year	2014-12-01	131
Total number of active participants reported on line 7a of the Form 5500	2014-12-01	130
Total of all active and inactive participants	2014-12-01	130
Total participants	2014-12-01	130
2013: MCSI WELFARE BENEFIT PLANS 2013 401k membership
Total participants, beginning-of-year	2013-12-01	137
Total number of active participants reported on line 7a of the Form 5500	2013-12-01	132
Total of all active and inactive participants	2013-12-01	132
Total participants	2013-12-01	132
2012: MCSI WELFARE BENEFIT PLANS 2012 401k membership
Total participants, beginning-of-year	2012-12-01	155
Total number of active participants reported on line 7a of the Form 5500	2012-12-01	144
Total of all active and inactive participants	2012-12-01	144
Total participants	2012-12-01	144
2011: MCSI WELFARE BENEFIT PLANS 2011 401k membership
Total participants, beginning-of-year	2011-12-01	157
Total number of active participants reported on line 7a of the Form 5500	2011-12-01	156
Number of retired or separated participants receiving benefits	2011-12-01	0
Number of other retired or separated participants entitled to future benefits	2011-12-01	0
Total of all active and inactive participants	2011-12-01	156
Total participants	2011-12-01	156
2010: MCSI WELFARE BENEFIT PLANS 2010 401k membership
Total participants, beginning-of-year	2010-12-01	144
Total number of active participants reported on line 7a of the Form 5500	2010-12-01	158
Number of retired or separated participants receiving benefits	2010-12-01	0
Number of other retired or separated participants entitled to future benefits	2010-12-01	0
Total of all active and inactive participants	2010-12-01	158
Total participants	2010-12-01	158
2009: MCSI WELFARE BENEFIT PLANS 2009 401k membership
Total participants, beginning-of-year	2009-12-01	145
Total number of active participants reported on line 7a of the Form 5500	2009-12-01	145
Total of all active and inactive participants	2009-12-01	145
Total participants	2009-12-01	145

Form 5500 Responses for MCSI WELFARE BENEFIT PLANS

2020: MCSI WELFARE BENEFIT PLANS 2020 form 5500 responses
2020-12-01	Type of plan entity	Single employer plan
2020-12-01	Plan funding arrangement – Insurance	Yes
2020-12-01	Plan benefit arrangement – Insurance	Yes
2019: MCSI WELFARE BENEFIT PLANS 2019 form 5500 responses
2019-12-01	Type of plan entity	Single employer plan
2019-12-01	Plan funding arrangement – Insurance	Yes
2019-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-12-01	Plan benefit arrangement – Insurance	Yes
2019-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: MCSI WELFARE BENEFIT PLANS 2018 form 5500 responses
2018-12-01	Type of plan entity	Single employer plan
2018-12-01	Plan funding arrangement – Insurance	Yes
2018-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-12-01	Plan benefit arrangement – Insurance	Yes
2018-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: MCSI WELFARE BENEFIT PLANS 2017 form 5500 responses
2017-12-01	Type of plan entity	Single employer plan
2017-12-01	Plan funding arrangement – Insurance	Yes
2017-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-12-01	Plan benefit arrangement – Insurance	Yes
2017-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: MCSI WELFARE BENEFIT PLANS 2016 form 5500 responses
2016-12-01	Type of plan entity	Single employer plan
2016-12-01	Plan funding arrangement – Insurance	Yes
2016-12-01	Plan benefit arrangement – Insurance	Yes
2015: MCSI WELFARE BENEFIT PLANS 2015 form 5500 responses
2015-12-01	Type of plan entity	Single employer plan
2015-12-01	Submission has been amended	No
2015-12-01	This submission is the final filing	No
2015-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-12-01	Plan is a collectively bargained plan	No
2015-12-01	Plan funding arrangement – Insurance	Yes
2015-12-01	Plan benefit arrangement – Insurance	Yes
2014: MCSI WELFARE BENEFIT PLANS 2014 form 5500 responses
2014-12-01	Type of plan entity	Single employer plan
2014-12-01	Submission has been amended	No
2014-12-01	This submission is the final filing	No
2014-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-12-01	Plan is a collectively bargained plan	No
2014-12-01	Plan funding arrangement – Insurance	Yes
2014-12-01	Plan benefit arrangement – Insurance	Yes
2013: MCSI WELFARE BENEFIT PLANS 2013 form 5500 responses
2013-12-01	Type of plan entity	Single employer plan
2013-12-01	Submission has been amended	No
2013-12-01	This submission is the final filing	No
2013-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-12-01	Plan is a collectively bargained plan	No
2013-12-01	Plan funding arrangement – Insurance	Yes
2013-12-01	Plan benefit arrangement – Insurance	Yes
2012: MCSI WELFARE BENEFIT PLANS 2012 form 5500 responses
2012-12-01	Type of plan entity	Single employer plan
2012-12-01	Submission has been amended	No
2012-12-01	This submission is the final filing	No
2012-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-12-01	Plan is a collectively bargained plan	No
2012-12-01	Plan funding arrangement – Insurance	Yes
2012-12-01	Plan benefit arrangement – Insurance	Yes
2011: MCSI WELFARE BENEFIT PLANS 2011 form 5500 responses
2011-12-01	Type of plan entity	Single employer plan
2011-12-01	Submission has been amended	No
2011-12-01	This submission is the final filing	No
2011-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-12-01	Plan is a collectively bargained plan	No
2011-12-01	Plan funding arrangement – Insurance	Yes
2011-12-01	Plan benefit arrangement – Insurance	Yes
2010: MCSI WELFARE BENEFIT PLANS 2010 form 5500 responses
2010-12-01	Type of plan entity	Single employer plan
2010-12-01	Submission has been amended	No
2010-12-01	This submission is the final filing	No
2010-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-12-01	Plan is a collectively bargained plan	No
2010-12-01	Plan funding arrangement – Insurance	Yes
2010-12-01	Plan benefit arrangement – Insurance	Yes
2009: MCSI WELFARE BENEFIT PLANS 2009 form 5500 responses
2009-12-01	Type of plan entity	Single employer plan
2009-12-01	First time form 5500 has been submitted	Yes
2009-12-01	Submission has been amended	No
2009-12-01	This submission is the final filing	No
2009-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-12-01	Plan is a collectively bargained plan	No
2009-12-01	Plan funding arrangement – Insurance	Yes
2009-12-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GVTL0BFPK
Policy instance	5
TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 )
Policy contract number	T80302
Policy instance	4
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	10143421001
Policy instance	3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number	100577
Policy instance	2
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number	100577
Policy instance	1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number	100577
Policy instance	2
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	10143421001
Policy instance	3
TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 )
Policy contract number	T80302
Policy instance	4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GVTL0BFPK
Policy instance	5
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number	100577
Policy instance	1
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number	100577
Policy instance	1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number	100577
Policy instance	2
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	10143421001
Policy instance	4
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	EAB1000083
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GVTL0BFPK
Policy instance	5
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number	100577
Policy instance	2
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number	100577
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00420721
Policy instance	3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number	EAB1000083
Policy instance	4
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	10143421001
Policy instance	5

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Company Name:	MICHIGAN COMMUNITY SERVICES INC.
Employer identification number (EIN):	382443447
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities