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BELLEVUE OPERATING LLC 401k Plan overview

Plan NameBELLEVUE OPERATING LLC
Plan identification number 501

BELLEVUE OPERATING LLC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • 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
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

BELLEVUE OPERATING COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name:BELLEVUE OPERATING COMPANY, LLC
Employer identification number (EIN):831880435
NAIC Classification:531110
NAIC Description:Lessors of Residential Buildings and Dwellings

Additional information about BELLEVUE OPERATING COMPANY, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2018-09-11
Company Identification Number: 0803115064
Legal Registered Office Address: 1501 S MOPAC EXPY STE 220

AUSTIN
United States of America (USA)
78746

More information about BELLEVUE OPERATING COMPANY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BELLEVUE OPERATING LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-01-01SAMANTHA ROESSNER2022-03-08
5012020-01-01RACHEL PURCELL2021-02-08

Plan Statistics for BELLEVUE OPERATING LLC

401k plan membership statisitcs for BELLEVUE OPERATING LLC

Measure Date Value
2021: BELLEVUE OPERATING LLC 2021 401k membership
Total participants, beginning-of-year2021-01-01102
Total number of active participants reported on line 7a of the Form 55002021-01-0173
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0173
Number of employers contributing to the scheme2021-01-010
2020: BELLEVUE OPERATING LLC 2020 401k membership
Total participants, beginning-of-year2020-01-01100
Total number of active participants reported on line 7a of the Form 55002020-01-01103
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01103
Number of employers contributing to the scheme2020-01-010

Form 5500 Responses for BELLEVUE OPERATING LLC

2021: BELLEVUE OPERATING LLC 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: BELLEVUE OPERATING LLC 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number555119
Policy instance 1
Insurance contract or identification number555119
Number of Individuals Covered73
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $10,428
Total amount of fees paid to insurance companyUSD $2,211
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $84,182
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,428
Amount paid for insurance broker fees2211
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number555119
Policy instance 1
Insurance contract or identification number555119
Number of Individuals Covered103
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $10,732
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $84,766
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,732
Amount paid for insurance broker fees0
Insurance broker organization code?3

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