401k Plan data: BIPARTISAN POLICY CENTER HEALTH AND WELFARE PLAN plan

BIPARTISAN POLICY CENTER HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	BIPARTISAN POLICY CENTER HEALTH AND WELFARE PLAN
Plan identification number	501

BIPARTISAN POLICY CENTER HEALTH AND WELFARE 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) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

BIPARTISAN POLICY CENTER has sponsored the creation of one or more 401k plans.

Company Name: BIPARTISAN POLICY CENTER

Employer identification number (EIN): 731628382

NAIC Classification: 541700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BIPARTISAN POLICY CENTER HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 MICHAEL VAVALA 2023-05-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01	MICHAEL VAVALA	2023-05-11

Plan Statistics for BIPARTISAN POLICY CENTER HEALTH AND WELFARE PLAN

401k plan membership statisitcs for BIPARTISAN POLICY CENTER HEALTH AND WELFARE PLAN

Measure Date Value
2022: BIPARTISAN POLICY CENTER HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 116
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 116
Number of employers contributing to the scheme 2022-01-01 0

Measure	Date	Value
2022: BIPARTISAN POLICY CENTER HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	116
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	116
Number of employers contributing to the scheme	2022-01-01	0

Form 5500 Responses for BIPARTISAN POLICY CENTER HEALTH AND WELFARE PLAN

2022: BIPARTISAN POLICY CENTER HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	First time form 5500 has been submitted	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CAREFIRST BLUECHOICE (National Association of Insurance Commissioners NAIC id number: 96202 )

Policy contract number

6U23

Policy instance

Insurance contract or identification number	6U23
Number of Individuals Covered	218
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $2,634
Total amount of fees paid to insurance company	USD $72,362
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,679,697
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,634
Amount paid for insurance broker fees	60135
Additional information about fees paid to insurance broker	PERSISTENCY BONUS, PRODUCTER SERVICE FEE
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1137309

Policy instance

Insurance contract or identification number	1137309
Number of Individuals Covered	137
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $18,384
Total amount of fees paid to insurance company	USD $3,245
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $132,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,384
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	BONUS

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Company Name:	BIPARTISAN POLICY CENTER
Employer identification number (EIN):	731628382
NAIC Classification:	541700