401k Plan data: JOHN BURNS REAL ESTATE CONSULTING LLC HEALTH & WELFARE BENEFIT PLAN plan

JOHN BURNS REAL ESTATE CONSULTING LLC HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	JOHN BURNS REAL ESTATE CONSULTING LLC HEALTH & WELFARE BENEFIT PLAN
Plan identification number	501

JOHN BURNS REAL ESTATE CONSULTING LLC HEALTH & WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

JOHN BURNS RESEARCH AND CONSULTING LLC has sponsored the creation of one or more 401k plans.

Company Name: JOHN BURNS RESEARCH AND CONSULTING LLC

Employer identification number (EIN): 010556156

NAIC Classification: 541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN BURNS REAL ESTATE CONSULTING LLC HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 KATHY AYUAYO 2024-10-09

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	KATHY AYUAYO	2024-10-09

Plan Statistics for JOHN BURNS REAL ESTATE CONSULTING LLC HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for JOHN BURNS REAL ESTATE CONSULTING LLC HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2023: JOHN BURNS REAL ESTATE CONSULTING LLC HEALTH & WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 172
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 172
Number of employers contributing to the scheme 2023-01-01 0

Measure	Date	Value
2023: JOHN BURNS REAL ESTATE CONSULTING LLC HEALTH & WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	172
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	172
Number of employers contributing to the scheme	2023-01-01	0

Form 5500 Responses for JOHN BURNS REAL ESTATE CONSULTING LLC HEALTH & WELFARE BENEFIT PLAN

2023: JOHN BURNS REAL ESTATE CONSULTING LLC HEALTH & WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

926964

Policy instance

Insurance contract or identification number	926964
Number of Individuals Covered	171
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $53,750
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $834,509
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1133458

Policy instance

Insurance contract or identification number	1133458
Number of Individuals Covered	172
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $4,143
Total amount of fees paid to insurance company	USD $4,886
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $84,563
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CALIFORNIA DENTAL NETWORK, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

3860

Policy instance

Insurance contract or identification number	3860
Number of Individuals Covered	20
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $461
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LENSABLE (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

Insurance contract or identification number	NA
Number of Individuals Covered	172
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

607500

Policy instance

Insurance contract or identification number	607500
Number of Individuals Covered	32
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $11,868
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Welfare Benefit Premiums Paid to Carrier	USD $219,142
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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Company Name:	JOHN BURNS RESEARCH AND CONSULTING LLC
Employer identification number (EIN):	010556156
NAIC Classification:	541600