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COMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN 401k Plan overview

Plan NameCOMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN
Plan identification number 502

COMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:COMMUNITY INTEGRATED SERVICES, INC.
Employer identification number (EIN):200006353
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about COMMUNITY INTEGRATED SERVICES, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3378077

More information about COMMUNITY INTEGRATED SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-08-01CHARLES MORTON2023-02-16
5022021-08-01CHARLES MORTON2024-04-23
5022020-08-01CHARLES MORTON2022-02-03
5022019-08-01CHARLES MORTON2021-02-23

Plan Statistics for COMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN

401k plan membership statisitcs for COMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN

Measure Date Value
2021: COMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-01123
Total number of active participants reported on line 7a of the Form 55002021-08-01123
Number of retired or separated participants receiving benefits2021-08-010
Number of other retired or separated participants entitled to future benefits2021-08-010
Total of all active and inactive participants2021-08-01123
Number of employers contributing to the scheme2021-08-010
2020: COMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01123
Total number of active participants reported on line 7a of the Form 55002020-08-01123
Number of retired or separated participants receiving benefits2020-08-010
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-01123
Number of employers contributing to the scheme2020-08-010
2019: COMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01107
Total number of active participants reported on line 7a of the Form 55002019-08-01123
Number of retired or separated participants receiving benefits2019-08-010
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-01123
Number of employers contributing to the scheme2019-08-010

Form 5500 Responses for COMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN

2021: COMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Submission has been amendedYes
2021-08-01This submission is the final filingYes
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – InsuranceYes
2020: COMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: COMMUNITY INTEGRATED SERVICES GROUP VOLUNTARY PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01First time form 5500 has been submittedYes
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4791257
Policy instance 1
Insurance contract or identification numberE4791257
Number of Individuals Covered42
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $10,791
Total amount of fees paid to insurance companyUSD $1,793
Other welfare benefits providedLEGAL, ACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $38,201
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $4,335
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4791240
Policy instance 2
Insurance contract or identification numberE4791240
Number of Individuals Covered81
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $16,223
Total amount of fees paid to insurance companyUSD $2,684
Other welfare benefits providedLEGAL, ACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $65,519
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $6,336
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4791257
Policy instance 1
Insurance contract or identification numberE4791257
Number of Individuals Covered41
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $5,282
Total amount of fees paid to insurance companyUSD $1,226
Other welfare benefits providedLEGAL, ACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $32,421
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,133
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4791240
Policy instance 2
Insurance contract or identification numberE4791240
Number of Individuals Covered77
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $13,758
Total amount of fees paid to insurance companyUSD $3,621
Other welfare benefits providedLEGAL, ACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $61,513
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $5,377
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4791257
Policy instance 1
Insurance contract or identification numberE4791257
Number of Individuals Covered46
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $9,176
Total amount of fees paid to insurance companyUSD $3,149
Other welfare benefits providedLEGAL, ACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $32,698
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $3,510
Amount paid for insurance broker fees1073
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4791240
Policy instance 2
Insurance contract or identification numberE4791240
Number of Individuals Covered77
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $15,284
Total amount of fees paid to insurance companyUSD $4,818
Other welfare benefits providedLEGAL, ACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $54,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $5,773
Amount paid for insurance broker fees1704
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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