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M & R HOTEL MANAGEMENT CRITICAL ILLNESS PLAN 401k Plan overview

Plan NameM & R HOTEL MANAGEMENT CRITICAL ILLNESS PLAN
Plan identification number 506

M & R HOTEL MANAGEMENT CRITICAL ILLNESS PLAN Benefits

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

M & R HOTEL MANAGEMENT has sponsored the creation of one or more 401k plans.

Company Name:M & R HOTEL MANAGEMENT
Employer identification number (EIN):753206201
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan M & R HOTEL MANAGEMENT CRITICAL ILLNESS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062022-01-01CLEOPHUS CLARKE2023-08-16

Plan Statistics for M & R HOTEL MANAGEMENT CRITICAL ILLNESS PLAN

401k plan membership statisitcs for M & R HOTEL MANAGEMENT CRITICAL ILLNESS PLAN

Measure Date Value
2022: M & R HOTEL MANAGEMENT CRITICAL ILLNESS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01100
Total number of active participants reported on line 7a of the Form 55002022-01-0134
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0134
Number of employers contributing to the scheme2022-01-010

Form 5500 Responses for M & R HOTEL MANAGEMENT CRITICAL ILLNESS PLAN

2022: M & R HOTEL MANAGEMENT CRITICAL ILLNESS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68209 )
Policy contract number711992
Policy instance 1
Insurance contract or identification number711992
Number of Individuals Covered81
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $968
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $9,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $329
Amount paid for insurance broker fees0
Insurance broker organization code?3

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