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GEORGIA 7 OPCO HOLDINGS LCC 401k Plan overview

Plan NameGEORGIA 7 OPCO HOLDINGS LCC
Plan identification number 502

GEORGIA 7 OPCO HOLDINGS LCC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

GEORGIA 7 OPCO HOLDINGS LLC has sponsored the creation of one or more 401k plans.

Company Name:GEORGIA 7 OPCO HOLDINGS LLC
Employer identification number (EIN):831981156
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GEORGIA 7 OPCO HOLDINGS LCC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-01-01ABRAHAM TYBERG2022-09-20

Plan Statistics for GEORGIA 7 OPCO HOLDINGS LCC

401k plan membership statisitcs for GEORGIA 7 OPCO HOLDINGS LCC

Measure Date Value
2021: GEORGIA 7 OPCO HOLDINGS LCC 2021 401k membership
Total participants, beginning-of-year2021-01-01233
Total number of active participants reported on line 7a of the Form 55002021-01-01167
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 participants2021-01-01167
Number of employers contributing to the scheme2021-01-010

Form 5500 Responses for GEORGIA 7 OPCO HOLDINGS LCC

2021: GEORGIA 7 OPCO HOLDINGS LCC 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan 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 number559465
Policy instance 1
Insurance contract or identification number559465
Number of Individuals Covered167
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $4,562
Total amount of fees paid to insurance companyUSD $2,201
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $57,409
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,562
Amount paid for insurance broker fees2201
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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