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GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 401k Plan overview

Plan NameGROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA
Plan identification number 501

GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

CHILDREN'S HOME SOCIETY OF CALIFORNIA has sponsored the creation of one or more 401k plans.

Company Name:CHILDREN'S HOME SOCIETY OF CALIFORNIA
Employer identification number (EIN):951690976
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01
5012021-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01BEVERLY TIDWELL
5012016-07-01BEVERLY TIDWELL
5012015-07-01BEVERLY TIDWELL
5012014-07-01BEVERLY TIDWELL
5012013-07-01BEVERLY TIDWELL
5012012-07-01BEVERLY TIDWELL
5012011-07-01SHERYL JONES DAVIS
5012009-07-01DENNIS KOGA CONTROLLER

Plan Statistics for GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA

401k plan membership statisitcs for GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA

Measure Date Value
2022: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2022 401k membership
Total participants, beginning-of-year2022-07-01190
Total number of active participants reported on line 7a of the Form 55002022-07-01212
Total of all active and inactive participants2022-07-01212
2021: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2021 401k membership
Total participants, beginning-of-year2021-07-01165
Total number of active participants reported on line 7a of the Form 55002021-07-01173
Total of all active and inactive participants2021-07-01173
Total participants2021-07-01173
2020: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2020 401k membership
Total participants, beginning-of-year2020-07-01166
Total number of active participants reported on line 7a of the Form 55002020-07-01165
Total of all active and inactive participants2020-07-01165
Total participants2020-07-01165
2019: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2019 401k membership
Total participants, beginning-of-year2019-07-01139
Total number of active participants reported on line 7a of the Form 55002019-07-01166
Total of all active and inactive participants2019-07-01166
Total participants2019-07-01166
2018: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2018 401k membership
Total participants, beginning-of-year2018-07-01128
Total number of active participants reported on line 7a of the Form 55002018-07-01139
Total of all active and inactive participants2018-07-01139
Total participants2018-07-01139
2017: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2017 401k membership
Total participants, beginning-of-year2017-07-01118
Total number of active participants reported on line 7a of the Form 55002017-07-01128
Total of all active and inactive participants2017-07-01128
Total participants2017-07-01128
2016: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2016 401k membership
Total participants, beginning-of-year2016-07-01113
Total number of active participants reported on line 7a of the Form 55002016-07-01118
Total of all active and inactive participants2016-07-01118
Total participants2016-07-01118
2015: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2015 401k membership
Total participants, beginning-of-year2015-07-01100
Total number of active participants reported on line 7a of the Form 55002015-07-01112
Number of retired or separated participants receiving benefits2015-07-011
Total of all active and inactive participants2015-07-01113
Total participants2015-07-010
2014: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2014 401k membership
Total participants, beginning-of-year2014-07-0195
Total number of active participants reported on line 7a of the Form 55002014-07-0199
Number of retired or separated participants receiving benefits2014-07-011
Total of all active and inactive participants2014-07-01100
Total participants2014-07-010
2013: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2013 401k membership
Total participants, beginning-of-year2013-07-01113
Total number of active participants reported on line 7a of the Form 55002013-07-0195
Total of all active and inactive participants2013-07-0195
Total participants2013-07-010
2012: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2012 401k membership
Total participants, beginning-of-year2012-07-01154
Total number of active participants reported on line 7a of the Form 55002012-07-01112
Number of retired or separated participants receiving benefits2012-07-011
Total of all active and inactive participants2012-07-01113
Total participants2012-07-010
2011: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2011 401k membership
Total participants, beginning-of-year2011-07-01170
Total number of active participants reported on line 7a of the Form 55002011-07-01153
Number of retired or separated participants receiving benefits2011-07-011
Total of all active and inactive participants2011-07-01154
Total participants2011-07-01154
2009: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2009 401k membership
Total participants, beginning-of-year2009-07-01251
Total number of active participants reported on line 7a of the Form 55002009-07-01233
Number of retired or separated participants receiving benefits2009-07-012
Total of all active and inactive participants2009-07-01235
Total participants2009-07-01235

Form 5500 Responses for GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA

2022: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: GROUP DISABILITY INCOME PLAN OF CHILDREN'S HOME SOCIETY OF CALIFORNIA 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053888-G
Policy instance 1
Insurance contract or identification number053888-G
Number of Individuals Covered212
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053888-G
Policy instance 1
Insurance contract or identification number053888-G
Number of Individuals Covered173
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of fees paid to insurance companyUSD $57
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees57
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053888-G
Policy instance 1
Insurance contract or identification number053888-G
Number of Individuals Covered165
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of fees paid to insurance companyUSD $57
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees57
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053888-G
Policy instance 1
Insurance contract or identification number053888-G
Number of Individuals Covered166
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of fees paid to insurance companyUSD $68
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees68
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053888-G
Policy instance 1
Insurance contract or identification number053888-G
Number of Individuals Covered139
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of fees paid to insurance companyUSD $88
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,868
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees88
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053888-G
Policy instance 1
Insurance contract or identification number053888-G
Number of Individuals Covered128
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of fees paid to insurance companyUSD $51
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,411
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053888-G
Policy instance 1
Insurance contract or identification number053888-G
Number of Individuals Covered113
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of fees paid to insurance companyUSD $30
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,797
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees30
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameLOS ANGELES REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053888-G
Policy instance 1
Insurance contract or identification number053888-G
Number of Individuals Covered100
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of fees paid to insurance companyUSD $85
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees85
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameLOS ANGELES REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053888-G
Policy instance 1
Insurance contract or identification number053888-G
Number of Individuals Covered95
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of fees paid to insurance companyUSD $91
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees91
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameLOS ANGELES REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053888-G
Policy instance 1
Insurance contract or identification number053888-G
Number of Individuals Covered113
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of fees paid to insurance companyUSD $91
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameBRIAN SEVERIN
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053888-G
Policy instance 1
Insurance contract or identification number053888-G
Number of Individuals Covered154
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of fees paid to insurance companyUSD $83
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053888-G
Policy instance 1
Insurance contract or identification number053888-G
Number of Individuals Covered170
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of fees paid to insurance companyUSD $112
Long Term Disability 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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