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XPERIENCE MANAGEMENT GROUP LLC MEDICAL PLAN 401k Plan overview

Plan NameXPERIENCE MANAGEMENT GROUP LLC MEDICAL PLAN
Plan identification number 501

XPERIENCE MANAGEMENT GROUP LLC MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

XPERIENCE MANAGEMENT GROUP LLC has sponsored the creation of one or more 401k plans.

Company Name:XPERIENCE MANAGEMENT GROUP LLC
Employer identification number (EIN):471335785
NAIC Classification:713900

Additional information about XPERIENCE MANAGEMENT GROUP LLC

Jurisdiction of Incorporation: Nevada Department of State
Incorporation Date: 2013-09-18
Company Identification Number: 20131552807
Legal Registered Office Address: 2005 CEDAR HILLS ST

LAS VEGAS
United States of America (USA)
89128

More information about XPERIENCE MANAGEMENT GROUP LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan XPERIENCE MANAGEMENT GROUP LLC MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-11-01
5012018-11-01
5012017-11-01
5012016-11-01DENA BARTON DENA BARTON2018-07-09

Form 5500 Responses for XPERIENCE MANAGEMENT GROUP LLC MEDICAL PLAN

2019: XPERIENCE MANAGEMENT GROUP LLC MEDICAL PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Submission has been amendedNo
2019-11-01This submission is the final filingNo
2019-11-01This return/report is a short plan year return/report (less than 12 months)No
2019-11-01Plan is a collectively bargained planNo
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – InsuranceYes
2018: XPERIENCE MANAGEMENT GROUP LLC MEDICAL PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Submission has been amendedNo
2018-11-01This submission is the final filingNo
2018-11-01This return/report is a short plan year return/report (less than 12 months)No
2018-11-01Plan is a collectively bargained planNo
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan benefit arrangement – InsuranceYes
2017: XPERIENCE MANAGEMENT GROUP LLC MEDICAL PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan benefit arrangement – InsuranceYes
2016: XPERIENCE MANAGEMENT GROUP LLC MEDICAL PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01First time form 5500 has been submittedYes
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 95342 )
Policy contract number774304
Policy instance 1
HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 95342 )
Policy contract number774304
Policy instance 1
HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 95342 )
Policy contract number774304
Policy instance 1

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