401k Plan data: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN plan

MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN
Plan identification number	501

MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

MAYS HOUSECALL HOMEHEALTH has sponsored the creation of one or more 401k plans.

Company Name: MAYS HOUSECALL HOMEHEALTH

Employer identification number (EIN): 731426551

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-07-01 ANNETTE CUSHER 2024-01-10
501 2021-07-01 ANNETTE CUSHER 2023-03-03
501 2020-07-01 ANNETTE CUSHER 2022-03-07
501 2019-07-01 ANNETTE CUSHER 2021-04-02
501 2016-07-01
501 2015-07-01 ERIK K DRENNEN
501 2014-07-01 ERIK DRENNEN
501 2013-07-01 ERIK DRENNEN
501 2012-07-01 ERIK DRENNEN ERIK DRENNEN 2014-04-11
501 2011-07-01 ERIK DRENNEN
501 2009-07-01 ERIK DRENNEN
501 2008-07-01 ERIK DRENNEN
501 2007-07-01 ERIK DRENNEN
501 2006-07-01 ERIK DRENNEN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-07-01	ANNETTE CUSHER	2024-01-10
501	2021-07-01	ANNETTE CUSHER	2023-03-03
501	2020-07-01	ANNETTE CUSHER	2022-03-07
501	2019-07-01	ANNETTE CUSHER	2021-04-02
501	2016-07-01
501	2015-07-01	ERIK K DRENNEN
501	2014-07-01	ERIK DRENNEN
501	2013-07-01	ERIK DRENNEN
501	2012-07-01	ERIK DRENNEN		ERIK DRENNEN	2014-04-11
501	2011-07-01	ERIK DRENNEN
501	2009-07-01	ERIK DRENNEN
501	2008-07-01	ERIK DRENNEN
501	2007-07-01	ERIK DRENNEN
501	2006-07-01	ERIK DRENNEN

Plan Statistics for MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN

401k plan membership statisitcs for MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN

Measure Date Value
2022: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year 2022-07-01 394
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 394
Number of retired or separated participants receiving benefits 2022-07-01 0
Number of other retired or separated participants entitled to future benefits 2022-07-01 0
Total of all active and inactive participants 2022-07-01 394
Number of employers contributing to the scheme 2022-07-01 0
2021: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 421
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 421
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 0
Total of all active and inactive participants 2021-07-01 421
Number of employers contributing to the scheme 2021-07-01 0
2020: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 467
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 467
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 0
Total of all active and inactive participants 2020-07-01 467
Number of employers contributing to the scheme 2020-07-01 0
2019: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 281
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 271
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 0
Total of all active and inactive participants 2019-07-01 271
Number of employers contributing to the scheme 2019-07-01 0
2016: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 730
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 771
Number of retired or separated participants receiving benefits 2016-07-01 3
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 774
2015: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 450
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 450
Number of retired or separated participants receiving benefits 2015-07-01 3
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 453
2014: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 595
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 730
Number of retired or separated participants receiving benefits 2014-07-01 3
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 733
2013: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 382
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 369
Number of retired or separated participants receiving benefits 2013-07-01 3
Total of all active and inactive participants 2013-07-01 372
2012: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 371
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 376
Number of retired or separated participants receiving benefits 2012-07-01 4
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 380
2011: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 427
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 421
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 421
2009: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 274
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 250
Number of retired or separated participants receiving benefits 2009-07-01 4
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 254
2008: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year 2008-07-01 212
Total number of active participants reported on line 7a of the Form 5500 2008-07-01 191
Number of retired or separated participants receiving benefits 2008-07-01 3
Number of other retired or separated participants entitled to future benefits 2008-07-01 0
Total of all active and inactive participants 2008-07-01 194
2007: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2007 401k membership
Total participants, beginning-of-year 2007-07-01 124
Total number of active participants reported on line 7a of the Form 5500 2007-07-01 208
Number of retired or separated participants receiving benefits 2007-07-01 2
Number of other retired or separated participants entitled to future benefits 2007-07-01 0
Total of all active and inactive participants 2007-07-01 210
2006: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2006 401k membership
Total participants, beginning-of-year 2006-07-01 102
Total number of active participants reported on line 7a of the Form 5500 2006-07-01 110
Number of retired or separated participants receiving benefits 2006-07-01 2
Number of other retired or separated participants entitled to future benefits 2006-07-01 0
Total of all active and inactive participants 2006-07-01 112

Measure	Date	Value
2022: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-07-01	394
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	394
Number of retired or separated participants receiving benefits	2022-07-01	0
Number of other retired or separated participants entitled to future benefits	2022-07-01	0
Total of all active and inactive participants	2022-07-01	394
Number of employers contributing to the scheme	2022-07-01	0
2021: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	421
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	421
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	0
Total of all active and inactive participants	2021-07-01	421
Number of employers contributing to the scheme	2021-07-01	0
2020: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	467
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	467
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	0
Total of all active and inactive participants	2020-07-01	467
Number of employers contributing to the scheme	2020-07-01	0
2019: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	281
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	271
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	0
Total of all active and inactive participants	2019-07-01	271
Number of employers contributing to the scheme	2019-07-01	0
2016: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	730
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	771
Number of retired or separated participants receiving benefits	2016-07-01	3
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	774
2015: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	450
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	450
Number of retired or separated participants receiving benefits	2015-07-01	3
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	453
2014: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	595
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	730
Number of retired or separated participants receiving benefits	2014-07-01	3
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	733
2013: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	382
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	369
Number of retired or separated participants receiving benefits	2013-07-01	3
Total of all active and inactive participants	2013-07-01	372
2012: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	371
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	376
Number of retired or separated participants receiving benefits	2012-07-01	4
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	380
2011: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	427
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	421
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	421
2009: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	274
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	250
Number of retired or separated participants receiving benefits	2009-07-01	4
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	254
2008: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year	2008-07-01	212
Total number of active participants reported on line 7a of the Form 5500	2008-07-01	191
Number of retired or separated participants receiving benefits	2008-07-01	3
Number of other retired or separated participants entitled to future benefits	2008-07-01	0
Total of all active and inactive participants	2008-07-01	194
2007: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2007 401k membership
Total participants, beginning-of-year	2007-07-01	124
Total number of active participants reported on line 7a of the Form 5500	2007-07-01	208
Number of retired or separated participants receiving benefits	2007-07-01	2
Number of other retired or separated participants entitled to future benefits	2007-07-01	0
Total of all active and inactive participants	2007-07-01	210
2006: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2006 401k membership
Total participants, beginning-of-year	2006-07-01	102
Total number of active participants reported on line 7a of the Form 5500	2006-07-01	110
Number of retired or separated participants receiving benefits	2006-07-01	2
Number of other retired or separated participants entitled to future benefits	2006-07-01	0
Total of all active and inactive participants	2006-07-01	112

Form 5500 Responses for MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN

2022: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-07-01	Plan benefit arrangement – Insurance	Yes
2022-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2008: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2008 form 5500 responses
2008-07-01	Type of plan entity	Single employer plan
2008-07-01	Submission has been amended	No
2008-07-01	This submission is the final filing	No
2008-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-07-01	Plan is a collectively bargained plan	No
2008-07-01	Plan funding arrangement – Insurance	Yes
2008-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2008-07-01	Plan benefit arrangement – Insurance	Yes
2008-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2007: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2007 form 5500 responses
2007-07-01	Type of plan entity	Single employer plan
2007-07-01	Submission has been amended	No
2007-07-01	This submission is the final filing	No
2007-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-07-01	Plan is a collectively bargained plan	No
2007-07-01	Plan funding arrangement – Insurance	Yes
2007-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2007-07-01	Plan benefit arrangement – Insurance	Yes
2007-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2006: MAYS HOUSECALL HOME HEALTH INC., HEALTH AND WELFARE BENEFITS PLAN 2006 form 5500 responses
2006-07-01	Type of plan entity	Single employer plan
2006-07-01	First time form 5500 has been submitted	Yes
2006-07-01	Submission has been amended	No
2006-07-01	This submission is the final filing	No
2006-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-07-01	Plan is a collectively bargained plan	No
2006-07-01	Plan funding arrangement – Insurance	Yes
2006-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2006-07-01	Plan benefit arrangement – Insurance	Yes
2006-07-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	HCCLOT40871
Policy instance	3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5993541
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30020504
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5993541
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30020504
Policy instance	1
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	HCCLOT40871
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30020504
Policy instance	1
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	HCCLOT40871
Policy instance	3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5993541
Policy instance	2
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	HCCLOT40871
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30020504
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	5993541
Policy instance	2
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number	G-501B
Policy instance	1
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number	8611
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number	30020504
Policy instance	3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	KM05993541
Policy instance	4
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number	G501B
Policy instance	4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	KM05993541
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number	30020504
Policy instance	2
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number	8611
Policy instance	1
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number	8611
Policy instance	2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	KM05993541
Policy instance	4
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number	G-501B
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number	30020504
Policy instance	3
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number	8611
Policy instance	2
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number	G-501B
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	KM05993541
Policy instance	4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number	30020504
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number	30020504
Policy instance	4
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	54301
Policy instance	3
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number	8611
Policy instance	2
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number	G-501B
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number	30020504
Policy instance	4
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number	G-501B
Policy instance	1
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number	8611
Policy instance	2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	54301
Policy instance	3
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number	8611
Policy instance	2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	54301
Policy instance	3
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number	G-501B
Policy instance	1
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number	8611
Policy instance	2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	54301
Policy instance	3
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number	G-501B
Policy instance	1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	142285
Policy instance	4
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number	G-501B
Policy instance	1
KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )
Policy contract number	GL-5212
Policy instance	2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	345438
Policy instance	3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	142285
Policy instance	4

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Company Name:	MAYS HOUSECALL HOMEHEALTH
Employer identification number (EIN):	731426551
NAIC Classification:	621610
NAIC Description:	Home Health Care Services