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| Plan Name | VEGAS CHAMBER GROUP HEALTH PLAN FOR PROFESSIONAL SERVICES MEMBERS |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LAS VEGAS CHAMBER OF COMMERCE |
| Employer identification number (EIN): | 880035080 |
| NAIC Classification: | 541990 |
| NAIC Description: | All Other Professional, Scientific, and Technical Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2024-01-01 | MARY BETH SEWALD | |||
| 504 | 2023-01-01 | MARY BETH SEWALD | 2024-10-15 | MARY BETH SEWALD | 2024-10-15 |
| 504 | 2022-07-01 | MARY BETH SEWALD | 2024-08-21 | MARY BETH SEWALD | 2024-08-21 |
| Measure | Date | Value |
|---|---|---|
| 2023: VEGAS CHAMBER GROUP HEALTH PLAN FOR PROFESSIONAL SERVICES MEMBERS 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-01-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 25 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
| Total of all active and inactive participants | 2023-01-01 | 25 |
| Total participants | 2023-01-01 | 25 |
| 2022: VEGAS CHAMBER GROUP HEALTH PLAN FOR PROFESSIONAL SERVICES MEMBERS 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-07-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 8 |
| Number of retired or separated participants receiving benefits | 2022-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-07-01 | 0 |
| Total of all active and inactive participants | 2022-07-01 | 8 |
| Total participants | 2022-07-01 | 8 |
| 2023: VEGAS CHAMBER GROUP HEALTH PLAN FOR PROFESSIONAL SERVICES MEMBERS 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Mulitple employer plan |
| 2023-01-01 | Submission has been amended | No |
| 2023-01-01 | This submission is the final filing | No |
| 2023-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-01-01 | Plan is a collectively bargained plan | No |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: VEGAS CHAMBER GROUP HEALTH PLAN FOR PROFESSIONAL SERVICES MEMBERS 2022 form 5500 responses | ||
| 2022-07-01 | Type of plan entity | Mulitple employer plan |
| 2022-07-01 | First time form 5500 has been submitted | Yes |
| 2022-07-01 | Submission has been amended | No |
| 2022-07-01 | This submission is the final filing | No |
| 2022-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2022-07-01 | Plan is a collectively bargained plan | No |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | HEALTH PPO | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 95473 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | HEALTH HMO | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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| ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | HEALTH PPO | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 95473 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | HEALTH HMO | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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