401k Plan data: ESPLANADE EQUITY, LLC GROUP HEALTH AND WELFARE BENEFIT PLAN plan

ESPLANADE EQUITY, LLC GROUP HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	ESPLANADE EQUITY, LLC GROUP HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	501

ESPLANADE EQUITY, LLC GROUP HEALTH AND 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) Prepaid legal Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ESPLANADE EQUITY, LLC has sponsored the creation of one or more 401k plans.

Company Name: ESPLANADE EQUITY, LLC

Employer identification number (EIN): 473733378

NAIC Classification: 531310

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ESPLANADE EQUITY, LLC GROUP HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-06-01 TATIANA NARVAEZ 2024-12-16

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-06-01	TATIANA NARVAEZ	2024-12-16

Plan Statistics for ESPLANADE EQUITY, LLC GROUP HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for ESPLANADE EQUITY, LLC GROUP HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2023: ESPLANADE EQUITY, LLC GROUP HEALTH AND WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-06-01 266
Total number of active participants reported on line 7a of the Form 5500 2023-06-01 256
Number of retired or separated participants receiving benefits 2023-06-01 0
Number of other retired or separated participants entitled to future benefits 2023-06-01 0
Total of all active and inactive participants 2023-06-01 256
Number of employers contributing to the scheme 2023-06-01 0

Measure	Date	Value
2023: ESPLANADE EQUITY, LLC GROUP HEALTH AND WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-06-01	266
Total number of active participants reported on line 7a of the Form 5500	2023-06-01	256
Number of retired or separated participants receiving benefits	2023-06-01	0
Number of other retired or separated participants entitled to future benefits	2023-06-01	0
Total of all active and inactive participants	2023-06-01	256
Number of employers contributing to the scheme	2023-06-01	0

Form 5500 Responses for ESPLANADE EQUITY, LLC GROUP HEALTH AND WELFARE BENEFIT PLAN

2023: ESPLANADE EQUITY, LLC GROUP HEALTH AND WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-06-01	Type of plan entity	Single employer plan
2023-06-01	First time form 5500 has been submitted	Yes
2023-06-01	Plan funding arrangement – Insurance	Yes
2023-06-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HUMANA MEDICAL PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95270 )

Policy contract number

401742

Policy instance

Insurance contract or identification number	401742
Number of Individuals Covered	113
Insurance policy start date	2023-06-01
Insurance policy end date	2024-05-31
Total amount of commissions paid to insurance broker	USD $53,138
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $884,808
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5396153

Policy instance

Insurance contract or identification number	5396153
Number of Individuals Covered	217
Insurance policy start date	2023-06-01
Insurance policy end date	2024-05-31
Total amount of commissions paid to insurance broker	USD $4,495
Total amount of fees paid to insurance company	USD $1,829
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $20,153
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

8210010

Policy instance

Insurance contract or identification number	8210010
Number of Individuals Covered	15
Insurance policy start date	2023-06-01
Insurance policy end date	2024-05-31
Total amount of commissions paid to insurance broker	USD $767
Total amount of fees paid to insurance company	USD $199
Other welfare benefits provided	LEGAL
Welfare Benefit Premiums Paid to Carrier	USD $3,018
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

10219315

Policy instance

Insurance contract or identification number	10219315
Number of Individuals Covered	256
Insurance policy start date	2023-06-01
Insurance policy end date	2024-05-31
Total amount of commissions paid to insurance broker	USD $28,607
Total amount of fees paid to insurance company	USD $21,548
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
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, ACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to Carrier	USD $165,679
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ESPLANADE EQUITY, LLC
Employer identification number (EIN):	473733378
NAIC Classification:	531310