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BAY SHORE SYSTEMS INC LONG TERM DISABILITY 401k Plan overview

Plan NameBAY SHORE SYSTEMS INC LONG TERM DISABILITY
Plan identification number 502

BAY SHORE SYSTEMS INC LONG TERM DISABILITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • 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.

401k Sponsoring company profile

BAY SHORE SYSTEMS INC has sponsored the creation of one or more 401k plans.

Company Name:BAY SHORE SYSTEMS INC
Employer identification number (EIN):942597500
NAIC Classification:333610

Additional information about BAY SHORE SYSTEMS INC

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0923606

More information about BAY SHORE SYSTEMS INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BAY SHORE SYSTEMS INC LONG TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-01-01KARL PATCHIN2024-05-29

Plan Statistics for BAY SHORE SYSTEMS INC LONG TERM DISABILITY

401k plan membership statisitcs for BAY SHORE SYSTEMS INC LONG TERM DISABILITY

Measure Date Value
2023: BAY SHORE SYSTEMS INC LONG TERM DISABILITY 2023 401k membership
Total participants, beginning-of-year2023-01-01106
Total number of active participants reported on line 7a of the Form 55002023-01-0178
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-0178
Number of employers contributing to the scheme2023-01-010

Form 5500 Responses for BAY SHORE SYSTEMS INC LONG TERM DISABILITY

2023: BAY SHORE SYSTEMS INC LONG TERM DISABILITY 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01First time form 5500 has been submittedYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract number2138
Policy instance 1
Insurance contract or identification number2138
Number of Individuals Covered78
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $3,419
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,390
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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