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STE. MICHELLE WINE ESTATES HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan NameSTE. MICHELLE WINE ESTATES HEALTH & WELFARE BENEFIT PLAN
Plan identification number 502

STE. MICHELLE WINE ESTATES HEALTH & WELFARE BENEFIT 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)
  • Other welfare benefit cover

401k Sponsoring company profile

STE. MICHELLE WINE ESTATES LLC has sponsored the creation of one or more 401k plans.

Company Name:STE. MICHELLE WINE ESTATES LLC
Employer identification number (EIN):910897041
NAIC Classification:312130
NAIC Description:Wineries

Additional information about STE. MICHELLE WINE ESTATES LLC

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1973-01-02
Company Identification Number: 600099424
Legal Registered Office Address: 711 CAPITOL WAY S STE 204

OLYMPIA
United States of America (USA)
985011267

More information about STE. MICHELLE WINE ESTATES LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STE. MICHELLE WINE ESTATES HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01MICHELLE VERRET-SULLIVAN2023-09-18

Plan Statistics for STE. MICHELLE WINE ESTATES HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for STE. MICHELLE WINE ESTATES HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2022: STE. MICHELLE WINE ESTATES HEALTH & WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01867
Total number of active participants reported on line 7a of the Form 55002022-01-011,005
Number of retired or separated participants receiving benefits2022-01-015
Number of other retired or separated participants entitled to future benefits2022-01-0140
Total of all active and inactive participants2022-01-011,050
Number of employers contributing to the scheme2022-01-010

Form 5500 Responses for STE. MICHELLE WINE ESTATES HEALTH & WELFARE BENEFIT PLAN

2022: STE. MICHELLE WINE ESTATES HEALTH & WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number894997G
Policy instance 1
Insurance contract or identification number894997G
Number of Individuals Covered1120
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $66,925
Total amount of fees paid to insurance companyUSD $5,776
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $669,244
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $66,925
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract numberGTP 0009159076
Policy instance 2
Insurance contract or identification numberGTP 0009159076
Number of Individuals Covered1005
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $1,153
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedBUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $5,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $1,153
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTH ADVOCATE, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00
Policy instance 3
Insurance contract or identification number00
Number of Individuals Covered1082
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedINFERTILITY,CORE ADVOCACY
Welfare Benefit Premiums Paid to CarrierUSD $16,374
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVERNORTH CARE SOLUTIONS, INC (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number5372
Policy instance 4
Insurance contract or identification number5372
Number of Individuals Covered2755
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $25,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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