?>
Logo

TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 401k Plan overview

Plan NameTIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH
Plan identification number 504

TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

TIJUANA FLATS RESTAURANTS, LLC has sponsored the creation of one or more 401k plans.

Company Name:TIJUANA FLATS RESTAURANTS, LLC
Employer identification number (EIN):474472442
NAIC Classification:722300
NAIC Description: Special Food Services

Additional information about TIJUANA FLATS RESTAURANTS, LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2015-07-01
Company Identification Number: L15000114299
Legal Registered Office Address: 2300 MAITLAND CENTER PKWY

MAITLAND

32751

More information about TIJUANA FLATS RESTAURANTS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-07-01CHRISTINE FIELDS2023-12-05
5042021-07-01CHRISTINE FIELDS2023-01-25
5042020-07-01CHRISTINE FIELDS2021-11-23
5042019-07-01CHRISTINE FIELDS2021-01-20
5042018-07-01CHRISTINE FIELDS2020-01-10
5042017-07-01
5042016-07-01
5042015-07-01JEFF RETTING

Plan Statistics for TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH

401k plan membership statisitcs for TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH

Measure Date Value
2022: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2022 401k membership
Total participants, beginning-of-year2022-07-01239
Total number of active participants reported on line 7a of the Form 55002022-07-01188
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01188
Number of employers contributing to the scheme2022-07-010
2021: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2021 401k membership
Total participants, beginning-of-year2021-07-01241
Total number of active participants reported on line 7a of the Form 55002021-07-01205
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01205
Number of employers contributing to the scheme2021-07-010
2020: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2020 401k membership
Total participants, beginning-of-year2020-07-01245
Total number of active participants reported on line 7a of the Form 55002020-07-01243
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01243
Number of employers contributing to the scheme2020-07-010
2019: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2019 401k membership
Total participants, beginning-of-year2019-07-01434
Total number of active participants reported on line 7a of the Form 55002019-07-01331
Number of retired or separated participants receiving benefits2019-07-011
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-01332
Number of employers contributing to the scheme2019-07-010
2018: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2018 401k membership
Total participants, beginning-of-year2018-07-01423
Total number of active participants reported on line 7a of the Form 55002018-07-01432
Number of retired or separated participants receiving benefits2018-07-013
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01435
Number of employers contributing to the scheme2018-07-010
2017: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2017 401k membership
Total participants, beginning-of-year2017-07-01327
Total number of active participants reported on line 7a of the Form 55002017-07-01296
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01296
2016: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2016 401k membership
Total participants, beginning-of-year2016-07-01261
Total number of active participants reported on line 7a of the Form 55002016-07-01298
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01298
2015: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2015 401k membership
Total participants, beginning-of-year2015-07-01361
Total number of active participants reported on line 7a of the Form 55002015-07-01400
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01400

Form 5500 Responses for TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH

2022: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: TIJUANA FLATS RESTAURANTS, LLC LIFE AND ACCIDENTAL DEATH 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0ASV2
Policy instance 1
Insurance contract or identification numberGLUG0ASV2
Number of Individuals Covered227
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $446
Total amount of fees paid to insurance companyUSD $489
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,864
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $446
Amount paid for insurance broker fees177
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number729739
Policy instance 1
Insurance contract or identification number729739
Number of Individuals Covered251
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $675
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $675
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number729739
Policy instance 1
Insurance contract or identification number729739
Number of Individuals Covered498
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $924
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $7,702
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $924
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number729739
Policy instance 1
Insurance contract or identification number729739
Number of Individuals Covered331
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $647
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $537
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $647
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number729739
Policy instance 1
Insurance contract or identification number729739
Number of Individuals Covered523
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $11,387
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $7,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,387
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number729739
Policy instance 1
Insurance contract or identification number729739
Number of Individuals Covered912
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $11,223
Total amount of fees paid to insurance companyUSD $117,386
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,511,773
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,223
Amount paid for insurance broker fees117386
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
Insurance broker nameDIGITAL BENEFIT ADVISORS

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S3