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DARTPOINTS OPERATING COMPANY HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameDARTPOINTS OPERATING COMPANY HEALTH AND WELFARE PLAN
Plan identification number 501

DARTPOINTS OPERATING COMPANY HEALTH AND WELFARE 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)

401k Sponsoring company profile

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

Company Name:DARTPOINTS OPERATING COMPANY, LLC
Employer identification number (EIN):844872951
NAIC Classification:518210
NAIC Description:Data Processing, Hosting, and Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DARTPOINTS OPERATING COMPANY HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-06-01KATIE OLIVER2022-10-11

Plan Statistics for DARTPOINTS OPERATING COMPANY HEALTH AND WELFARE PLAN

401k plan membership statisitcs for DARTPOINTS OPERATING COMPANY HEALTH AND WELFARE PLAN

Measure Date Value
2021: DARTPOINTS OPERATING COMPANY HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-01100
Total number of active participants reported on line 7a of the Form 55002021-06-01147
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01147
Number of employers contributing to the scheme2021-06-010

Form 5500 Responses for DARTPOINTS OPERATING COMPANY HEALTH AND WELFARE PLAN

2021: DARTPOINTS OPERATING COMPANY HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01First time form 5500 has been submittedYes
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number924299
Policy instance 1
Insurance contract or identification number924299
Number of Individuals Covered147
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $46,925
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $882,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees46925
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number21100
Policy instance 2
Insurance contract or identification number21100
Number of Individuals Covered78
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $42,473
Total amount of fees paid to insurance companyUSD $5,953
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, ACCIDENT, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $147,543
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,155
Amount paid for insurance broker fees5953
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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