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SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameSWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN
Plan identification number 501

SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

SWEETWATER PARTNERS LLC has sponsored the creation of one or more 401k plans.

Company Name:SWEETWATER PARTNERS LLC
Employer identification number (EIN):271081060
NAIC Classification:453990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01TABITHA GOERGER2023-06-05
5012020-11-01ERIN LEWIS2022-04-28
5012019-11-01ERIN LEWIS2021-01-28
5012018-11-01ERIN LEWIS2020-03-11

Plan Statistics for SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN

401k plan membership statisitcs for SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN

Measure Date Value
2021: SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01244
Total number of active participants reported on line 7a of the Form 55002021-11-01241
Number of retired or separated participants receiving benefits2021-11-011
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-01242
Number of employers contributing to the scheme2021-11-010
2020: SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01240
Total number of active participants reported on line 7a of the Form 55002020-11-01238
Number of retired or separated participants receiving benefits2020-11-013
Number of other retired or separated participants entitled to future benefits2020-11-013
Total of all active and inactive participants2020-11-01244
Number of employers contributing to the scheme2020-11-010
2019: SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01126
Total number of active participants reported on line 7a of the Form 55002019-11-01124
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-01124
Number of employers contributing to the scheme2019-11-010
2018: SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-01115
Total number of active participants reported on line 7a of the Form 55002018-11-01124
Number of retired or separated participants receiving benefits2018-11-012
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-01126
Number of employers contributing to the scheme2018-11-010

Form 5500 Responses for SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN

2021: SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan funding arrangement – General assets of the sponsorYes
2021-11-01Plan benefit arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – General assets of the sponsorYes
2020: SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan funding arrangement – General assets of the sponsorYes
2020-11-01Plan benefit arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – General assets of the sponsorYes
2019: SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Plan funding arrangement – General assets of the sponsorYes
2019-11-01Plan benefit arrangement – General assets of the sponsorYes
2018: SWEETWATER PARTNERS LLC HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01First time form 5500 has been submittedYes
2018-11-01Plan funding arrangement – General assets of the sponsorYes
2018-11-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )
Policy contract number923536-000
Policy instance 1
Insurance contract or identification number923536-000
Number of Individuals Covered123
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $2,131
Total amount of fees paid to insurance companyUSD $1,438
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,891
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1438
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
BETA HEALTH ASSOCIATION, INC. (National Association of Insurance Commissioners NAIC id number: 81300 )
Policy contract numberGP00032701
Policy instance 2
Insurance contract or identification numberGP00032701
Number of Individuals Covered51
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $671
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $463
Amount paid for insurance broker fees0
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10032421001
Policy instance 3
Insurance contract or identification number10032421001
Number of Individuals Covered166
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $1,088
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $657
Amount paid for insurance broker fees0
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10032421001
Policy instance 1
Insurance contract or identification number10032421001
Number of Individuals Covered134
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $1,179
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,789
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,179
Amount paid for insurance broker fees0
Insurance broker organization code?3

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