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EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 401k Plan overview

Plan NameEMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN
Plan identification number 507

EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

EMERALD QUEEN HOTEL & CASINOS has sponsored the creation of one or more 401k plans.

Company Name:EMERALD QUEEN HOTEL & CASINOS
Employer identification number (EIN):911734931
NAIC Classification:713200
NAIC Description: Gambling Industries

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-10-01JESSICA CRUMP2024-06-24
5072021-10-01JESSICA CRUMP2023-02-09
5072020-10-01AARON SHELTON2022-04-22
5072019-10-01ANDREA M. THOMAS2021-04-29
5072016-10-01
5072015-10-01ERIC BURKHEAD
5072014-10-01SUE JORDAN-KELIIHOLOKAI
5072013-10-01ERIC BURKHEAD

Plan Statistics for EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN

401k plan membership statisitcs for EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN

Measure Date Value
2022: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-013,546
Total number of active participants reported on line 7a of the Form 55002022-10-014,236
Number of retired or separated participants receiving benefits2022-10-010
Number of other retired or separated participants entitled to future benefits2022-10-010
Total of all active and inactive participants2022-10-014,236
Number of employers contributing to the scheme2022-10-010
2021: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-011,959
Total number of active participants reported on line 7a of the Form 55002021-10-013,546
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-013,546
Number of employers contributing to the scheme2021-10-010
2020: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-011,919
Total number of active participants reported on line 7a of the Form 55002020-10-011,950
Number of retired or separated participants receiving benefits2020-10-019
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-011,959
Number of employers contributing to the scheme2020-10-010
2019: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-011,971
Total number of active participants reported on line 7a of the Form 55002019-10-011,855
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-011,855
Number of employers contributing to the scheme2019-10-010
2016: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-011,836
Total number of active participants reported on line 7a of the Form 55002016-10-011,928
Number of retired or separated participants receiving benefits2016-10-012
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-011,930
2015: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-012,000
Total number of active participants reported on line 7a of the Form 55002015-10-012,102
Number of retired or separated participants receiving benefits2015-10-014
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-012,106
2014: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-012,133
Total number of active participants reported on line 7a of the Form 55002014-10-011,995
Number of retired or separated participants receiving benefits2014-10-018
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-012,003
2013: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-012,071
Total number of active participants reported on line 7a of the Form 55002013-10-012,108
Number of retired or separated participants receiving benefits2013-10-012
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-012,110

Form 5500 Responses for EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN

2022: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – InsuranceYes
2021: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2016: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: EMERALD QUEEN HOTEL & CASINOS WELFARE BENEFITS PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01First time form 5500 has been submittedYes
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number1038688
Policy instance 7
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30015585
Policy instance 1
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE7771629
Policy instance 2
CURALINC HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberEAP
Policy instance 3
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberWA155
Policy instance 4
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number9215230
Policy instance 5
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number225570
Policy instance 6
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30015585
Policy instance 2
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE7771629
Policy instance 3
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberEAP
Policy instance 4
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberWA155
Policy instance 5
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number225570 0001
Policy instance 6
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number1038688
Policy instance 7
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number9215230
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number225570
Policy instance 7
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number9215230
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30015585
Policy instance 2
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE7771629
Policy instance 3
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberEAP
Policy instance 4
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberWA155
Policy instance 5
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number1038688
Policy instance 6
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30015585
Policy instance 2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number1038688
Policy instance 3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )
Policy contract numberE7771629
Policy instance 4
WELLSPRING FAMILY SERVICES, EAP (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberEAP
Policy instance 5
WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 )
Policy contract numberWA155
Policy instance 6
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number225571
Policy instance 7
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number9215230
Policy instance 1

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