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COMMUNITY OPTIONS INC. HEALTH PLAN 401k Plan overview

Plan NameCOMMUNITY OPTIONS INC. HEALTH PLAN
Plan identification number 501

COMMUNITY OPTIONS INC. HEALTH PLAN Benefits

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

401k Sponsoring company profile

COMMUNITY OPTIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY OPTIONS, INC.
Employer identification number (EIN):911832569
NAIC Classification:624200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY OPTIONS INC. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-09-01BRYAN WETCH2023-06-05 BRYAN WETCH2023-06-05
5012021-09-01BRYAN WETCH2023-06-05 BRYAN WETCH2023-06-05
5012020-09-01BRYAN WETCH2022-01-27 BRYAN WETCH2022-01-27
5012019-09-01BRYAN WETCH2021-02-03 BRYAN WETCH2021-02-03
5012018-09-01BRYAN WETCH2019-12-16 BRYAN WETCH2019-12-16
5012017-09-01
5012016-09-01
5012015-09-01
5012014-09-01
5012013-09-01
5012012-09-01BRYAN WETCH
5012011-09-01BRYAN WETCH
5012009-09-01APRIL WILSON APRIL WILSON2013-07-01

Plan Statistics for COMMUNITY OPTIONS INC. HEALTH PLAN

401k plan membership statisitcs for COMMUNITY OPTIONS INC. HEALTH PLAN

Measure Date Value
2022: COMMUNITY OPTIONS INC. HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-09-01151
Total number of active participants reported on line 7a of the Form 55002022-09-01153
Total of all active and inactive participants2022-09-01153
2021: COMMUNITY OPTIONS INC. HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01136
Total number of active participants reported on line 7a of the Form 55002021-09-01151
Total of all active and inactive participants2021-09-01151
2020: COMMUNITY OPTIONS INC. HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01150
Total number of active participants reported on line 7a of the Form 55002020-09-01136
Total of all active and inactive participants2020-09-01136
2019: COMMUNITY OPTIONS INC. HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01274
Total number of active participants reported on line 7a of the Form 55002019-09-01275
Total of all active and inactive participants2019-09-01275
2018: COMMUNITY OPTIONS INC. HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01276
Total number of active participants reported on line 7a of the Form 55002018-09-01274
Total of all active and inactive participants2018-09-01274
2017: COMMUNITY OPTIONS INC. HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01270
Total number of active participants reported on line 7a of the Form 55002017-09-01276
Total of all active and inactive participants2017-09-01276
2016: COMMUNITY OPTIONS INC. HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01269
Total number of active participants reported on line 7a of the Form 55002016-09-01270
Total of all active and inactive participants2016-09-01270
2015: COMMUNITY OPTIONS INC. HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01241
Total number of active participants reported on line 7a of the Form 55002015-09-01269
Total of all active and inactive participants2015-09-01269
2014: COMMUNITY OPTIONS INC. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01233
Total number of active participants reported on line 7a of the Form 55002014-09-01241
Total of all active and inactive participants2014-09-01241
2013: COMMUNITY OPTIONS INC. HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01176
Total number of active participants reported on line 7a of the Form 55002013-09-01233
Total of all active and inactive participants2013-09-01233
2012: COMMUNITY OPTIONS INC. HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01181
Total number of active participants reported on line 7a of the Form 55002012-09-01176
Total of all active and inactive participants2012-09-01176
2011: COMMUNITY OPTIONS INC. HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01101
Total number of active participants reported on line 7a of the Form 55002011-09-01118
Total of all active and inactive participants2011-09-01118
2009: COMMUNITY OPTIONS INC. HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01100
Total number of active participants reported on line 7a of the Form 55002009-09-0196
Total of all active and inactive participants2009-09-0196

Form 5500 Responses for COMMUNITY OPTIONS INC. HEALTH PLAN

2022: COMMUNITY OPTIONS INC. HEALTH PLAN 2022 form 5500 responses
2022-09-01Type of plan entitySingle employer plan
2022-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-09-01Plan funding arrangement – InsuranceYes
2022-09-01Plan benefit arrangement – InsuranceYes
2021: COMMUNITY OPTIONS INC. HEALTH PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – InsuranceYes
2020: COMMUNITY OPTIONS INC. HEALTH PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – InsuranceYes
2019: COMMUNITY OPTIONS INC. HEALTH PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: COMMUNITY OPTIONS INC. HEALTH PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2017: COMMUNITY OPTIONS INC. HEALTH PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: COMMUNITY OPTIONS INC. HEALTH PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes
2015: COMMUNITY OPTIONS INC. HEALTH PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2014: COMMUNITY OPTIONS INC. HEALTH PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – InsuranceYes
2013: COMMUNITY OPTIONS INC. HEALTH PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – InsuranceYes
2012: COMMUNITY OPTIONS INC. HEALTH PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – InsuranceYes
2011: COMMUNITY OPTIONS INC. HEALTH PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – InsuranceYes
2009: COMMUNITY OPTIONS INC. HEALTH PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01First time form 5500 has been submittedYes
2009-09-01This submission is the final filingNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number275832
Policy instance 1
Insurance contract or identification number275832
Number of Individuals Covered288
Insurance policy start date2022-09-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $554,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number275832
Policy instance 1
Insurance contract or identification number275832
Number of Individuals Covered279
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,584,229
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 )
Policy contract number309242
Policy instance 1
Insurance contract or identification number309242
Number of Individuals Covered233
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $74,480
Total amount of fees paid to insurance companyUSD $3,588
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,860,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,794
Amount paid for insurance broker fees1794
Additional information about fees paid to insurance brokerBROKER INCENTIVE PROGRAM
Insurance broker organization code?3
MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 )
Policy contract number309242
Policy instance 1
Insurance contract or identification number309242
Number of Individuals Covered275
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $36,087
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,860,135
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,087
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number208648
Policy instance 1
Insurance contract or identification number208648
Number of Individuals Covered274
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,672,180
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number77693
Policy instance 1
Insurance contract or identification number77693
Number of Individuals Covered276
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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