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WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 401k Plan overview

Plan NameWISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN
Plan identification number 501

WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN Benefits

401k Plan TypeWelfare 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

WISCONSIN HOSPITALITY GROUP, LLC has sponsored the creation of one or more 401k plans.

Company Name:WISCONSIN HOSPITALITY GROUP, LLC
Employer identification number (EIN):800267885
NAIC Classification:722511
NAIC Description:Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-09-01MARK DILLON2020-10-05
5012018-09-01MARK DILLON2020-06-15
5012017-09-01
5012016-09-01MARK DILLON
5012015-09-01MARK DILLON
5012014-09-01MARK DILLON
5012013-09-01MARK DILLON
5012012-09-01MARK DILLON MARK DILLON2014-03-25
5012011-09-01MARK DILLON
5012009-09-01MARK DILLON

Plan Statistics for WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN

401k plan membership statisitcs for WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN

Measure Date Value
2019: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01148
Total number of active participants reported on line 7a of the Form 55002019-09-010
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-010
Number of employers contributing to the scheme2019-09-010
2018: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01262
Total number of active participants reported on line 7a of the Form 55002018-09-01171
Number of retired or separated participants receiving benefits2018-09-011
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-01172
Number of employers contributing to the scheme2018-09-010
2017: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01298
Total number of active participants reported on line 7a of the Form 55002017-09-01294
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01294
Total participants2017-09-01294
2016: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01335
Total number of active participants reported on line 7a of the Form 55002016-09-01323
Number of retired or separated participants receiving benefits2016-09-012
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-01325
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-09-010
Total participants2016-09-01325
2015: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01343
Total number of active participants reported on line 7a of the Form 55002015-09-01312
Number of retired or separated participants receiving benefits2015-09-010
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-01312
Total participants2015-09-01312
2014: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01347
Total number of active participants reported on line 7a of the Form 55002014-09-01344
Total of all active and inactive participants2014-09-01344
2013: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01408
Total number of active participants reported on line 7a of the Form 55002013-09-01346
Number of retired or separated participants receiving benefits2013-09-012
Total of all active and inactive participants2013-09-01348
2012: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01418
Total number of active participants reported on line 7a of the Form 55002012-09-01408
Number of retired or separated participants receiving benefits2012-09-011
Total of all active and inactive participants2012-09-01409
2011: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01483
Total number of active participants reported on line 7a of the Form 55002011-09-01418
Number of retired or separated participants receiving benefits2011-09-011
Total of all active and inactive participants2011-09-01419
2009: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01585
Total number of active participants reported on line 7a of the Form 55002009-09-01503
Number of retired or separated participants receiving benefits2009-09-011
Total of all active and inactive participants2009-09-01504
Total participants2009-09-01504

Form 5500 Responses for WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN

2019: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01This submission is the final filingYes
2019-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan funding arrangement – General assets of the sponsorYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – General assets of the sponsorYes
2017: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Submission has been amendedNo
2017-09-01This submission is the final filingNo
2017-09-01This return/report is a short plan year return/report (less than 12 months)No
2017-09-01Plan is a collectively bargained planNo
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – General assets of the sponsorYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – General assets of the sponsorYes
2016: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – General assets of the sponsorYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – General assets of the sponsorYes
2015: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – General assets of the sponsorYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – General assets of the sponsorYes
2014: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – General assets of the sponsorYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – General assets of the sponsorYes
2013: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Submission has been amendedNo
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planNo
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – General assets of the sponsorYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – General assets of the sponsorYes
2012: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)No
2012-09-01Plan is a collectively bargained planNo
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan funding arrangement – General assets of the sponsorYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – General assets of the sponsorYes
2011: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)No
2011-09-01Plan is a collectively bargained planNo
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan funding arrangement – General assets of the sponsorYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – General assets of the sponsorYes
2009: WISCONSIN HOSPITALITY GROUP, LLC HEALTH CARE PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Submission has been amendedNo
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan funding arrangement – General assets of the sponsorYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB200194
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK965267
Policy instance 4
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number908897
Policy instance 3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberER00031490
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB200194
Policy instance 1
RENAISSANCE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61700 )
Policy contract number2700
Policy instance 5
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB200194
Policy instance 6
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK962581
Policy instance 5
RENAISSANCE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61700 )
Policy contract number0002700
Policy instance 8
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number00031490
Policy instance 9
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK962580
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK965267
Policy instance 3
WYSSTA INSURANCE COMPANY INC. (National Association of Insurance Commissioners NAIC id number: 12352 )
Policy contract number41584
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX980208
Policy instance 2
RENAISSANCE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61700 )
Policy contract number0002700
Policy instance 7

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