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| Plan Name | MOTMANCO GROUP HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MOTMANCO, INC. |
| Employer identification number (EIN): | 581800849 |
| NAIC Classification: | 721110 |
| NAIC Description: | Hotels (except Casino Hotels) and Motels |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-01-01 | ||||
| 501 | 2022-01-01 | RONNETTE CONDRON | |||
| 501 | 2021-01-01 | ||||
| 501 | 2021-01-01 | RONNETTE CONDRON | |||
| 501 | 2020-01-01 | ||||
| 501 | 2019-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2022: MOTMANCO GROUP HEALTH PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 92 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 190 |
| Total of all active and inactive participants | 2022-01-01 | 190 |
| 2021: MOTMANCO GROUP HEALTH PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 130 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 87 |
| Total of all active and inactive participants | 2021-01-01 | 87 |
| 2020: MOTMANCO GROUP HEALTH PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 177 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 175 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 175 |
| 2019: MOTMANCO GROUP HEALTH PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 199 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 211 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 211 |
| 2022: MOTMANCO GROUP HEALTH PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: MOTMANCO GROUP HEALTH PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: MOTMANCO GROUP HEALTH PLAN 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: MOTMANCO GROUP HEALTH PLAN 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| ALLIED BENEFIT SYSTEMS (National Association of Insurance Commissioners NAIC id number: 82538 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | L181032 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 010-041581 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||
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| AXIS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 37273 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 35945 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||
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| ALLIED BENEFIT SYSTEMS (National Association of Insurance Commissioners NAIC id number: 82538 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | L181032 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 010-041581 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||
| AXIS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 37273 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 35945 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||
| ALLIED BENEFIT SYSTEMS (National Association of Insurance Commissioners NAIC id number: 82538 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | L181032 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 010-041581 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||
| AXIS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 37273 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 35945 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||
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