401k Plan data: MAB COMMUNITY SERVICES, INC. plan

MAB COMMUNITY SERVICES, INC. 401k Plan overview

Plan Name	MAB COMMUNITY SERVICES, INC.
Plan identification number	501

MAB COMMUNITY SERVICES, INC. Benefits

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

401k Sponsoring company profile

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

Company Name: MAB COMMUNITY SERVICES, INC.

Employer identification number (EIN): 042109859

NAIC Classification: 624310
NAIC Description: Vocational Rehabilitation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAB COMMUNITY SERVICES, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-07-01 FRANCOIS HOSTAILLER 2025-01-16
501 2022-07-01 FRANCOIS HOSTAILLER 2023-10-27
501 2021-07-01 FRANCOIS HOSTAILLER 2022-10-31
501 2020-07-01 FRANCOIS HOSTAILLER 2021-12-10
501 2019-07-01 FRANCOIS HOSTAILLER 2020-11-20
501 2018-07-01 FRANCOIS HOSTAILLER 2019-12-12
501 2017-07-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-07-01	FRANCOIS HOSTAILLER	2025-01-16
501	2022-07-01	FRANCOIS HOSTAILLER	2023-10-27
501	2021-07-01	FRANCOIS HOSTAILLER	2022-10-31
501	2020-07-01	FRANCOIS HOSTAILLER	2021-12-10
501	2019-07-01	FRANCOIS HOSTAILLER	2020-11-20
501	2018-07-01	FRANCOIS HOSTAILLER	2019-12-12
501	2017-07-01

Plan Statistics for MAB COMMUNITY SERVICES, INC.

401k plan membership statisitcs for MAB COMMUNITY SERVICES, INC.

Measure Date Value
2023: MAB COMMUNITY SERVICES, INC. 2023 401k membership
Total participants, beginning-of-year 2023-07-01 440
Total number of active participants reported on line 7a of the Form 5500 2023-07-01 431
Number of retired or separated participants receiving benefits 2023-07-01 0
Number of other retired or separated participants entitled to future benefits 2023-07-01 0
Total of all active and inactive participants 2023-07-01 431
Number of employers contributing to the scheme 2023-07-01 0
2022: MAB COMMUNITY SERVICES, INC. 2022 401k membership
Total participants, beginning-of-year 2022-07-01 138
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 440
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 2022-07-01 440
Number of employers contributing to the scheme 2022-07-01 0
2021: MAB COMMUNITY SERVICES, INC. 2021 401k membership
Total participants, beginning-of-year 2021-07-01 123
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 138
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 2021-07-01 138
Number of employers contributing to the scheme 2021-07-01 0
2020: MAB COMMUNITY SERVICES, INC. 2020 401k membership
Total participants, beginning-of-year 2020-07-01 120
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 123
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 2020-07-01 123
Number of employers contributing to the scheme 2020-07-01 0
2019: MAB COMMUNITY SERVICES, INC. 2019 401k membership
Total participants, beginning-of-year 2019-07-01 98
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 120
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 2019-07-01 120
Number of employers contributing to the scheme 2019-07-01 0
2018: MAB COMMUNITY SERVICES, INC. 2018 401k membership
Total participants, beginning-of-year 2018-07-01 100
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 98
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 0
Total of all active and inactive participants 2018-07-01 98
Number of employers contributing to the scheme 2018-07-01 0
2017: MAB COMMUNITY SERVICES, INC. 2017 401k membership
Total participants, beginning-of-year 2017-07-01 100
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 100
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 100
Number of employers contributing to the scheme 2017-07-01 0

Measure	Date	Value
2023: MAB COMMUNITY SERVICES, INC. 2023 401k membership
Total participants, beginning-of-year	2023-07-01	440
Total number of active participants reported on line 7a of the Form 5500	2023-07-01	431
Number of retired or separated participants receiving benefits	2023-07-01	0
Number of other retired or separated participants entitled to future benefits	2023-07-01	0
Total of all active and inactive participants	2023-07-01	431
Number of employers contributing to the scheme	2023-07-01	0
2022: MAB COMMUNITY SERVICES, INC. 2022 401k membership
Total participants, beginning-of-year	2022-07-01	138
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	440
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	440
Number of employers contributing to the scheme	2022-07-01	0
2021: MAB COMMUNITY SERVICES, INC. 2021 401k membership
Total participants, beginning-of-year	2021-07-01	123
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	138
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	138
Number of employers contributing to the scheme	2021-07-01	0
2020: MAB COMMUNITY SERVICES, INC. 2020 401k membership
Total participants, beginning-of-year	2020-07-01	120
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	123
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	123
Number of employers contributing to the scheme	2020-07-01	0
2019: MAB COMMUNITY SERVICES, INC. 2019 401k membership
Total participants, beginning-of-year	2019-07-01	98
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	120
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	120
Number of employers contributing to the scheme	2019-07-01	0
2018: MAB COMMUNITY SERVICES, INC. 2018 401k membership
Total participants, beginning-of-year	2018-07-01	100
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	98
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	0
Total of all active and inactive participants	2018-07-01	98
Number of employers contributing to the scheme	2018-07-01	0
2017: MAB COMMUNITY SERVICES, INC. 2017 401k membership
Total participants, beginning-of-year	2017-07-01	100
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	100
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	100
Number of employers contributing to the scheme	2017-07-01	0

Form 5500 Responses for MAB COMMUNITY SERVICES, INC.

2023: MAB COMMUNITY SERVICES, INC. 2023 form 5500 responses
2023-07-01	Type of plan entity	Single employer plan
2023-07-01	Plan funding arrangement – Insurance	Yes
2023-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-07-01	Plan benefit arrangement – Insurance	Yes
2023-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: MAB COMMUNITY SERVICES, INC. 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 benefit arrangement – Insurance	Yes
2021: MAB COMMUNITY SERVICES, INC. 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 benefit arrangement – Insurance	Yes
2020: MAB COMMUNITY SERVICES, INC. 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 benefit arrangement – Insurance	Yes
2019: MAB COMMUNITY SERVICES, INC. 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 benefit arrangement – Insurance	Yes
2018: MAB COMMUNITY SERVICES, INC. 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: MAB COMMUNITY SERVICES, INC. 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )

Policy contract number

E4829818

Policy instance

Insurance contract or identification number	E4829818
Number of Individuals Covered	4
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $89
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $2,339
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MONY (National Association of Insurance Commissioners NAIC id number: 78077 )

Policy contract number

13318

Policy instance

Insurance contract or identification number	13318
Number of Individuals Covered	431
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $6,356
Total amount of fees paid to insurance company	USD $4,121
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $54,182
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )

Policy contract number

4956652

Policy instance

Insurance contract or identification number	4956652
Number of Individuals Covered	224
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $49,797
Total amount of fees paid to insurance company	USD $15,308
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MONY (National Association of Insurance Commissioners NAIC id number: 78077 )

Policy contract number

13318

Policy instance

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )

Policy contract number

4956652

Policy instance

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )

Policy contract number

4956652

Policy instance

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )

Policy contract number

4956652

Policy instance

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )

Policy contract number

4956652

Policy instance

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )

Policy contract number

4956652

Policy instance

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )

Policy contract number

4956652

Policy instance

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Company Name:	MAB COMMUNITY SERVICES, INC.
Employer identification number (EIN):	042109859
NAIC Classification:	624310
NAIC Description:	Vocational Rehabilitation Services