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BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 401k Plan overview

Plan NameBAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN
Plan identification number 503

BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

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

Company Name:BAY COMMUNITY SUPPORT SERVICES, INC.
Employer identification number (EIN):521763520
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about BAY COMMUNITY SUPPORT SERVICES, INC.

Jurisdiction of Incorporation: Maryland Secretary of State
Incorporation Date:
Company Identification Number: D03334562

More information about BAY COMMUNITY SUPPORT SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-07-01
5032021-07-01
5032020-10-01
5032019-10-01
5032018-10-01

Plan Statistics for BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN

401k plan membership statisitcs for BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN

Measure Date Value
2022: BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-0136
Total number of active participants reported on line 7a of the Form 55002022-07-0143
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-0143
2021: BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0135
Total number of active participants reported on line 7a of the Form 55002021-07-0136
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-0136
2020: BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-0148
Total number of active participants reported on line 7a of the Form 55002020-10-0134
Number of retired or separated participants receiving benefits2020-10-011
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-0135
2019: BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-0178
Total number of active participants reported on line 7a of the Form 55002019-10-0148
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-0148
2018: BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-0156
Total number of active participants reported on line 7a of the Form 55002018-10-0178
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-0178

Financial Data on BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN

Measure Date Value
2023 : BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2023 401k financial data
Total plan liabilities at end of year2023-06-30$28,126
Total plan liabilities at beginning of year2023-06-30$69,872
Total income from all sources2023-06-30$589,967
Expenses. Total of all expenses incurred2023-06-30$488,646
Benefits paid (including direct rollovers)2023-06-30$156,606
Total plan assets at end of year2023-06-30$335,745
Total plan assets at beginning of year2023-06-30$276,170
Value of fidelity bond covering the plan2023-06-30$65,946
Total contributions received or receivable from participants2023-06-30$80,471
Expenses. Other expenses not covered elsewhere2023-06-30$222,100
Contributions received from other sources (not participants or employers)2023-06-30$0
Other income received2023-06-30$0
Net income (gross income less expenses)2023-06-30$101,321
Net plan assets at end of year (total assets less liabilities)2023-06-30$307,619
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$206,298
Total contributions received or receivable from employer(s)2023-06-30$509,496
Value of corrective distributions2023-06-30$82,919
Expenses. Administrative service providers (salaries,fees and commissions)2023-06-30$27,021
2022 : BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2022 401k financial data
Total plan liabilities at end of year2022-06-30$69,872
Total plan liabilities at beginning of year2022-06-30$20,292
Total income from all sources2022-06-30$499,896
Expenses. Total of all expenses incurred2022-06-30$464,044
Benefits paid (including direct rollovers)2022-06-30$253,384
Total plan assets at end of year2022-06-30$276,170
Total plan assets at beginning of year2022-06-30$190,738
Value of fidelity bond covering the plan2022-06-30$97,434
Total contributions received or receivable from participants2022-06-30$72,220
Expenses. Other expenses not covered elsewhere2022-06-30$190,862
Net income (gross income less expenses)2022-06-30$35,852
Net plan assets at end of year (total assets less liabilities)2022-06-30$206,298
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$170,446
Total contributions received or receivable from employer(s)2022-06-30$427,676
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$19,798
2021 : BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2021 401k financial data
Total plan liabilities at end of year2021-06-30$20,292
Total plan liabilities at beginning of year2021-06-30$23,143
Total income from all sources2021-06-30$595,787
Expenses. Total of all expenses incurred2021-06-30$628,466
Benefits paid (including direct rollovers)2021-06-30$69,675
Total plan assets at end of year2021-06-30$190,738
Total plan assets at beginning of year2021-06-30$226,268
Value of fidelity bond covering the plan2021-06-30$97,434
Total contributions received or receivable from participants2021-06-30$72,214
Expenses. Other expenses not covered elsewhere2021-06-30$266,914
Net income (gross income less expenses)2021-06-30$-32,679
Net plan assets at end of year (total assets less liabilities)2021-06-30$170,446
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$203,125
Total contributions received or receivable from employer(s)2021-06-30$523,573
Value of corrective distributions2021-06-30$271,518
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$20,359
2020 : BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2020 401k financial data
Total plan liabilities at end of year2020-09-30$23,143
Total plan liabilities at beginning of year2020-09-30$45,161
Total income from all sources2020-09-30$533,096
Expenses. Total of all expenses incurred2020-09-30$481,958
Benefits paid (including direct rollovers)2020-09-30$290,988
Total plan assets at end of year2020-09-30$226,268
Total plan assets at beginning of year2020-09-30$197,148
Value of fidelity bond covering the plan2020-09-30$97,434
Total contributions received or receivable from participants2020-09-30$100,010
Expenses. Other expenses not covered elsewhere2020-09-30$68,193
Contributions received from other sources (not participants or employers)2020-09-30$1,002
Other income received2020-09-30$0
Net income (gross income less expenses)2020-09-30$51,138
Net plan assets at end of year (total assets less liabilities)2020-09-30$203,125
Net plan assets at beginning of year (total assets less liabilities)2020-09-30$151,987
Total contributions received or receivable from employer(s)2020-09-30$432,084
Value of corrective distributions2020-09-30$104,845
Expenses. Administrative service providers (salaries,fees and commissions)2020-09-30$17,932
2019 : BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2019 401k financial data
Total plan liabilities at end of year2019-09-30$45,161
Total plan liabilities at beginning of year2019-09-30$0
Total income from all sources2019-09-30$902,642
Expenses. Total of all expenses incurred2019-09-30$750,655
Benefits paid (including direct rollovers)2019-09-30$335,702
Total plan assets at end of year2019-09-30$197,148
Total plan assets at beginning of year2019-09-30$0
Total contributions received or receivable from participants2019-09-30$10,330
Expenses. Other expenses not covered elsewhere2019-09-30$334,895
Contributions received from other sources (not participants or employers)2019-09-30$1,056
Net income (gross income less expenses)2019-09-30$151,987
Net plan assets at end of year (total assets less liabilities)2019-09-30$151,987
Net plan assets at beginning of year (total assets less liabilities)2019-09-30$0
Total contributions received or receivable from employer(s)2019-09-30$891,256
Value of corrective distributions2019-09-30$42,891
Expenses. Administrative service providers (salaries,fees and commissions)2019-09-30$37,167

Form 5500 Responses for BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN

2022: BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan funding arrangement – General assets of the sponsorYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2022-07-01Plan benefit arrangement – General assets of the sponsorYes
2021: BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2020: BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan funding arrangement – General assets of the sponsorYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2020-10-01Plan benefit arrangement – General assets of the sponsorYes
2019: BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2019-10-01Plan benefit arrangement – General assets of the sponsorYes
2018: BAY COMMUNITY SUPPORT SERVICES, INC. GROUP MEDICAL PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01First time form 5500 has been submittedYes
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan funding arrangement – General assets of the sponsorYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2018-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberSL30500379
Policy instance 1
Insurance contract or identification numberSL30500379
Number of Individuals Covered43
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $191,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered36
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $162,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered34
Insurance policy start date2020-10-01
Insurance policy end date2021-06-30
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $119,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered48
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $161,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered78
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $272,789
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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