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HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan NameHOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN
Plan identification number 501

HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

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

Company Name:HOSPITALITY HEALTH, LLC
Employer identification number (EIN):814275644
NAIC Classification:312120
NAIC Description:Breweries

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-12-01 REBECCA VIGUE2023-06-26
5012020-12-01REBECCA VIGUE2022-06-27
5012019-12-01REBECCA VIGUE2021-06-25
5012018-12-01REBECCA VIGUE2021-06-25
5012017-12-01REBECCA VIGUE2019-07-10
5012016-12-01

Plan Statistics for HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN

Measure Date Value
2021: HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01213
Total number of active participants reported on line 7a of the Form 55002021-12-01194
Total of all active and inactive participants2021-12-01194
2020: HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01202
Total number of active participants reported on line 7a of the Form 55002020-12-01213
Total of all active and inactive participants2020-12-01213
2019: HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01235
Total number of active participants reported on line 7a of the Form 55002019-12-01202
Total of all active and inactive participants2019-12-01202
2018: HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01243
Total number of active participants reported on line 7a of the Form 55002018-12-01235
Total of all active and inactive participants2018-12-01235
2017: HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01206
Total number of active participants reported on line 7a of the Form 55002017-12-01167
Total of all active and inactive participants2017-12-01167
2016: HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01354
Total number of active participants reported on line 7a of the Form 55002016-12-01196
Total of all active and inactive participants2016-12-01196

Form 5500 Responses for HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN

2021: HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes
2019: HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – General assets of the sponsorYes
2018: HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Submission has been amendedYes
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – General assets of the sponsorYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – General assets of the sponsorYes
2017: HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan funding arrangement – General assets of the sponsorYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – General assets of the sponsorYes
2016: HOSPITALITY HEALTH, LLC FLEXIBLE BENEFIT PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan funding arrangement – General assets of the sponsorYes
2016-12-01Plan benefit arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number166585
Policy instance 1
Insurance contract or identification number166585
Number of Individuals Covered140
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $2,228
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,228
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number166585
Policy instance 2
Insurance contract or identification number166585
Number of Individuals Covered140
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $56
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number166585
Policy instance 1
Insurance contract or identification number166585
Number of Individuals Covered135
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $2,851
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,851
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number166585
Policy instance 2
Insurance contract or identification number166585
Number of Individuals Covered135
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $97
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $97
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number299884
Policy instance 1
Insurance contract or identification number299884
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-12-01
Total amount of commissions paid to insurance brokerUSD $3,799
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $109,859
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,799
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number166585
Policy instance 2
Insurance contract or identification number166585
Number of Individuals Covered140
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $4,863
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,863
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number166585
Policy instance 3
Insurance contract or identification number166585
Number of Individuals Covered140
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $418
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $418
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number299884
Policy instance 1
Insurance contract or identification number299884
Number of Individuals Covered168
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,928
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $133,572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,928
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number299884
Policy instance 1
Insurance contract or identification number299884
Number of Individuals Covered190
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,084
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $133,856
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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