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SWEETWATER SOUND HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan NameSWEETWATER SOUND HEALTH AND WELFARE BENEFIT PLAN
Plan identification number 509

SWEETWATER SOUND HEALTH AND 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)

401k Sponsoring company profile

SWEETWATER SOUND, LLC has sponsored the creation of one or more 401k plans.

Company Name:SWEETWATER SOUND, LLC
Employer identification number (EIN):352023299
NAIC Classification:443142
NAIC Description:Electronics Stores

Additional information about SWEETWATER SOUND, LLC

Jurisdiction of Incorporation: Nevada Department of State
Incorporation Date: 2007-10-29
Company Identification Number: 20071433231
Legal Registered Office Address: 5348 VEGAS DRIVE

LAS VEGAS
United States of America (USA)
89108

More information about SWEETWATER SOUND, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SWEETWATER SOUND HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092023-01-01JEFF OSTERMANN2024-09-19

Form 5500 Responses for SWEETWATER SOUND HEALTH AND WELFARE BENEFIT PLAN

2023: SWEETWATER SOUND HEALTH AND WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01First time form 5500 has been submittedYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

DELTA DENTAL OF INDIANA (National Association of Insurance Commissioners NAIC id number: 52634 )
Policy contract number10284
Policy instance 1
Insurance contract or identification number10284
Number of Individuals Covered3135
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $92,188
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10350001001
Policy instance 2
Insurance contract or identification number10350001001
Number of Individuals Covered4728
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $140,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00614471
Policy instance 3
Insurance contract or identification numberG 00614471
Number of Individuals Covered2445
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $81,368
Total amount of fees paid to insurance companyUSD $17,407
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $747,546
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number956519
Policy instance 4
Insurance contract or identification number956519
Number of Individuals Covered262
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $4,010
Total amount of fees paid to insurance companyUSD $1,698
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $29,552
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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