401k Plan data: GOLDEN ENTERTAINMENT INC EMPLOYEE BENEFITS PLAN plan

GOLDEN ENTERTAINMENT INC EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan Name	GOLDEN ENTERTAINMENT INC EMPLOYEE BENEFITS PLAN
Plan identification number	505

GOLDEN ENTERTAINMENT INC EMPLOYEE BENEFITS 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) Prepaid legal Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

GOLDEN ENTERTAINMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name: GOLDEN ENTERTAINMENT, INC.

Employer identification number (EIN): 411913991

NAIC Classification: 721120
NAIC Description: Casino Hotels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOLDEN ENTERTAINMENT INC EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2023-01-01 CLAUDINE MCCANN 2024-10-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
505	2023-01-01	CLAUDINE MCCANN	2024-10-11

Plan Statistics for GOLDEN ENTERTAINMENT INC EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for GOLDEN ENTERTAINMENT INC EMPLOYEE BENEFITS PLAN

Measure Date Value
2023: GOLDEN ENTERTAINMENT INC EMPLOYEE BENEFITS PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 4,488
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 3,885
Number of retired or separated participants receiving benefits 2023-01-01 12
Number of other retired or separated participants entitled to future benefits 2023-01-01 118
Total of all active and inactive participants 2023-01-01 4,015
Number of employers contributing to the scheme 2023-01-01 0

Measure	Date	Value
2023: GOLDEN ENTERTAINMENT INC EMPLOYEE BENEFITS PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	4,488
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	3,885
Number of retired or separated participants receiving benefits	2023-01-01	12
Number of other retired or separated participants entitled to future benefits	2023-01-01	118
Total of all active and inactive participants	2023-01-01	4,015
Number of employers contributing to the scheme	2023-01-01	0

Form 5500 Responses for GOLDEN ENTERTAINMENT INC EMPLOYEE BENEFITS PLAN

2023: GOLDEN ENTERTAINMENT INC EMPLOYEE BENEFITS 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

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )

Policy contract number

30107876

Policy instance

Insurance contract or identification number	30107876
Number of Individuals Covered	2127
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
Welfare Benefit Premiums Paid to Carrier	USD $470,839
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

69689-7

Policy instance

Insurance contract or identification number	69689-7
Number of Individuals Covered	620
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-13
Total amount of commissions paid to insurance broker	USD $70,621
Total amount of fees paid to insurance company	USD $4,019
Other welfare benefits provided	ACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to Carrier	USD $324,143
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

6090808

Policy instance

Insurance contract or identification number	6090808
Number of Individuals Covered	200
Insurance policy start date	2023-01-01
Insurance policy end date	2023-03-31
Total amount of commissions paid to insurance broker	USD $1,121
Total amount of fees paid to insurance company	USD $283
Other welfare benefits provided	LEGAL
Welfare Benefit Premiums Paid to Carrier	USD $8,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

CURALINC HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 62419 )

Policy contract number

GOLDEN

Policy instance

Insurance contract or identification number	GOLDEN
Number of Individuals Covered	5885
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
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $57,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN GENERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 39950 )

Policy contract number

6090808

Policy instance

Insurance contract or identification number	6090808
Number of Individuals Covered	169
Insurance policy start date	2023-04-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $2,927
Total amount of fees paid to insurance company	USD $337
Other welfare benefits provided	LEGAL
Welfare Benefit Premiums Paid to Carrier	USD $30,872
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

SA2890LF072001

Policy instance

Insurance contract or identification number	SA2890LF072001
Number of Individuals Covered	3885
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
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $1,548,652
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	GOLDEN ENTERTAINMENT, INC.
Employer identification number (EIN):	411913991
NAIC Classification:	721120
NAIC Description:	Casino Hotels